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Development of neurocranium in children with deformational plagiocephaly:influence of therapy using cranial orthosis
Forinová, Michala ; Velemínská, Jana (advisor) ; Bigoni, Lucie (referee)
Deformational plagiocephaly represent a positional deformity, that is the most frequent abnormality of misshapen head presenting at an early age. It is accepted as clinical insignificant finding with possible unfavourable superficial effect. Its increased incidence is associated with recommendation of supine sleep position as a prevention of sudden infant death. The most common therapy for correction of this asymmetry is conservative treatment in the form of rehabilitation and regime arrangement and in the case of failure the application of cranial orthoses. The main aim of the thesis was to evaluate the growth of neurocranium during the orthotic treatment. The partial aim was to describe the shape of neurocranium in early postnatal ontogenesis in healthy infants. Two cohorts are analyzed in this thesis. The first group are patients (n = 22; patients), who underwent orthotic therapy. The second, control group (n = 26; control group) includes individuals without diagnosed deformational plagiocephaly. The results of orthotic treatment (patients) were evaluated using geometric morphometry methods based on 3D scans. Both sets were evaluated using classical morphometry. The work demonstrates the positive effect of treatment of deformational plagiocephaly using cranial orthoses ("helmet"). Using of...
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Development of neurocranium in children with deformational plagiocephaly:influence of therapy using cranial orthosis
Forinová, Michala ; Velemínská, Jana (advisor) ; Bigoni, Lucie (referee)
Deformational plagiocephaly represent a positional deformity, that is the most frequent abnormality of misshapen head presenting at an early age. It is accepted as clinical insignificant finding with possible unfavourable superficial effect. Its increased incidence is associated with recommendation of supine sleep position as a prevention of sudden infant death. The most common therapy for correction of this asymmetry is conservative treatment in the form of rehabilitation and regime arrangement and in the case of failure the application of cranial orthoses. The main aim of the thesis was to evaluate the growth of neurocranium during the orthotic treatment. The partial aim was to describe the shape of neurocranium in early postnatal ontogenesis in healthy infants. Two cohorts are analyzed in this thesis. The first group are patients (n = 22; patients), who underwent orthotic therapy. The second, control group (n = 26; control group) includes individuals without diagnosed deformational plagiocephaly. The results of orthotic treatment (patients) were evaluated using geometric morphometry methods based on 3D scans. Both sets were evaluated using classical morphometry. The work demonstrates the positive effect of treatment of deformational plagiocephaly using cranial orthoses ("helmet"). Using of...
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Neurocranial asymmetry from normal shape to pathology
Forinová, Michala ; Velemínská, Jana (advisor) ; Bigoni, Lucie (referee)
Neurocranial asymmetry from normal shape to pathology Abstract: The bachelor thesis deals with the most frequent asymmetry of human skull - deformational plagiocephaly. Deformational (positional) plagiocephaly is the deformity of the skull, which is casued by external forces on developing, little rigid, skull of infants. An increased incidence of this deformity was noticed after 1992, when American Academy of Pediatrics marked supine position as the most safe sleeping position for infants, which decreases risk of Sudden infant death syndrome (SIDS). This thesis includes the context of this deformity such as the correct development of the skull, craniosynostosis or torticollis. Craniosynostosis, caused by premature fusion of suture, can lead to similiar resulting shape of the skull. To differentiate craniosynostosis from deformities caused by external forces is very important from the point of clinial view - craniosynostosis can lead to increasing of intracranial pressure and other complications. Expansion of deformational plagiocephaly can be connected in some cases with torticollis, which leads to asymmetrical posture of a head and following confirmation.
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