March 6, 2015
Conservative repositioning treatment, with or without physical therapy, and helmet therapy were found to be effective for the correction of positional cranial deformation in a cohort of infants, according to recently published study data.
Researchers assigned 4,378 infant patients with deformational plagiocephaly and/or deformational brachycephaly to conservative (repositioning therapy in 383 patients, repositioning plus physical therapy in 2,998 patients) or helmet therapy (997 patients). Follow-up occurred until patients achieved complete correction, defined as a diagonal difference of less than 5 mm and/or a cranial ratio of less than 0.85, or 18 months. The researchers calculated patients’ rates of correction and identified independent risk factors for failure through the use of multivariate analysis.