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Orthotic Treatment Protocols for Plagiocephaly
 
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Title/ Orthotic Treatment Protocols for Plagiocephaly
Source/ Journal of Prosthetics & Orthotics, Vol. 16, Num. 4S, pp. 31-34, 2004.
Author(s) / Jeff Larsen, CO
Abstract /
Over the past decade, physicians, practitioners, and engineers have worked hard to establish the foundation for treating patients with deformational plagiocephaly. In 2004, a work group of the Institute for Clinical Systems Improvement (ICSI) wrote a technical assessment abstract on the subject. (The group consisted of two plastic and rehabilitative surgeons, a physical medicine and rehabilitation physician, and an orthotic/prosthetic lab manager.) By reviewing current literature and practical experience, the team concluded that cranial orthoses are safe and effective in reducing cranial asymmetries. 1 The objective of this article is to present findings regarding treatment protocols for deformational plagiocephaly based on the current literature and on a comprehensive survey of 17 orthotic practitioners at various centers nationwide. The survey's 19 questions covered treatment duration, wearing schedules, frequency of follow ups, fitting and follow-up adjustments, variables affecting outcomes, and multiple orthoses.
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