Use of a Midliner Positioning System for Prevention of Dolichocephaly in Preterm Infants.
Pediatr Phys Ther
; 30(2): 126-134, 2018 04.
Article
en En
| MEDLINE
| ID: mdl-29579000
ABSTRACT
PURPOSE:
The purpose of this study was to determine effectiveness of a midliner positioning system (MPS, Tortle Midliner) for preventing dolichocephaly.METHODS:
This was a nonrandomized, prospective study of 30 premature infants (study cohort, SC) using an MPS compared with a retrospective study cohort (RSC) of 65 infants who received standard of care intervention.RESULTS:
RSC baseline cranial index (CI) of 80% and final CI of 77% significantly decreased over an average 5.5 weeks (P < .0001). The SC baseline CI and the final CI were both 79% over an average 5.7 weeks, indicating no significant difference between CI measures (P = .6). Gestational age, birth weight, reflux, time on continuous positive airway pressure, and time in a supine position were not associated with dolichocephaly.CONCLUSIONS:
The SC developed less cranial molding (ie, had greater CI), compared with the RSC. A larger randomized study is needed to recommend routine use of MPS for prevention and/or treatment of cranial molding in premature infants.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Postura
/
Modalidades de Fisioterapia
/
Craneosinostosis
/
Enfermedades del Prematuro
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Infant
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Male
/
Newborn
Idioma:
En
Revista:
Pediatr Phys Ther
Asunto de la revista:
MEDICINA FISICA
/
PEDIATRIA
Año:
2018
Tipo del documento:
Article