ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2020
A new parameter for the management of positional plagiocephaly: the size of the anterior fontanelle matters.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05154175 (Effectiveness of Ottobock Helmet Therapy in Infants With Plagiocephaly, Brachycephaly or Combination of Both and Parents' Satisfaction), which is not on this map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effectiveness of Ottobock Helmet Therapy in Infants With Plagiocephaly, Brachycephaly or Combination of Both and Parents' Satisfaction
Who cites it
7 citing papers in PubMed, 8 citations in OpenAlex.
- Factors Associated with Helmet Therapy Outcomes in Positional Plagiocephaly.Journal of clinical medicine · 2026Article
- Decreased skull growth in positional plagiocephaly patients undergoing helmet therapy.Brain & spine · 2026Article
- Ultrasonographic Measurement of Anterior Fontanelle Size in Infants with Deformational Plagiocephaly.Journal of clinical medicine · 2024Article
- Helmet therapy efficacy and its prediction in Japanese infants with positional plagio- and brachycephaly.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Effectiveness of Conservative Treatments in Positional Plagiocephaly in Infants: A Systematic Review.Children (Basel, Switzerland) · 2023Review
- Nonsynostotic Plagiocephaly: Prevention Strategies in Child Health Care.Journal of clinical medicine · 2020Review
- The Effects of Helmet Therapy Relative to the Size of the Anterior Fontanelle in Nonsynostotic Plagiocephaly: A Retrospective Study.Journal of clinical medicine · 2019Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe rate of positional plagiocephaly has increased since guidelines for the prevention of sudden infant death have led to the recommendation of positioning infants on their back during sleeping. Therapy includes repositioning, physiotherapy, and helmet therapy. To date, there is no consensus on the treatment of positional plagiocephaly. Therefore, it was the goal of this study to compare the results of physiotherapy and helmet therapy and to investigate if the size of the anterior fontanelle can be used as an additional parameter for the indication of the helmet therapy.
methodsWe enrolled 98 infants with a diagonal difference of 7 mm or more and plagiocephaly classified as Argenta II or more. Patients were grouped into infants with a small anterior fontanelle (< 25mm
resultsThe remolding rate was significantly higher with the helmet therapy than with physiotherapy. In patients with a small fontanelle, a lower spontaneous remolding rate was seen pointing to their lower correction potential. Especially in these patients, plagiocephaly was reduced significantly more quickly with the helmet treatment than with physiotherapy, so that they may benefit from the helmet due to their otherwise reduced spontaneous remolding capacity.
conclusionThe helmet therapy led to a faster reduction of the asymmetry than physiotherapy in this study. In patients with a small anterior fontanelle and therefore lower remolding potential, the helmet treatment was more effective than physiotherapy.
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