位置的頭蓋変形でヘルメット治療指示書を希望する群は斜頭グレードがより重度である
位置的頭蓋変形の程度とヘルメット治療の処方や申込みの有無との関係を調べた．2022年4月～2022年12月に当科を受診した児を対象にした．CIとCVAIを算出し，グレード1-5（軽度-極めて重度）に分類し統計処理した．男性40名，女性24名が登録され54名が位置的頭蓋変形であった．そのうち31人（57%）がヘルメット治療処方を希望し，そのうち13人（42%）がヘルメット治療を申込んだ．ヘルメット治療処方希望群は非希望群よりもCVAIグレードが有意に高かった．...
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| Published in | 小児の脳神経 Vol. 49; no. 1; pp. 18 - 25 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本小児神経外科学会
2024
日本小児神経外科学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-8023 2435-824X |
| DOI | 10.34544/jspn.49.1_18 |
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| Abstract | 位置的頭蓋変形の程度とヘルメット治療の処方や申込みの有無との関係を調べた．2022年4月～2022年12月に当科を受診した児を対象にした．CIとCVAIを算出し，グレード1-5（軽度-極めて重度）に分類し統計処理した．男性40名，女性24名が登録され54名が位置的頭蓋変形であった．そのうち31人（57%）がヘルメット治療処方を希望し，そのうち13人（42%）がヘルメット治療を申込んだ．ヘルメット治療処方希望群は非希望群よりもCVAIグレードが有意に高かった． |
|---|---|
| AbstractList | 位置的頭蓋変形の程度とヘルメット治療の処方や申込みの有無との関係を調べた．2022年4月～2022年12月に当科を受診した児を対象にした．CIとCVAIを算出し，グレード1-5（軽度-極めて重度）に分類し統計処理した．男性40名，女性24名が登録され54名が位置的頭蓋変形であった．そのうち31人（57%）がヘルメット治療処方を希望し，そのうち13人（42%）がヘルメット治療を申込んだ．ヘルメット治療処方希望群は非希望群よりもCVAIグレードが有意に高かった． 「要旨」位置的頭蓋変形の程度とヘルメット治療の処方や申込みの有無との関係を調べた. 2022年4月～2022年12月に当科を受診した児を対象にした. CIとCVAIを算出し, グレード1-5 (軽度-極めて重度) に分類し統計処理した. 男性40名, 女性24名が登録され54名が位置的頭蓋変形であった. そのうち31人 (57%) がヘルメット治療処方を希望し, そのうち13人 (42%) がヘルメット治療を申込んだ. ヘルメット治療処方希望群は非希望群よりもCVAIグレードが有意に高かった. |
| Author | 竹本, 理 千葉, 泰良 橋本, 洋章 |
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| References | [15] Koizumi T, Komuro Y, Hashizume K, Yanai A: Cephalic index of Japanese children with normal brain development. J Craniofac Surg 21: 2010. [4] Boere-Boonekamp MM, van der Linden-Kuiper LT: Positional preference: prevalence in infants and follow-up after two years. Pediatrics 107: 339-343, 2001. [7] Flannery AM, Tamber MS, Mazzola C, Klimo PJ, Baird LC, Tyagi R, Bauer DF, Beier A, Durham S, Lin AY, et al: Congress of neurological surgeons systematic review and evidence-based guidelines for the management of patients with positional plagiocephaly: executive summary. Neurosurgery 79: 623-624, 2016. [12] Holowka MA, Reisner A, Giavedoni B, Lombardo JR, Coulter C: Plagiocephaly severity scale to aid in clinical treatment recommendations. J Craniofac Surg 28: 717-722, 2017. [14] Kluba S, Kraut W, Calgeer B, Reinert S, Krimmel M: Treatment of positional plagiocephaly—helmet or no helmet? J Craniomaxillofac Surg 42: 683-688, 2014. [20] Persing J, James H, Swanson J, Kattwinkel J: Prevention and management of positional skull deformities in infants. Pediatrics 112: 199-202, 2003. [3] Bock FD, Braun V, Renz-Polster H: Deformational plagiocephaly in normal infants: a systematic review of causes and hypotheses. Arch Dis Child 102: 535-542, 2017. [17] Losee JE, Mason AC, Dudas J, Hua LB, Mooney MP: Nonsynostotic occipital plagiocephaly: Factors impacting onset, treatment, and outcomes. Plast Reconstr Surg 119: 1866-1873, 2007. [1] Aarnivala H, Vuollo V, Harila V, Heikkinen T, Pirttiniemi P, Holmström L, Valkama AM: The course of positional cranial deformation from 3 to 12 months of age and associated risk factors: a follow-up with 3D imaging. Eur J Pediatr 175: 1893-1903, 2016. [25] van Vlimmeren LA, van der Graaf Y, Boere-Boonekamp MM, L’Hoir MP, Helders PJM, Engelbert RHH: Effect of pediatric physical therapy on