Evidence map›Paper›PMID 39503457›Full record

ArticleProsthetics and orthotics international2025

Time to successful outcome vs. treatment duration in cranial remolding orthosis treatment.

Alyssa M Petz, Claire E Vallery, Chelsea J Richards, Hannah T Gensch, Matheos Yosef, Shokoufeh H Khalatbari, Christopher J Frank, Jennifer A Richards

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Prosthetics and orthotics international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alyssa M PetzPhysical Medicine and Rehabilitation, University of Michigan Orthotics & Prosthetics Center, University of Michigan, Ann Arbor, MI, USA.
Claire E ValleryPhysical Medicine and Rehabilitation, University of Michigan Orthotics & Prosthetics Center, University of Michigan, Ann Arbor, MI, USA.
Chelsea J RichardsPhysical Medicine and Rehabilitation, University of Michigan Orthotics & Prosthetics Center, University of Michigan, Ann Arbor, MI, USA.
Hannah T GenschPhysical Medicine and Rehabilitation, University of Michigan Orthotics & Prosthetics Center, University of Michigan, Ann Arbor, MI, USA.
Matheos YosefBiomechanics and Movement Science Program, University of Delaware, Newark, DE, USA.
Shokoufeh H KhalatbariBiomechanics and Movement Science Program, University of Delaware, Newark, DE, USA.
Christopher J FrankDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
Jennifer A RichardsPhysical Medicine and Rehabilitation, University of Michigan Orthotics & Prosthetics Center, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-3256-0873

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
NCATS NIH HHS UL1 TR002240NCATS NIH HHS UL1TR002240
6 · The paper itself

Abstract

backgroundCranial remolding orthoses are an effective treatment of deformational plagiocephaly. Typical treatment durations are well documented. However, treatment duration can be affected by multiple factors and may not be a true representation of the time necessary to achieve a successful clinical outcome.

objectiveThis study compared the time to achieve a successful clinical outcome against the total treatment duration for cranial remolding orthosis therapy in infants with deformational plagiocephaly. STUDY

designThis is a retrospective study of infants treated for deformational plagiocephaly with a cranial remolding orthosis.

methodsA total of 300 infants with deformational plagiocephaly who were treated with a cranial remolding orthosis were grouped by corrected age at initiation of treatment and by severity of deformity. A successful outcome was defined as achieving a final cranial vault asymmetry of 5 mm or less. For the 226 infants who achieved a successful outcome, time to successful outcome and treatment duration were compared between the groups.

resultsThe time to successful outcome depended on severity but not on age at initiation. The median time to successful outcome ranged from 6 weeks to 17.5 weeks, depending on the severity of the deformity. Time to successful outcome was significantly shorter than treatment duration for infants with an initial cranial vault asymmetry of less than 17 mm.

conclusionCurrent treatment durations for infants with moderate plagiocephaly may be longer than necessary. Estimated treatment time lines should be based on the initial severity of the infant's deformity.

Indexed as

Orthotic DevicesPlagiocephaly, NonsynostoticSkullFemaleHumansInfantInfant, NewbornMaleRetrospective StudiesTime FactorsTreatment Outcomecranial remolding orthosiscranial vault asymmetry (CVA)plagiocephalypremature birthseveritytreatment durationtreatment outcome

Identifiers

PMID39503457
PMCPMC12050341

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.