ArticleJournal of clinical medicine2020
Significant Factors in Cranial Remolding Orthotic Treatment of Asymmetrical Brachycephaly.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Effectiveness of pediatric integrative manual therapy in cervical movement limitation in infants with positional plagiocephaly: a randomized controlled trial.Italian journal of pediatrics · 2021Trial
- Impact of Age on Success of 3D-Printed Cranial Remolding Orthoses for Deformational Head Shapes.Journal of clinical medicine · 2026Article
- A Review of Cranial Remolding Orthosis Treatment for Babies with Combinational Deformational Plagiocephaly with Brachycephaly and Development of a New Classification Scale.Children (Basel, Switzerland) · 2026Article
- Age-related patterns and strong correlation between cranial and ear asymmetry in healthy children: a CT-based cross-sectional study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Cross-Sectional study on cranial shape measurement values of 2,165 preterm infants in Beijing.Frontiers in pediatrics · 2026Article
- Prognostic factors for cranial deformities in infancy: a retrospective cohort study.Frontiers in pediatrics · 2026Article
- The Correlation Between Infant Head Shape in Craniometric Studies and Psychomotor Development Disorders.Journal of clinical medicine · 2025Review
- Cranial remolding orthosis for children with deformational skull deformities: A systematic review on the factors affecting success and duration of treatment.World neurosurgery: X · 2024Review
- Effectiveness of Helmet therapy for infants with moderate to severe positional plagiocephaly.Clinical and experimental pediatrics · 2024Article
- Delayed Motor Development and Infant Obesity as Risk Factors for Severe Deformational Plagiocephaly: A Matched Case-Control Study.Frontiers in pediatrics · 2020Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
This retrospective chart review focuses on determining the most effective time to begin cranial remolding orthosis (CRO) treatment for infants with asymmetrical brachycephaly. Subjects with asymmetrical brachycephaly started CRO treatment between 3 and 18 months of age. These infants had a cranial vault asymmetry index (CVAI) ≥ 3.5 and a cranial index (CI) ≥ 90. Subjects were excluded if they had any comorbidities affecting growth, dropped out of treatment, were lost to follow-up, or were noncompliant. Factors which were found to statistically influence treatment outcomes were subject initial age, initial CVAI, and initial CI. Overall, younger subjects were more likely to achieve a corrected head shape. The presence of prematurity or torticollis had statistically nonsignificant effects on the success of treatment. Initial CI was found to be a stronger predictor than initial CVAI as to which subjects achieved correction. The less severe the starting CI, the more likely the subject was to achieve full correction. The clinical understanding is that it requires more cranial growth to "round out" a full posterior skull flattening than an asymmetry. Based on the study results, infants with asymmetrical brachycephaly should be treated as early as possible to increase chances of achieving full correction of the deformity.
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Registered trials
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