deformational plagiocephaly in children with positional preference: A randomized controlled trial. Arch Pediatr Adolesc Med 162: 712-718, 2008. [19] Moon RY, Darnall RA, Feldman-Winter L, Goodstein MH, Hauck FR: SIDS and other sleep-related infant deaths: updated 2016 recommendations for a safe infant sleeping environment. Pediatrics 138: 2016. [9] Goh JL, Bauer DF, Durham SR, Stotland MA: Orthotic（helmet）therapy in the treatment of plagiocephaly. Neurosurg Focus 35: E2, 2013. [27] Weissler EH, Sherif RD, Taub PJ: An evidence-based approach to nonsynostotic plagiocephaly. Plast Reconstr Surg 138: 682e-689e, 2016. [6] Feijen M, Franssen B, Vincken N, van der Hulst RRWJ: Prevalence and Consequences of Positional Plagiocephaly and Brachycephaly. J Craniofac Surg 26:e770-e773, 2015. [22] Roby BB, Finkelstein M, Tibesar RJ, Sidman JD: Prevalence of positional plagiocephaly in teens born after the “Back to Sleep” campaign. Otolaryngol Head Neck Surg 146: 823-828, 2012. [28] Wilbrand J-F, Seidl M, Wilbrand M, Streckbein P, Böttger S, Pons-Kuehnemann J, Hahn A, Howaldt H-P: A prospective randomized trial on preventative methods for positional head deformity: physiotherapy versus a positioning pillow. J Pediatr 162: 1216-1221.e1211, 2013. [8] Freudlsperger C, Steinmacher S, Saure D, Bodem JP, Kühle R, Hoffmann J, Engel M: Impact of severity and therapy onset on helmet therapy in positional plagiocephaly. J Craniomaxillofac Surg 44: 110-115, 2016. [23] Shweikeh F, Nuño M, Danielpour M, Krieger MD, Drazin D: Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines. Neurosurg Focus 35: E1, 2013. [5] Branch LG, Kesty K, Krebs E, Wright L, Leger S, David LR: Deformational plagiocephaly and craniosynostosis: trends in diagnosis and treatment after the “back to sleep” campaign. J Craniofac Surg 26: 147-150, 2015. [29] Wilbrand J-F, Wilbrand M, Malik CY, Howaldt H-P, Streckbein P, Schaaf H, Kerkmann H: Complications in helmet therapy. J Craniomaxillofac Surg 40: 341-346, 2012. [24] van Lindert EJ, Siepel FJ, Delye H, Ettema AM, Bergé SJ, Maal TJJ, Borstlap WA: Validation of cephalic index measurements in scaphocephaly. Childs Nerv Syst 29: 1007-1014, 2013. [11] Hinken L, Willenborg H, Dávila LA, Daentzer D: Outcome analysis of molding helmet therapy using a classification for differentiation between plagiocephaly, brachycephaly and combination of both. J Craniomaxillofac Surg 47: 720-725, 2019. [16] Linz C, Kunz F, Böhm H, Schweitzer T: Positional skull deformities: Etiology, prevention, diagnosis, and treatment. Dtsch Arztebl Int 114: 535, 2017. [26] van Wijk RM, van Vlimmeren LA, Groothuis-Oudshoorn CGM, Van der Ploeg CPB, IJzerman MJ, Boere-Boonekamp MM: Helmet therapy in infants with positional skull deformation: randomised controlled trial. BMJ-Brit Med J 348: g2741, 2014. [10] Graham T, Millay K, Wang J, Adams-Huet B, O’Briant E, Oldham M, Smith S: Significant factors in cranial remolding orthotic treatment of asymmetrical brachycephaly. J Clin Med 9: 1027, 2020. [21] Phelan AL, Gu G, McCarthy M, Barton BA, McIntyre JK, Lalikos JF: Rethinking Farkas: updating cephalic index norms in a large, diverse population. Plast Reconstr Surg 147: 1369-1376, 2021. [18] Loveday BPT, de Chalain TB: Active counterpositioning or orthotic device to treat positional plagiocephaly? J Craniofac Surg 12: 308-313, 2001. [13] Kimoto Y, Harada A, Utsugi R, Okamoto T, Kyutoku S, Ueda K: 頭位性斜頭との鑑別が困難であった片側ラムダ縫合早期癒合症の1乳児例．小児の脳神経46: 50-55, 2021. [2] Ahluwalia R, Kiely C, Foster J, Gannon S, Wiseman AL, Shannon CN, Bonfield CM: Positional posterior plagiocephaly: a single-center review. J Neurosurg Pediatr 25: 514-518, 2020. |
