September 2014. Volume 10. Number 3

Helmet therapy for skull deformation remains controversial

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

van Wijk RM, van Vlimmeren LA, Groothuis-Oudshoorn CG, Van der Ploeg CP, Ijzerman MJ, Boere-Boonekamp MM. Helmet therapy in infants with positional skull deformation: randomised controlled trial. BMJ. 2014;348:g2741.
Reviewers: Rivas Juesas C1, González de Dios J2.
1Servicio de Pediatría. Hospital de Sagunto. Sagunto. Valencia. España.
2Departamento de Pediatría. Hospital General Universitario de Alicante. España.
Correspondence: Cristina Rivas Juesas. Email: crisrijue@hotmail.com
Reception date: 10/06/2014
Acceptance date: 26/08/2014
Publication date: 03/09/2014

Abstract

Authors' conclusions: the use of helmet therapy is not routinely recommended for healthy infants with moderate skull deformation, based on the equal effectiveness with its natural course and the high prevalence of adverse effects and high costs.

Reviewers' commentary: despite the fact of its small sample size, the results of the study indicate the lack of improvement with the orthotic helmet, what is an expensive and uncomfortable treatment. In healthy infants it seems better to recommend conservative posture.

How to cite this article

Rivas Juesas C, González de Dios J. El uso del casco en los lactantes con deformación craneal tiene una eficacia controvertida. Evid Pediatr. 2014;10:49.

AVC | Critically appraised articles

van Wijk RM, van Vlimmeren LA, Groothuis-Oudshoorn CG, Van der Ploeg CP, Ijzerman MJ, Boere-Boonekamp MM. Helmet therapy in infants with positional skull deformation: randomised controlled trial. BMJ. 2014;348:g2741.
Reviewers: Rivas Juesas C1, González de Dios J2.
1Servicio de Pediatría. Hospital de Sagunto. Sagunto. Valencia. España.
2Departamento de Pediatría. Hospital General Universitario de Alicante. España.
Correspondence: Cristina Rivas Juesas. Email: crisrijue@hotmail.com
Reception date: 10/06/2014
Acceptance date: 26/08/2014
Publication date: 03/09/2014

How to cite this article

Rivas Juesas C, González de Dios J. El uso del casco en los lactantes con deformación craneal tiene una eficacia controvertida. Evid Pediatr. 2014;10:49.

References

  1. Collett BR. Helmet therapy for positional plagiocephaly and brachycephaly. BMJ. 2014;348:g2906.
  2. Hutchison BL, Hutchison LA, Thompson JM, Mitchell EA. Plagiocephaly and brachycephaly in the first two years of life: a prospective cohort study. Pediatrics. 2004;114:970-80.
  3. Collett BR, Gray KE, Starr JR, Heike CL, Cunningham ML, Speltz ML. Development at age 36 months in children with deformational plagiocephaly. Pediatrics. 2013;131:e109-15.
  4. Kluba S, Kraut W, Calgeer B, Reinert S, Krimmel M. Treatment of positional plagiocephaly - Helmet or no helmet? J Craniomaxillofac Surg. 2014;42:683-8.
  5. Goh JL, Bauer DF, Durham SR, Stotland MA. Orthotic (helmet) therapy in the treatment of plagiocephaly. Neurosurg Focus. 2013;35:E2.
03/09/2014

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