C6 - Orthotic Free Papers--cranial Remolding & Spinal Orthotics

The following Free Papers are included in this session.

(C6A) Effects of Physical Therapy and Compliance on Deformational Head Shape Treatments
Presenter: Tiffany Graham, MSPO, C/LPO, FAAOP(D) – Associate Professor, University of Texas Southwestern Medical Center
Forty three infants with cranial deformation were enrolled and followed from 2 to 12 months of age. Participants received physical therapy (if torticollis was present), repositioning therapy, and the option for cranial remolding orthotic treatment. Outcomes were examined at 12 months of age, and stratified based on compliance to the treatment protocols. Infants concurrently enrolled in physical therapy had increased deformational head shape treatment compliance and those who were compliant with head shape treatment more often achieved resolution of their head shape.

(C6B) An Examination of 3-dimensional Change for Infants with Deformational Plagiocephaly
Presenter: Tiffany Graham, MSPO, C/LPO, FAAOP(D) – Associate Professor, University of Texas Southwestern Medical Center
Twenty-six infants with clinically significant cranial asymmetries were enrolled and followed from 2 to 12 months of age. Participants received repositioning therapy and the option for cranial remolding orthotic treatment. Outcomes were examined at 12 months of age, and the net growth of the bossed quadrants versus net growth of the flattened quadrants were compared. Statistical significance was found when comparing asymmetry changes during orthotic treatment to repositioning therapy or to natural post-correction growth. No statistical difference were found in 3-dimensional asymmetry changes between infants undergoing repositioning therapy and infants who grew naturally after their head shape was resolved.

(C6C) Effects of Physical Therapy and Compliance on Deformational Head Shape Treatments
Presenter: Jared Howell, MS, CPO/L, FAAOP
Cranial Remolding is changing resulting in the advent of 3D FDA cleared cranial remolding helmets. This presentation explores the efficacy and use of the first FDA cleared 3D printed helmet across a large sample size.

(C6D) Possible Implications of Pediatric Chest Wall Surgeries on the Risk of Development of Spinal Deformities
Co-Presenter: Rachel White, CPO – Senior Orthotist-Prosthetist, UC Davis Medical Center/ Spine Center
Co-Presenter: Michael Ginzburg, Psy.D., MA., MS., CO, LMFT – Clinician
The relationship between early pediatric chest wall surgeries and risk for the development of scoliosis is controversial. Clinicians addressing the pediatric chest wall surgery population can benefit from greater clinical context as to how the co-occurrence of these diagnoses can potentially impact the treatment course of the involved populations. Early detection of scoliotic deformities is critical in the successful implementation of non-operative treatment modalities.

(C6E) Predicting Scoliosis Outcomes
Presenter: Gez Bowman, CO, MBAPO – Orthotist/President, LA Brace International
Reviewing the factors that determine scoliosis bracing outcome. How daily wear time and time-off impacts outcome. Applying a mathematical formula to predict eventual outcome.