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Head shape measurement standards and cranial orthoses in the treatment of infants with deformational plagiocephaly: a systematic review

McGarry, A. and Dixon, M. T. and Greig, R. J and Hamilton, D. and Sexton, S. and Smart, S. (2008) Head shape measurement standards and cranial orthoses in the treatment of infants with deformational plagiocephaly: a systematic review. Developmental Medicine and Child Neurology, 50 (8). pp. 568-576. ISSN 0012-1622

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    Abstract

    The review aims to determine how head shape is measured and describes the use of orthoses in the management of deformational plagiocephaly. A systematic review was conducted and papers published in English up to and including 2006 were sourced from nine databases. Initial screening of papers retrieved was conducted and consensus for inclusion reached according to specified criiteria. Twenty papers were included; three literature reviews and 17 original papers. Of the original papers, eight concerned the method of head shape measurement. Measurements are important in determining clinical classification and treatment modality of deformational plagiocephaly. All studies were appraised and assigned a level of evidence according to the Scottish Intercollegiate Guidelines Network. Methodological quality was inadequate. Publications involving the use of cranial orthoses used convenience samples, were not blinded, and used different measurement techniques. No control groups were included and participants were not randomised. Evidence suggests that conservative treatments might reduce skull deformity although the quality is poor. Clinical studies investigating the use of cranial orthoses reported beneficial effects. Further research of appropriate design is required to identify the efficacy of cranial orthoses in the treatment of deformational plagiocephaly based on a standardised measurement technique to facilitate classification of deformational plagiocephaly.

    Item type: Article
    ID code: 15050
    Keywords: plagiocephaly, measurement, head, shape, bioengineering, prosthetics, Bioengineering, Other systems of medicine, Clinical Neurology, Pediatrics, Perinatology, and Child Health, Developmental Neuroscience
    Subjects: Technology > Engineering (General). Civil engineering (General) > Bioengineering
    Medicine > Other systems of medicine
    Department: Faculty of Engineering > National Centre for Prosthetics and Orthotics
    Unknown Department
    Related URLs:
      Depositing user: Dr Anthony McGarry
      Date Deposited: 25 Jan 2010 16:07
      Last modified: 05 Sep 2014 13:21
      URI: http://strathprints.strath.ac.uk/id/eprint/15050

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