Clinical Assessment versus Computer Analysis in Classifcation of the Severity of Deformational Plagiocephaly Brachycephaly (DPB)
Timothy R. Littlefield, MS
This presentation will present the comparison of two different methods (quantitative computer analysis, qualitative clinical assessment) in determining the severity of Deformational Plagiocephaly Brachycephaly (DPB).
Cranial Remolding Orthosis Study on the Use of a Temperature Sensor to Measure Compliance
Jessica Corso, CO, LO, FAAOP
Scott Thach, MSPO, CPO, LPO
Research has evaluated the efficacy of CRO treatment, but evidence is lacking regarding the necessary hours per day for positive outcome. The general guideline is a 23 hour per day wear schedule. This schedule is prescribed regardless of presentation. The study aims to measure the average daily wear for each subject with the use of a temperature sensor and compare the average daily wear time to the outcomes of each individual subject. 106 total subjects were enrolled in the study, with 69 subjects available at the endpoint for analysis. The results show increased effectiveness in treatment of plagiocephaly with a CRO with longer average wear schedules. Increased sample sizing is required to determine if it is the same for brachycephalic and asymmetric brachycephalic head shapes.
Significant Factors Influencing Cranial Remolding Orthosis Treatment Outcomes and Rates of Correction in Infants with Deformational Plagiocephaly
Jennifer A. Richards, MA(Ed), CPO
A retrospective study of 300 infants with deformational plagiocephaly who were fit with the Michigan Cranial Reshaping Orthosis provides quantitative data to share with parents regarding the chances of achieving a successful outcome in cranial remolding orthosis treatment, based on an infant's initial CVA and their corrected age at initiation
Short-term Outcomes of the Boston Brace 3D Program Based on RS and SOSORT Criteria: A Retrospective Study
James Wynne, CPO, FAAOP
This retrospective study analyzed data from 18 months of first time fittings of the Boston Brace 3D, following patient outcomes for a minimum of one year post-fit. This study evaluated the short term outcomes of a comprehensive scoliosis program utilizing the Boston Brace 3D orthosis for patients with Adolescent Idiopathic Scoliosis (AIS), based on SRS and SOSORT criteria recommended for scoliosis research. Change in Cobb angle over the course of treatment, in-brace correction, and objective wear time were all recorded and analyzed.
Treatment of Proximal Junctional Kyphosis Following Lumbar Fusion: A Case Study
Emily A. Steffensen, MS, CPO
Proximal junctional kyphosis (PJK) is a common complication in operative treatment of spinal deformity. PJK is symptomatic kyphosis occurring superior to the fused segments. Severe kyphosis significantly affects aerobic capacity and respiratory efficiency, requiring treatment to prevent these negative outcomes. Lack of compliance with bracing inhibits treatment success. Therefore, it is imperative to adopt a holistic approach during orthotic treatment plan development for effective control and compliance. This case study aims to demonstrate how clinical decision-making integrating the patient, caregivers, medical providers, and orthotist results in positive orthotic outcomes. This case study demonstrates the use of this holistic approach to effectively treat PJK.