Document Detail


Preclinical pathways to treatment in infants with positional cranial deformity.
MedLine Citation:
PMID:  25034514     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Positional plagiocephaly in infants is frequent. As well as positioning, physiotherapy, and osteopathy, helmet therapy is an effective treatment option. The outcome also depends on the timely initiation of treatment. We investigated the preclinical pathways to treatment. Parents of 218 affected children were interviewed. Data were collected regarding detection and the treatments used prior to the first craniofacial consultation at the study clinic in Germany. Descriptive and statistical analyses were performed. For 78.4% of the children, the cranial deformities were first detected at ≤4 months of age. One hundred and twenty-two children received helmet therapy. Parents consulted the paediatrician with a mean latency of 0.4 months; 3.3 months passed until the first craniofacial consultation. Approximately 90% were treated with repositioning and 75.2% received additional physiotherapy or osteopathy prior to presentation. Children treated with physiotherapy/osteopathy presented significantly later (P=0.023). The time lapse to craniofacial consultation was not significantly different between children with and without later helmet therapy. We identified a relevant delay between the detection of positional cranial deformity and consultation with a craniofacial specialist. For affected children, this may potentially compromise the outcome of helmet therapy. Early referral to a specialist and if necessary the simultaneous application of different treatments should be preferred.
Authors:
S Kluba; J Lypke; W Kraut; M Krimmel; K Haas-Lude; S Reinert
Related Documents :
25014894 - Public health emergency planning for children in chemical, biological, radiological, an...
24132164 - Application of physiologically based pharmacokinetic modeling to predict acetaminophen ...
23298754 - Choline status and neurodevelopmental outcomes at 5 years of age in the seychelles chil...
10102154 - Assessment of terminal ileal and colonic inflammation in crohn's disease with 99mtc-wbc.
3269214 - Anorexia nervosa and motherhood: reproduction pattern and mothering behavior of 50 women.
9533514 - Physique and echocardiographic dimensions in children, adolescents and young adults.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-7-15
Journal Detail:
Title:  International journal of oral and maxillofacial surgery     Volume:  -     ISSN:  1399-0020     ISO Abbreviation:  Int J Oral Maxillofac Surg     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-7-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8605826     Medline TA:  Int J Oral Maxillofac Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Sex differences in behaviour and pro-inflammatory cytokine mRNA expression following stressor exposu...
Next Document:  Effect of interval from induction of puberty to initiation of a timed AI protocol on pregnancy rate ...