Outcome analysis of helmet therapy for positional plagiocephaly using a three-dimensional surface scanning laser.

Introduction: A dramatic rise in positional plagiocephaly has been noted over the last decade. Methods for treating and following outcomes are varied. We present our results from a passive soft helmet molding therapy using a surface scanning laser to provide objective outcomes.

Methods: One hundred seventy-five infants with positional plagiocephaly were treated at our institution over a 6-month period. The helmets used were soft foam helmets modified to fit each patient. Results were measured using a three-dimensional surface scanning laser and objective measurements of asymmetry. Compliance was also documented.

Results: The scanning laser allowed for objective measurements of symmetry over time and was useful in following outcomes. Improvement in head shape was noted after about 4 months of therapy. Patients who were more compliant with therapy achieved better results.

Conclusion: Use of the three-dimensional scanning laser and objective scoring system shows significant improvement in patients who were compliant with helmet therapy.