{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T14:59:50Z","timestamp":1781708390859,"version":"3.54.5"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:00:00Z","timestamp":1749686400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:00:00Z","timestamp":1749686400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Private Universit\u00e4t Witten\/Herdecke gGmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orofac Orthop"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Regarding the therapy for positional plagiocephaly, a\u00a0distinction is made between physiotherapeutic\u2013osteopathic treatment and treatment using individual head orthoses.<\/jats:p>\n                    <jats:p>This retrospective study aimed to compare the outcome of these treatment modalities for correcting positional plagiocephaly in infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From an initial pool of 148 patients, two groups were matched based on age, sex, and Argenta classification. Therapy was either helmet therapy in combination with physiotherapeutic\u2013osteopathic therapy (experimental group\/95\u00a0patients) or physical therapy alone (control group\/28\u00a0patients). The helmet was worn 23\u202fh per day and adjusted if necessary. A\u00a0photo-optical scan was performed pretherapeutically (T0) and posttherapeutically (T1). Besides other parameters, cephalic index (CI) and 30\u00b0 diagonal difference (DD) were assessed and evaluated statistically. The mean age was 5.4\u202f\u00b1\u20091.1\u00a0months in the experimental group and 5.1\u202f\u00b1\u20091.0\u00a0months in the control group. The sex ratio in the experimental group was 61\u00a0males (64.2%) to 34\u00a0females (35.8%), and in the control group, it was 19\u00a0males (67.9%) to 9\u00a0females (32.1%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After alignment of the groups, the range of correction of DD in the control group (\u22120.4\u202fmm\u202f\u00b1\u20092.3\u202fmm) was lower than that in the experimental group (\u22124.8\u202fmm\u202f\u00b1\u20092.8\u202fmm) which was statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090.001). The control group presented an average CI reduction from T0 to T1 of 0.1%\u202f\u00b1\u20092.1%, while the experimental group showed a\u00a0significantly higher reduction of CI of 3.6%\u202f\u00b1\u20093.6% (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090.001). Treatment time in the helmet therapy group averaged 2.2\u202f\u00b1\u20090.6\u00a0months, and in the control group, it averaged 1.6\u202f\u00b1\u20090.5\u00a0months (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In the matched groups, the reduction in CI and DD was significantly greater in the experimental group compared to the control group. Treatment with an individual head orthosis for positional plagiocephaly appears to be more effective than physical treatment alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00056-025-00594-x","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T11:52:04Z","timestamp":1749729124000},"page":"384-393","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Therapeutic efficacy of individual head orthoses in infants with positional plagiocephaly","Therapeutische Wirksamkeit individueller Kopforthesen bei S\u00e4uglingen mit lagebedingter Plagiozephalie"],"prefix":"10.1007","volume":"87","author":[{"given":"Sachin","family":"Chhatwani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Degener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucija","family":"Rako","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Kirschneck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan Christian","family":"M\u00f6hlhenrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gholamreza","family":"Danesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Kelker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,12]]},"reference":[{"key":"594_CR1","doi-asserted-by":"publisher","first-page":"1197","DOI":"10.1007\/s00431-015-2520-x","volume":"174","author":"H Aarnivala","year":"2015","unstructured":"Aarnivala\u00a0H, Vuollo\u00a0V, Harila\u00a0V et\u00a0al (2015) Preventing deformational plagiocephaly through parent guidance: a\u00a0randomized, controlled trial. 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Arch Plast Surg 39:338","journal-title":"Arch Plast Surg"}],"container-title":["Journal of Orofacial Orthopedics \/ Fortschritte der Kieferorthop\u00e4die"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00056-025-00594-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00056-025-00594-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00056-025-00594-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T14:24:48Z","timestamp":1781706288000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00056-025-00594-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,12]]},"references-count":41,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["594"],"URL":"https:\/\/doi.org\/10.1007\/s00056-025-00594-x","relation":{},"ISSN":["1434-5293","1615-6714"],"issn-type":[{"value":"1434-5293","type":"print"},{"value":"1615-6714","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,12]]},"assertion":[{"value":"17 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 June 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"S.\u00a0Chhatwani, C.\u00a0Degener, L.\u00a0Rako, C.\u00a0Kirschneck, S.C.\u00a0M\u00f6hlhenrich, G.\u00a0Danesh and M.\u00a0Kelker declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Data acquisition for the present retrospective study was based on the patient collective of the helmet consultation of an oral and maxillofacial surgery practice in Warendorf, Germany (2009\u20132015). Ethical approval (42\/2013) was granted by the Ethics Committee of the University of Witten\/Herdecke, Germany. Due to the retrospective nature of the study and in accordance with the decision of the Ethics Committee, no informed consent from the patients or their legal guardians was required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical standards"}}]}}