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Use of a Midliner Positioning System for Prevention of Dolichocephaly in Preterm Infants.

Publication ,  Journal Article
McCarty, DB; OʼDonnell, S; Goldstein, RF; Smith, PB; Fisher, K; Malcolm, WF
Published in: Pediatr Phys Ther
April 2018

PURPOSE: The purpose of this study was to determine effectiveness of a midliner positioning system (MPS, Tortle Midliner) for preventing dolichocephaly. METHODS: This was a nonrandomized, prospective study of 30 premature infants (study cohort, SC) using an MPS compared with a retrospective study cohort (RSC) of 65 infants who received standard of care intervention. RESULTS: RSC baseline cranial index (CI) of 80% and final CI of 77% significantly decreased over an average 5.5 weeks (P < .0001). The SC baseline CI and the final CI were both 79% over an average 5.7 weeks, indicating no significant difference between CI measures (P = .6). Gestational age, birth weight, reflux, time on continuous positive airway pressure, and time in a supine position were not associated with dolichocephaly. CONCLUSIONS: The SC developed less cranial molding (ie, had greater CI), compared with the RSC. A larger randomized study is needed to recommend routine use of MPS for prevention and/or treatment of cranial molding in premature infants.

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Published In

Pediatr Phys Ther

DOI

EISSN

1538-005X

Publication Date

April 2018

Volume

30

Issue

2

Start / End Page

126 / 134

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Respiration, Artificial
  • Rehabilitation
  • Prospective Studies
  • Posture
  • Physical Therapy Modalities
  • Male
  • Infant, Premature, Diseases
  • Infant, Premature
  • Infant, Newborn
 

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McCarty, D. B., OʼDonnell, S., Goldstein, R. F., Smith, P. B., Fisher, K., & Malcolm, W. F. (2018). Use of a Midliner Positioning System for Prevention of Dolichocephaly in Preterm Infants. Pediatr Phys Ther, 30(2), 126–134. https://doi.org/10.1097/PEP.0000000000000487
McCarty, Dana B., Shannon OʼDonnell, Ricki F. Goldstein, P Brian Smith, Kimberley Fisher, and William F. Malcolm. “Use of a Midliner Positioning System for Prevention of Dolichocephaly in Preterm Infants.Pediatr Phys Ther 30, no. 2 (April 2018): 126–34. https://doi.org/10.1097/PEP.0000000000000487.
McCarty DB, OʼDonnell S, Goldstein RF, Smith PB, Fisher K, Malcolm WF. Use of a Midliner Positioning System for Prevention of Dolichocephaly in Preterm Infants. Pediatr Phys Ther. 2018 Apr;30(2):126–34.
McCarty, Dana B., et al. “Use of a Midliner Positioning System for Prevention of Dolichocephaly in Preterm Infants.Pediatr Phys Ther, vol. 30, no. 2, Apr. 2018, pp. 126–34. Pubmed, doi:10.1097/PEP.0000000000000487.
McCarty DB, OʼDonnell S, Goldstein RF, Smith PB, Fisher K, Malcolm WF. Use of a Midliner Positioning System for Prevention of Dolichocephaly in Preterm Infants. Pediatr Phys Ther. 2018 Apr;30(2):126–134.

Published In

Pediatr Phys Ther

DOI

EISSN

1538-005X

Publication Date

April 2018

Volume

30

Issue

2

Start / End Page

126 / 134

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Respiration, Artificial
  • Rehabilitation
  • Prospective Studies
  • Posture
  • Physical Therapy Modalities
  • Male
  • Infant, Premature, Diseases
  • Infant, Premature
  • Infant, Newborn