Table 4 Summary of narrative analyses of treatments for Plagiocephaly
Author | Vs Control | Follow-up time-point | Cranial asymmetry – measurement method | Effect | Level of evidence | Amstar |
|---|---|---|---|---|---|---|
Helmet therapy | ||||||
Goh et al. 2013 [21] | NR | NR | Anthropometric assessment | Inconclusive | Low | 2 |
McGarry et al. 2008 [22] | NR | Up to 13 months | Bands, anthropometric callipers, moulding ring, observation, photography | Favourable | Low | 4.5 |
Paquereau et al. 2013 [23] | Repositioning | Cranial index, CVAI, 3D, visual | Favourable | Low | 3.5 | |
Shweikeh et al. 2013 [7] | Repositioning and usual care | > 12 months | NR | Favourable in older children | NR | 2 |
Xia et al. 2008 [11] | Repositioning only | 6 months | NR (one study Helmet ×1.3 greater than repositioning) | Favourable | Low | 8 |
Congress of NSSR and EBG Tamber et al. 2016 [19] | Conservative care | < 7 months | Anthropometry CVAI, 3D | Favourable in mod-severe cases or older children | Low | 7 |
Repositioning therapy | ||||||
Shweikeh et al. 2013 [7] | Usual care | < 12 months | NR | Favourable | NR | 2 |
Congress of NSSR and EBG Klimo et al. 2016 [18] | Helmet | NR | Cranial index, CVAI, photography, 3D analysis, | Unfavourable | Moderate | 7 |
Congress of NSSR and EBG Klimo et al. 2016 [8] | Manual Therapy | NR | Cranial index, CVAI, photography, 3D analysis | Unfavourable | High | 7 |
Congress of NSSR and EBG Klimo et al. 2016 [8] | Usual care | NR | Cranial index, CVAI, photography, 3D analysis | Favourable | Moderate to high | 7 |
Manual therapy | ||||||
Bialocerkowski et al. 2005 [20] | Helmet | CVAI, parental perceptions | Inconclusive | Low | 7 | |
Parnell Prevost et al. 2019 [13] | Standard care | 2 weeks | NR | Inconclusive favourable | Moderate | 7 |
Congress of NSSR and EBG Baird et al. 2016 [8] | Positional advice | NR | Plagiocephalometry | Favourable | High | 7 |
Congress of NSSR and EBG Baird et al. 2016 [8] | Positioning pillow | NR | Plagiocephalometry | Favourable | Moderate | 7 |