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Research on plagiocephaly

We have compiled a series of independently written plagiocephaly research papers, consisting of information collected over the past 15 years. The list is continually being added to and gives a broad overview of the current thinking on the subject. We often refer parents who would like to find out more about the condition to this information so they can come to an informed decision before starting treatment with us.

The NHS tells parents that helmet treatment for plagiocephaly offers no significant improvement, adversely recommending a ‘wait and see’ approach.

However, there is no evidence that head shapes do improve significantly without help. Our experience, and that of the parents that we help, is that we do gain a rapid and permanent improvement which is radically above what would happen naturally. To hear more about the experiences of parents whose babies have completed helmet therapy with us, take a look at our parent story case studies.

Plagiocephaly Research Papers

Our expert clinicians have compiled the most significant plagiocephaly research papers and summarised their findings. There is a link provided to each research paper, should you wish to examine the paper for yourself.

Effectiveness of Conservative Treatments in Positional Plagiocephaly in Infants: A Systematic Review

June 2023

The objective of this study is to analyse conservative treatments implemented to manage positional plagiocephaly in infants. Methods: This is a systematic review conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, performed in the Medline (PubMed), Scopus, Web of Science, and Cochrane databases.

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3-Dimensional Morphometric Outcomes After Endoscopic Strip Craniectomy for Unicoronal Synostosis

October 2022

Endoscopic strip craniectomy with postoperative helmeting (ESCH) for unicoronal synostosis has shown to be a less morbid procedure when compared with fronto-orbital remodeling (FOR). We aim in this pilot study to report objective methods and quantitative morphologic outcomes of endoscopically treated unicoronal synostosis using 3-dimensional surface scans.

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Head Shape Retention Following Helmet Therapy for Deformational Plagiocephaly

September 2019

The aim of the present study was to evaluate whether any change can be expected in the 6-month period after completing treatment with a molding helmet for deformational plagiocephaly. A retrospective review of helmeted patients from a deformational plagiocephaly clinic from May 2010 to June 2011.

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Argenta Clinical Classification of Deformational Plagiocephaly

May 2015

A stratification system is useful in deformational plagiocephaly (DP) to help categorise patients and reproduce a consistent treatment strategy. The Argenta classification is a clinical 5-point scale for unilateral DP and 3-point scale for central DP (CDP).

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Review of 5 Articles of “Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for the Patients with Positional Plagiocephaly” Articles in Neurosurgery 79: E623–E633

June 2016

This journal is designed to fill a gap for evidence-based guidelines for medical experts, offering information on how positional plagiocephaly should be diagnosed and treated. It is designed to be used across a range of specialities, including paediatricians, physical therapists and neurosurgeons.

Find out more online information on Congress of Neurological Surgeons.

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Effect of helmet therapy in the treatment of positional head deformity

December 2019

This study aimed to investigate which method of treatment is more effective for cosmetic improvement of positional head deformities in babies: helmet therapy (head orthosis) vs postural correction training. The study found that helmet therapy is more effective in the treatment of mild to moderate and moderate to severe positional head deformities than postural correction training. Also, the study discovered that helmet therapy didn’t hinder head circumference growth.

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