A Method for Evaluating Treatment in Infants with Deformational Plagiocephaly

Stéphanie Lanche, Tron Andre Darvann, Hildur Ólafsdottír, Nuno V. Hermann, Andrea Van Pelt, Daniel Govier, Marissa J. Tenenbaum, Sybill Naidoo, Per Larsen, Sven Kreiborg, Rasmus Larsen, Alex A. Kane, Bjarne Kjær Ersbøll (Editor)

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    Abstract

    Deformational Plagiocephaly (DP) is a term describing head asymmetry and deformation commonly seen in infants. DP affects the back of the head and, to a lesser extent, the forehead. The deformity is thought to result from protracted external pressure to the skull in one position. Treatment is non-surgical and involves parental education on infant repositioning to avoid pressure on the attened side, and, in many cases, orthotic molding helmet therapy. The purpose of this work was to develop a method for assessment of helmet therapy employing a statistical analysis of change in head asymmetry. The clinical population consisted of 37 infants for whom 3D surface scans of the head had been obtained both before and after their helmet treatment. Detailed point correspondence between all head surfaces was established by tps-transforming a symmetric template to each of the head surfaces. This also ensured full left-right point correspondence. Asymmetry was quantified by the ratio of distances between sides, measured from a midpoint between the ears to corresponding surface points on opposite sides of the midsagittal plane. The method was able to quantify and localize the asymmetry, which occurred predominantly in the back and/or the front of the head. Change in asymmetry was determined by computing the difference between measurement before and after the therapy. The results revealed that the head asymmetry was, in most cases, corrected in the posterior and/or anterior regions. The values of asymmetry change were statistically analyzed using Principal Components Analysis. The model localized the two major improvements to the posterior and anterior regions of the head, respectively, where also the main head asymmetries had been detected (and clinically observed). Results deem this method suitable for treatment evaluation. In addition, results establish helmet therapy as an effective treatment for improving head asymmetry in infants with DP.
    Original languageEnglish
    Publication date2007
    Publication statusPublished - 2007
    Event2nd Conference on Image Analysis and In-Vivo Pharmacology - Roskilde, Denmark
    Duration: 12 Apr 200714 Apr 2007
    Conference number: 2

    Conference

    Conference2nd Conference on Image Analysis and In-Vivo Pharmacology
    Number2
    CountryDenmark
    CityRoskilde
    Period12/04/200714/04/2007

    Cite this

    Lanche, S., Darvann, T. A., Ólafsdottír, H., Hermann, N. V., Pelt, A. V., Govier, D., Tenenbaum, M. J., Naidoo, S., Larsen, P., Kreiborg, S., Larsen, R., Kane, A. A., & Ersbøll, B. K. (Ed.) (2007). A Method for Evaluating Treatment in Infants with Deformational Plagiocephaly. Abstract from 2nd Conference on Image Analysis and In-Vivo Pharmacology, Roskilde, Denmark.