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Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline on the Management of Patients With Positional Plagiocephaly: The Role of Repositioning

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TypeOfResource
Text
TitleInfo
Title
Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline on the Management of Patients With Positional Plagiocephaly: The Role of Repositioning
Name (type = personal)
NamePart (type = family)
Klimo
NamePart (type = given)
Paul
Affiliation
University of Tennessee Health Science Center
Role
RoleTerm (authority = marcrt); (type = text)
author
NamePart (type = termsOfAddress)
Jr.
Name (type = personal)
NamePart (type = family)
Lingo
NamePart (type = given)
Patrick Ryan
Affiliation
University of Tennessee Health Science Center
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Baird
NamePart (type = given)
Lissa C.
Affiliation
Oregon Health and Science University
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Bauer
NamePart (type = given)
David F.
Affiliation
Dartmouth-Hitchcock Medical Center
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Beier
NamePart (type = given)
Alexandra
Affiliation
University of Florida Health Jacksonville
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Durham
NamePart (type = given)
Susan
Affiliation
University of Vermont Medical Center
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Lin
NamePart (type = given)
Alexander Y.
Affiliation
St Louis University School of Medicine
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
McClung-Smith
NamePart (type = given)
Catherine
Affiliation
Palmetto Health University of South Carolina Medical Group
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Mitchell
NamePart (type = given)
Laura
Affiliation
Congress of Neurological Surgeons
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Nikas
NamePart (type = given)
Dimitrios
Affiliation
University of Illinois at Chicago; Advocate Children's Hospital
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Tamber
NamePart (type = given)
Mandeep S.
Affiliation
University of Pittsburgh Medical Center
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (authority = orcid); (authorityURI = http://id.loc.gov/vocabulary/identifiers/orcid.html); (type = personal); (valueURI = http://orcid.org/0000-0002-5815-012X)
NamePart (type = family)
Tyagi
NamePart (type = given)
Rachana
Affiliation
Surgery (Robert Wood Johnson Medical School, RWJMS), Rutgers University
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Mazzola
NamePart (type = given)
Catherine
Affiliation
Goryeb Children's Hospital of Atlantic Health Systems
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Flannery
NamePart (type = given)
Ann Marie
Affiliation
Kids Specialty Center, Women's and Children's Hospital
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (authority = RutgersOrg-Department); (type = corporate)
NamePart
Surgery (Robert Wood Johnson Medical School, RWJMS)
Name (authority = RutgersOrg-School); (type = corporate)
NamePart
Robert Wood Johnson Medical School (RWJMS)
Genre (authority = RULIB-FS)
Article, Refereed
Genre (authority = NISO JAV)
Accepted Manuscript (AM)
Note (type = peerReview)
Peer reviewed
OriginInfo
DateIssued (encoding = w3cdtf)
2016
Abstract (type = Abstract)
BACKGROUND: Plagiocephaly, involving positional deformity of the calvarium in infants, is one of the most common reasons for pediatric neurosurgical consultation.

OBJECTIVE: To answer the question: “what is the evidence for the effectiveness of repositioning for positional plagiocephaly?” Treatment recommendations are provided based on the available evidence.

METHODS: The National Library of Medicine MEDLINE database and the Cochrane Library were queried using MeSH headings and key words relevant to repositioning as a means to treat plagiocephaly and brachycephaly. Abstracts were reviewed to identify which studies met the inclusion criteria. An evidentiary table was assembled summarizing the studies and the quality of evidence (Classes I-III). Based on the quality of the literature, a recommendation was rendered (Level I, II, or III).

RESULTS: There were 3 randomized trials (Class I), 1 prospective cohort study (Class II), and 6 retrospective cohort studies (Class III). Repositioning education was found to be equal to a repositioning device and inferior to a physical therapy program. Five of the 7 cohort studies comparing repositioning with a helmet reported helmets to be better and take less time.

CONCLUSION: Within the limits of this systematic review, repositioning education is effective in affording some degree of correction in virtually all infants with positional plagiocephaly or brachycephaly. Most studies suggest that a molding helmet corrects asymmetry more rapidly and to a greater degree than repositioning education. In a Class I study, repositioning education was as effective as repositioning education in conjunction with a repositioning wrap/device. Another Class I study demonstrated that a bedding pillow was superior to physical therapy for some infants. However, in keeping with the American Academy of Pediatrics' warning against the use of soft positioning pillows in the sleeping environment, the Task Force recommends physical therapy over any positioning device. The full guidelines document can be located at https://www.cns.org/guidelines/guidelines-management-patients-positional-plagiocephaly/Chapter_3.
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
PhysicalDescription
InternetMediaType
application/pdf
Extent
4 p.
Subject (authority = local)
Topic
Infants
Subject (authority = local)
Topic
Plagiocephaly
Subject (authority = local)
Topic
Positional plagiocephaly
Subject (authority = local)
Topic
Practice guidelines
Extension
DescriptiveEvent
Type
Citation
DateTime (encoding = w3cdtf)
2016
AssociatedObject
Name
Neurosurgery
Type
Journal
Relationship
Has part
Detail
E627-E629
Identifier (type = volume and issue)
79(5)
Reference (type = url)
http://dx.doi.org/10.1227/NEU.0000000000001428
RelatedItem (type = host)
TitleInfo
Title
Tyagi, Rachana
Identifier (type = local)
rucore30213300001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3GX4DSJ
Genre (authority = ExL-Esploro)
Accepted Manuscript
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RightsDeclaration (AUTHORITY = FS); (ID = rulibRdec0004)
Copyright for scholarly resources published in RUcore is retained by the copyright holder. By virtue of its appearance in this open access medium, you are free to use this resource, with proper attribution, in educational and other non-commercial settings. Other uses, such as reproduction or republication, may require the permission of the copyright holder.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsEvent
Type
Permission or license
AssociatedObject
Type
License
Name
Multiple author license v. 1
Detail
I hereby grant to Rutgers, The State University of New Jersey (Rutgers) the non-exclusive right to retain, reproduce, and distribute the deposited work (Work) in whole or in part, in and from its electronic format, without fee. This agreement does not represent a transfer of copyright to Rutgers.Rutgers may make and keep more than one copy of the Work for purposes of security, backup, preservation, and access and may migrate the Work to any medium or format for the purpose of preservation and access in the future. Rutgers will not make any alteration, other than as allowed by this agreement, to the Work.I represent and warrant to Rutgers that the Work is my original work. I also represent that the Work does not, to the best of my knowledge, infringe or violate any rights of others.I further represent and warrant that I have obtained all necessary rights to permit Rutgers to reproduce and distribute the Work and that any third-party owned content is clearly identified and acknowledged within the Work.By granting this license, I acknowledge that I have read and agreed to the terms of this agreement and all related RUcore and Rutgers policies.
RightsEvent
Type
Embargo
DateTime (point = end); (encoding = w3cdtf)
2017-11-01
Detail
Access to this PDF has been restricted at the publisher's request. It will be publicly available after November 1, 2017.
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
Document
CreatingApplication
ApplicationName
Microsoft Office Word
Version
16.0000
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2016-08-15T02:57:00
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2016-08-15T03:02:00
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