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REVIEW ARTICLE Nonsurgical Treatment of Deformational Plagiocephaly A Systematic Review James J. Xia, MD, PhD, MS; Kathleen A. Kennedy, MD; John F. Teichgraeber, MD; Kenneth Q. Wu, BS; James B. Baumgartner, MD; Jaime Gateno, DDS, MD Objective: To evaluate and summarize the evidence com- ies met the inclusion criteria. Five of the 7 studies pre- paring nonsurgical therapies in the treatment of infants sented evidence that molding therapy is more effective with deformational plagiocephaly. than repositioning, even with the biases favoring the re- positioning groups. In the molding groups, the asym- Data Sources: Scientific articles and abstracts pub- metry was more severe and the infants were older. The lished in English between January 1978 and August 2007 infants who failed to respond to repositioning therapy were searched from 5 online literature databases, along were also switched to molding therapy. The treatment with a manual search of conference proceedings. outcomes from the other 2 studies were difficult to as- sess because of flaws in their study design. Finally, the Study Selection: Studies were selected and appraised relative improvement of using molding therapy was cal- for methodological quality by 2 reviewers indepen- culated from one study. It was about 1.3 times
JAMA Pediatrics – American Medical Association
Published: Aug 1, 2008
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