ClinicalTrials.gg
CompletedNCT05154175Updated Apr 12, 2022

Effectiveness of Ottobock Helmet Therapy in Infants With Plagiocephaly, Brachycephaly or Combination of Both

An observational study in Plagiocephaly, Positional, Plagiocephaly, Nonsynostotic and Brachycephaly, sponsored by Otto Bock France SNC. Completed at 12 sites in France. Open to participants aged 3 Months to 2 Years. Per ClinicalTrials.gov, last updated 2022-04-12.

Sponsored by Otto Bock France SNC · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
452
Ages
3 Months to 2 Years
Sex
All
01

Study summary

The objective of the research is to measure the effectiveness of the Ottobock helmet, an innovative 3D-printed cranial orthosis used to correct infant cranial positional deformation: plagiocephaly, brachycephaly or combination of both.

This research is a retrospective multi-centric study composed of a collection of clinical data from orthotists database and a survey for patient's parents.

Read the detailed description

The Ottobock helmet is a cranial orthosis used to correct infant cranial positional deformation: plagiocephaly, brachycephaly or combination of both. This medical device is a 3D-printed helmet, with an elastic closing system which allow the head growth, maintain a constant pressure in the helmet and ensure a good adjustment.

Even though there is an effectiveness observed, there are no existing clinical evidences on this type of helmet so far, and there is a need to conduct a research on a large number of patients to measure the effectiveness and describe the population treated. This study will give more information to health professionals (doctors, orthopedic technicians, etc.) and health authorities, about the benefits of the orthopedic treatment of the positional cranial deformations in infants.

The study is composed of an electronic case report form (eCRF) to be fulfilled by the orthotists and an electronic questionnaire (ePRO) to be fulfilled by the patient's parents. The electronic questionnaires, data treatment and analysis are handled by a Contract Research Organization (CRO).

02

Conditions studied

  • Plagiocephaly, Positional
  • Plagiocephaly, Nonsynostotic
  • Brachycephaly

Browse trials for

Keywords

  • Cranial orthosis
  • Helmet treatment
03

In context

Craniosynostoses

51 studies on the registry are indexed under Craniosynostoses; 14 are open to participants now.

This study's enrollment of 452 is above the median of 43 across 26 observational studies indexed under Craniosynostoses.

Browse Craniosynostoses studies →

Lead sponsor

Otto Bock France SNC is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
3 Months to 2 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The study population is composed of infants who have been fitted with an Ottobock helmet to treat their positional cranial deformation: plagiocephaly, brachycephaly or a combination of these two deformations.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Infant with positional cranial deformation
  • Infant treated with an Ottobock helmet between May 1st, 2020 and May 1st, 2021

Exclusion criteria

Exclusion Criteria:

  • Patient whose parents (or legal guardians) disagree to participate in the study.
  • Patient whose parents (or legal guardians) are unable to understand or answer the questionnaire.
05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
452 participants (actual)
Patient registry
No

Groups and cohorts

  • Ottobock helmet

    Infants treated with an Ottobock helmet

    Device: Ottobock helmet

Interventions

  • DeviceOttobock helmet

    Patients treated in current practice

    Also known as: MyCRO Band

06

What researchers measure

Primary outcomes

  1. Cranial deformation index

    The cranial deformation index is a ratio (%) of head diameters characterizing head deformation.

    Time frame: 6 weeks

Secondary outcomes

  1. Satisfaction of parents regarding the device and the services provided by the orthotist

    QUEST 2.0

    Time frame: Through study completion, an average of 6 months

07

Study locations

12 sites
  • Chabloz Orthopédie Annecy
    Annecy, France
  • Orthèse Prothèse Changeant OPC
    Castelnau-le-Lez, France
  • Chabloz Orthopédie Clermont-Ferrand
    Cournon-d'Auvergne, France
  • Technic'Ortho
    Lay-Saint-Christophe, France
  • Chabloz Orthopédie Nice
    Nice, France
  • Chabloz Orthopédie Lyon
    Oullins, France
  • Orthèses Prothèses Générales OPG
    Paris, France
  • Chabloz Orthopédie Valence
    Portes-lès-Valence, France
  • Chabloz Orthopédie Dijon
    Saint-Apollinaire, France
  • Chabloz Orthopédie Grenoble
    Seyssinet-Pariset, France
  • Chabloz Orthopédie Toulouse
    Toulouse, France
  • Chabloz Orthopédie Venelles
    Venelles, France
08