| References_xml | – reference: [1] Aarnivala H, Vuollo V, Harila V, Heikkinen T, Pirttiniemi P, Holmström L, Valkama AM: The course of positional cranial deformation from 3 to 12 months of age and associated risk factors: a follow-up with 3D imaging. Eur J Pediatr 175: 1893-1903, 2016. – reference: [13] Kimoto Y, Harada A, Utsugi R, Okamoto T, Kyutoku S, Ueda K: 頭位性斜頭との鑑別が困難であった片側ラムダ縫合早期癒合症の1乳児例．小児の脳神経46: 50-55, 2021. – reference: [29] Wilbrand J-F, Wilbrand M, Malik CY, Howaldt H-P, Streckbein P, Schaaf H, Kerkmann H: Complications in helmet therapy. J Craniomaxillofac Surg 40: 341-346, 2012. – reference: [3] Bock FD, Braun V, Renz-Polster H: Deformational plagiocephaly in normal infants: a systematic review of causes and hypotheses. Arch Dis Child 102: 535-542, 2017. – reference: [27] Weissler EH, Sherif RD, Taub PJ: An evidence-based approach to nonsynostotic plagiocephaly. Plast Reconstr Surg 138: 682e-689e, 2016. – reference: [23] Shweikeh F, Nuño M, Danielpour M, Krieger MD, Drazin D: Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines. Neurosurg Focus 35: E1, 2013. – reference: [19] Moon RY, Darnall RA, Feldman-Winter L, Goodstein MH, Hauck FR: SIDS and other sleep-related infant deaths: updated 2016 recommendations for a safe infant sleeping environment. Pediatrics 138: 2016. – reference: [18] Loveday BPT, de Chalain TB: Active counterpositioning or orthotic device to treat positional plagiocephaly? J Craniofac Surg 12: 308-313, 2001. – reference: [17] Losee JE, Mason AC, Dudas J, Hua LB, Mooney MP: Nonsynostotic occipital plagiocephaly: Factors impacting onset, treatment, and outcomes. Plast Reconstr Surg 119: 1866-1873, 2007. – reference: [12] Holowka MA, Reisner A, Giavedoni B, Lombardo JR, Coulter C: Plagiocephaly severity scale to aid in clinical treatment recommendations. J Craniofac Surg 28: 717-722, 2017. – reference: [5] Branch LG, Kesty K, Krebs E, Wright L, Leger S, David LR: Deformational plagiocephaly and craniosynostosis: trends in diagnosis and treatment after the “back to sleep” campaign. J Craniofac Surg 26: 147-150, 2015. – reference: [4] Boere-Boonekamp MM, van der Linden-Kuiper LT: Positional preference: prevalence in infants and follow-up after two years. Pediatrics 107: 339-343, 2001. – reference: [10] Graham T, Millay K, Wang J, Adams-Huet B, O’Briant E, Oldham M, Smith S: Significant factors in cranial remolding orthotic treatment of asymmetrical brachycephaly. J Clin Med 9: 1027, 2020. – reference: [28] Wilbrand J-F, Seidl M, Wilbrand M, Streckbein P, Böttger S, Pons-Kuehnemann J, Hahn A, Howaldt H-P: A prospective randomized trial on preventative methods for positional head deformity: physiotherapy versus a positioning pillow. J Pediatr 162: 1216-1221.e1211, 2013. – reference: [24] van Lindert EJ, Siepel FJ, Delye H, Ettema AM, Bergé SJ, Maal TJJ, Borstlap WA: Validation of cephalic index measurements in scaphocephaly. Childs Nerv Syst 29: 1007-1014, 2013. – reference: [2] Ahluwalia R, Kiely C, Foster J, Gannon S, Wiseman AL, Shannon CN, Bonfield CM: Positional posterior plagiocephaly: a single-center review. J Neurosurg Pediatr 25: 514-518, 2020. – reference: [9] Goh JL, Bauer DF, Durham SR, Stotland MA: Orthotic（helmet）therapy in the treatment of plagiocephaly. Neurosurg Focus 35: E2, 2013. – reference: [20] Persing J, James H, Swanson J, Kattwinkel J: Prevention and management of positional skull deformities in infants. Pediatrics 112: 199-202, 2003. – reference: [26] van Wijk RM, van Vlimmeren LA, Groothuis-Oudshoorn CGM, Van der Ploeg CPB, IJzerman MJ, Boere-Boonekamp MM: Helmet therapy in infants with positional skull deformation: randomised controlled trial. BMJ-Brit Med J 348: g2741, 2014. – reference: [8] Freudlsperger C, Steinmacher S, Saure D, Bodem JP, Kühle R, Hoffmann J, Engel M: Impact of severity and therapy onset on helmet therapy in positional plagiocephaly. J Craniomaxillofac Surg 44: 110-115, 2016. – reference: [6] Feijen M, Franssen B, Vincken N, van der Hulst RRWJ: Prevalence and Consequences of Positional Plagiocephaly and Brachycephaly. J Craniofac Surg 26:e770-e773, 2015. – reference: [7] Flannery AM, Tamber MS, Mazzola C, Klimo PJ, Baird LC, Tyagi R, Bauer DF, Beier A, Durham S, Lin AY, et al: Congress of neurological surgeons systematic review and evidence-based guidelines for the management of patients with positional plagiocephaly: executive summary. Neurosurgery 79: 623-624, 2016. – reference: [25] van Vlimmeren LA, van der Graaf Y, Boere-Boonekamp MM, L’Hoir MP, Helders PJM, Engelbert RHH: Effect of pediatric physical therapy on deformational plagiocephaly in children with positional preference: A randomized controlled trial. Arch Pediatr Adolesc Med 162: 712-718, 2008. – reference: [11] Hinken L, Willenborg H, Dávila LA, Daentzer D: Outcome analysis of molding helmet therapy using a classification for differentiation between plagiocephaly, brachycephaly and combination of both. J Craniomaxillofac Surg 47: 720-725, 2019. – reference: [16] Linz C, Kunz F, Böhm H, Schweitzer T: Positional skull deformities: Etiology, prevention, diagnosis, and treatment. Dtsch Arztebl Int 114: 535, 2017. – reference: [22] Roby BB, Finkelstein M, Tibesar RJ, Sidman JD: Prevalence of positional plagiocephaly in teens born after the “Back to Sleep” campaign. Otolaryngol Head Neck Surg 146: 823-828, 2012. – reference: [21] Phelan AL, Gu G, McCarthy M, Barton BA, McIntyre JK, Lalikos JF: Rethinking Farkas: updating cephalic index norms in a large, diverse population. Plast Reconstr Surg 147: 1369-1376, 2021. – reference: [14] Kluba S, Kraut W, Calgeer B, Reinert S, Krimmel M: Treatment of positional plagiocephaly—helmet or no helmet? J Craniomaxillofac Surg 42: 683-688, 2014. – reference: [15] Koizumi T, Komuro Y, Hashizume K, Yanai A: Cephalic index of Japanese children with normal brain development. J Craniofac Surg 21: 2010. |
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| Snippet | ... 「要旨」位置的頭蓋変形の程度とヘルメット治療の処方や申込みの有無との関係を調べた. 2022年4月～2022年12月に当科を受診した児を対象にした. CIとCVAIを算出し, グレード1-5 (軽度-極めて重度) に分類し統計処理した. 男性40名, 女性24名が登録され54名が位置的頭蓋変形であった.... |
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| Title | 位置的頭蓋変形でヘルメット治療指示書を希望する群は斜頭グレードがより重度である |
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