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An early childhood skull deformity can have long-term health and aesthetic consequences for the growing toddler. Individual helmet therapy aims at a healthy growth of the skull shape, although not every helmet shape guarantees an optimal result. To ensure an optimal fit, a scanning procedure based on a hand-held surface scanner was evaluated.The new helmet orthosis has an inner layer adapted to the shape of the head, which can be exchanged depending on the growth stage without changing the outer layer.In collaboration with surgeons and engineers, a new helmet orthosis concept was developed that is intended to offer improvements in wearing comfort, overall weight, fit and user-friendliness compared to conventional systems. In the course of the development process and in constant exchange with parents, a multi-layer helmet system with generous perforations was created using additive manufacturing processes. The new helmet shape promises easier handling, especially through the closure system.The helmet shape developed in this study is of high quality, especially in terms of fitting accuracy. Unpleasant perspiration is significantly reduced. The integration of the closure as a direct component of the helmet represents a secure closure option.
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http://dx.doi.org/10.1186/s41205-023-00187-7 | DOI Listing |
BMC Musculoskelet Disord
September 2025
Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.
Introduction: 3D-printing is an emerging technology that is used in the manufacturing of orthotic devices. 3D-printing has many advantages such as improved fit, comfort, effectiveness, and patient satisfaction. While some challenges like durability and material selection remain, the aim of this systematic review is to provide a comprehensive evaluation of the clinical outcomes of 3D-printed orthoses.
View Article and Find Full Text PDFChildren (Basel)
August 2025
Cranial Technologies, Inc., Tempe, AZ 85284, USA.
Background/objectives: The purpose of this study was to examine the overall efficacy and treatment outcomes of CROs in the treatment of isolated deformational plagiocephaly and investigate the variables that influence treatment efficacy.
Methods: This was a 10-year retrospective review of N = 27, 990 infants with Isolated Deformational Plagiocephaly (IDP) who completed Cranial Remolding Orthosis (CRO) treatment between 3 and 18 months of age.
Results: There was a significant overall mean change in CVAI(S) of -3.
Cleft Palate Craniofac J
July 2025
Oregon Health & Science University, Division of Plastic and Reconstructive Surgery, Portland, OR, USA.
BackgroundCranial orthosis is a widely accepted treatment approach for moderate to severe deformational plagiocephaly. Custom-fit helmets molded tightly to the head are worn for 23 hours a day for several months2. This poses a challenge for children with concurrent conductive hearing loss who benefit from hearing devices, specifically bone anchored hearing aids (baha), that are intended to contact the skull directly1.
View Article and Find Full Text PDFJ Clin Neurosci
September 2025
General Hospital of Fortaleza, Neurosurgery Department, Fortaleza, Ceará, Brazil.
Background: Active repositioning and cranial orthoses are the primary treatment choices for positional cranial deformation (CD). However, the superiority of helmet therapy over non-helmet therapies remains controversial. We conducted a meta-analysis of cranial asymmetry (CA) parameters from studies comparing helmet therapy to non-helmet therapy in infants with non-synostotic CD.
View Article and Find Full Text PDFJ Orofac Orthop
June 2025
Private Practice for Maxillofacial Surgery, Am Krankenhaus 4, 48231, Warendorf, Germany.
Purpose: Regarding the therapy for positional plagiocephaly, a distinction is made between physiotherapeutic-osteopathic treatment and treatment using individual head orthoses. This retrospective study aimed to compare the outcome of these treatment modalities for correcting positional plagiocephaly in infants.
Methods: From an initial pool of 148 patients, two groups were matched based on age, sex, and Argenta classification.