{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T08:02:14Z","timestamp":1789718534429,"version":"4.0.1"},"reference-count":66,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:p>Molding helmet therapy is a widely accepted treatment for positional plagiocephaly that is generally considered to be low risk. Multiple large outcome studies have shown good results, but adverse events are rarely reported. The literature on helmet therapy was reviewed to clarify the clinical experience with associated complications. Although significant complications were extremely rare, there was a large degree of variability in detection of lesser problems such as minor skin irritation. Patients with a primarily brachycephalic morphology may be at higher risk for poorly fitting orthoses. Most reported complications are minor and self-limited. Maintenance of good helmet hygiene appears to be the most effective strategy for reducing or eliminating complications.<\/jats:p>","DOI":"10.3171\/2013.5.focus13224","type":"journal-article","created":{"date-parts":[[2013,10,1]],"date-time":"2013-10-01T08:33:12Z","timestamp":1380616392000},"page":"E3","source":"Crossref","is-referenced-by-count":36,"title":["Complications associated with molding helmet therapy for positional plagiocephaly: a review"],"prefix":"10.3171","volume":"35","author":[{"given":"William C.","family":"Gump","sequence":"first","affiliation":[{"name":"Division of Pediatric Neurosurgery, Norton Neuroscience Institute and Kosair Children's Hospital, Louisville, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian S.","family":"Mutchnick","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, Norton Neuroscience Institute and Kosair Children's Hospital, Louisville, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas M.","family":"Moriarty","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, Norton Neuroscience Institute and Kosair Children's Hospital, Louisville, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0350003","series-title":"Childs Nerv Syst","first-page":"337","article-title":"The treatment of the positional plagiocephaly with a new thermoplastic orthotic device","volume":"18","author":"Aliberti","year":"2002"},{"key":"b2-0350003","series-title":"J Pediatr","first-page":"92","article-title":"Plagiocephaly and torticollis: etiology, natural history, and helmet treatment","volume":"98","author":"Clarren","year":"1981"},{"key":"b3-0350003","series-title":"Paediatr Child Health (Oxford)","first-page":"493","article-title":"Positional plagiocephaly","volume":"16","author":"Cummings","year":"2011"},{"key":"b4-0350003","series-title":"Swiss Med Wkly","first-page":"368","article-title":"Posterior positional plagiocephaly treated with cranial remodeling orthosis","volume":"137","author":"de Ribaupierre","year":"2007"},{"key":"b5-0350003","series-title":"J Pediatr Health Care","first-page":"320","article-title":"Evidence-based care of the child with deformational plagiocephaly, part II: management","volume":"26","author":"Flannery","year":"2012"},{"key":"b6-0350003","series-title":"J Child Neurol","first-page":"742","article-title":"Neurologic findings in infants with deformational plagiocephaly","volume":"23","author":"Fowler","year":"2008"},{"key":"b7-0350003","series-title":"J Craniofac Surg","first-page":"56","article-title":"Molding therapy of positional plagiocephaly: subjective outcome and quality of life","volume":"19","author":"Govaert","year":"2008"},{"key":"b8-0350003","series-title":"J Pediatr","first-page":"258","article-title":"Management of deformational plagiocephaly: repositioning versus orthotic therapy","volume":"146","author":"Graham","year":"2005"},{"key":"b9-0350003","series-title":"J Pediatr","first-page":"253","article-title":"Deformational brachycephaly in supine-sleeping infants","volume":"146","author":"Graham","year":"2005"},{"key":"b10-0350003","series-title":"Pediatrics","first-page":"970","article-title":"Plagiocephaly and brachycephaly in the first two years of life: a prospective cohort study","volume":"114","author":"Hutchison","year":"2004"},{"key":"b11-0350003","series-title":"Arch Dis Child","first-page":"85","article-title":"Deformational plagiocephaly: a follow-up of head shape, parental concern and neurodevelopment at ages 3 and 4 years","volume":"96","author":"Hutchison","year":"2011"},{"key":"b12-0350003","series-title":"Neurosurgery","first-page":"545","article-title":"Occipital plagiocephaly: the treatment of choice","volume":"49","author":"Jalaluddin","year":"2001"},{"key":"b13-0350003","series-title":"Childs Nerv Syst","first-page":"1389","article-title":"Posterior plagiocephaly","volume":"28","author":"Kalra","year":"2012"},{"key":"b14-0350003","series-title":"Pediatrics","first-page":"877","article-title":"Observations on a recent increase in plagiocephaly without synostosis","volume":"97","author":"Kane","year":"1996"},{"key":"b15-0350003","series-title":"Plast Reconstr Surg","first-page":"207","article-title":"Neurodevelopmental delays in children with deformational plagiocephaly","volume":"117","author":"Kordestani","year":"2006"},{"key":"b16-0350003","series-title":"Pediatrics","first-page":"1236","article-title":"Prevention and management of positional skull deformities in infants","volume":"128","author":"Laughlin","year":"2011"},{"key":"b17-0350003","series-title":"J Neurosurg Pediatr","first-page":"368","article-title":"Comparison of perceptions and treatment practices between neurosurgeons and plastic surgeons for infants with deformational plagiocephaly. 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