Archimedes
HEAD MOULDING FOR PLAGIOCEPHALY
Frenchay Hospital, Bristol, UK; michael.carter@nbt.nhs.uk
| The first 150 words of the full text of this article appear below. |
Singh and Wacogne are to be congratulated on a succinct and well researched account of the current evidence for and against helmet moulding therapy.1 They have highlighted the preponderance of uncontrolled cohort studies in this field and the absence of evidence one way or the other for this treatment due to lack of randomised controlled trials (RCTs).
There are several important considerations in the management of children with plagiocephaly:
- Positional plagiocephaly in most cases represents one extreme of a physiological spectrum. The condition tends to self-correct which limits assessment of the efficacy of treatment methods.
- There is little, if any, class 1 evidence that helmet moulding for plagiocephaly improves its course compared to simple positional measures. We do not have the evidence largely because of the difficulty in generating control groups for prospective RCTs.
- Equally, there is little, if any, class 1 evidence that helmet moulding does not work for
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