| Title |
Preventing deformational plagiocephaly through parent guidance: a randomized, controlled trial
|
|---|---|
| Published in |
European Journal of Pediatrics, April 2015
|
| DOI | 10.1007/s00431-015-2520-x |
| Pubmed ID | |
| Authors |
Henri Aarnivala, Ville Vuollo, Virpi Harila, Tuomo Heikkinen, Pertti Pirttiniemi, A. Marita Valkama |
| Abstract |
Deformational plagiocephaly (DP) occurs frequently in otherwise healthy infants. Many infants with DP undergo physiotherapy or helmet therapy, and ample treatment-related research is available. However, the possibility of preventing DP has been left with little attention. We sought to evaluate the effectiveness of intervention in the newborn's environment, positioning, and handling on the prevalence of DP at 3 months and to investigate the causal relationship between DP and cervical imbalance. We carried out a randomized controlled trial, with healthy newborns randomized into two groups at birth. All families received standard positioning instructions to prevent SIDS. Additionally, the intervention group received detailed instructions regarding the infant's environment, positioning, and handling, with the goal of creating a nonrestrictive environment that promotes spontaneous physical movement and symmetrical motor development. Two- and three-dimensional photogrammetry served to assess cranial shape and goniometry to measure cervical motion. At 3 months, the prevalence of DP was lower in the intervention group in both 2D (11 vs 31 %) and 3D analyses (15 vs 33 %), and the asymmetry was milder in the intervention group. Infants with DP at follow-up had also developed more torticollis. An early educational intervention reduces the prevalence and severity of DP at 3 months. What is Known: •Deformational plagiocephaly, often with associated torticollis, is common in healthy infants. •Parental education is frequently recommended for preventing deformational plagiocephaly, although information regarding the effectiveness of preventive strategies is scarce. What is New: •Early parent guidance effectively reduces the prevalence and severity of DP and improves the cervical range of motion at three months. •Educating both parents and professionals about proper infant positioning on a national scale could help minimize public healthcare costs. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 252 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 2 | <1% |
| United States | 1 | <1% |
| Portugal | 1 | <1% |
| Switzerland | 1 | <1% |
| Unknown | 247 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 45 | 18% |
| Student > Master | 36 | 14% |
| Student > Postgraduate | 15 | 6% |
| Other | 15 | 6% |
| Student > Doctoral Student | 15 | 6% |
| Other | 38 | 15% |
| Unknown | 88 | 35% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 63 | 25% |
| Medicine and Dentistry | 58 | 23% |
| Psychology | 7 | 3% |
| Engineering | 6 | 2% |
| Unspecified | 5 | 2% |
| Other | 23 | 9% |
| Unknown | 90 | 36% |
Attention Score in Context
This research output has an Altmetric Attention Score of 31. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 August 2018.
All research outputs
#1,075,043
of 22,797,621 outputs
Outputs from European Journal of Pediatrics
#77
of 3,695 outputs
Outputs of similar age
#15,010
of 264,677 outputs
Outputs of similar age from European Journal of Pediatrics
#2
of 54 outputs
Altmetric has tracked 22,797,621 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,695 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one has done particularly well, scoring higher than 97% of its peers.
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We're also able to compare this research output to 54 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 96% of its contemporaries.