References and documents

Publications

  • Argenta L, David L, Thompson J. Clinical classification of positional plagiocephaly. J Craniofac Surg. 2004 May;15(3):368-72. doi: 10.1097/00001665-200405000-00004. Erratum In: J Craniofac Surg. 2004 Jul;15(4):705. PubMed 15111792 ↗
  • van Vlimmeren LA, Takken T, van Adrichem LN, van der Graaf Y, Helders PJ, Engelbert RH. Plagiocephalometry: a non-invasive method to quantify asymmetry of the skull; a reliability study. Eur J Pediatr. 2006 Mar;165(3):149-57. doi: 10.1007/s00431-005-0011-1. Epub 2005 Oct 7. PubMed 16211401 ↗
  • Graham JM Jr, Gomez M, Halberg A, Earl DL, Kreutzman JT, Cui J, Guo X. Management of deformational plagiocephaly: repositioning versus orthotic therapy. J Pediatr. 2005 Feb;146(2):258-62. doi: 10.1016/j.jpeds.2004.10.016. PubMed 15689920 ↗
  • Moss SD. Nonsurgical, nonorthotic treatment of occipital plagiocephaly: what is the natural history of the misshapen neonatal head? J Neurosurg. 1997 Nov;87(5):667-70. doi: 10.3171/jns.1997.87.5.0667. PubMed 9347972 ↗
  • Wendling-Keim DS, Mace Y, Lochbihler H, Dietz HG, Lehner M. A new parameter for the management of positional plagiocephaly: the size of the anterior fontanelle matters. Childs Nerv Syst. 2020 Feb;36(2):363-371. doi: 10.1007/s00381-019-04215-y. Epub 2019 Jun 17. PubMed 31209640 ↗
  • Loveday BP, de Chalain TB. Active counterpositioning or orthotic device to treat positional plagiocephaly? J Craniofac Surg. 2001 Jul;12(4):308-13. doi: 10.1097/00001665-200107000-00003. PubMed 11482615 ↗
  • Yoo HS, Rah DK, Kim YO. Outcome analysis of cranial molding therapy in nonsynostotic plagiocephaly. Arch Plast Surg. 2012 Jul;39(4):338-44. doi: 10.5999/aps.2012.39.4.338. Epub 2012 Jul 13. PubMed 22872837 ↗
  • Kim JK, Kwon DR, Park GY. A new ultrasound method for assessment of head shape change in infants with plagiocephaly. Ann Rehabil Med. 2014 Aug;38(4):541-7. doi: 10.5535/arm.2014.38.4.541. Epub 2014 Aug 28. PubMed 25229033 ↗
  • Holowka MA, Reisner A, Giavedoni B, Lombardo JR, Coulter C. Plagiocephaly Severity Scale to Aid in Clinical Treatment Recommendations. J Craniofac Surg. 2017 May;28(3):717-722. doi: 10.1097/SCS.0000000000003520. PubMed 28468155 ↗
  • Wilbrand JF, Schmidtberg K, Bierther U, Streckbein P, Pons-Kuehnemann J, Christophis P, Hahn A, Schaaf H, Howaldt HP. Clinical classification of infant nonsynostotic cranial deformity. J Pediatr. 2012 Dec;161(6):1120-5. doi: 10.1016/j.jpeds.2012.05.023. Epub 2012 Jun 23. PubMed 22727872 ↗
  • Graham JM Jr, Kreutzman J, Earl D, Halberg A, Samayoa C, Guo X. Deformational brachycephaly in supine-sleeping infants. J Pediatr. 2005 Feb;146(2):253-7. doi: 10.1016/j.jpeds.2004.10.017. PubMed 15689919 ↗
  • Kelly KM, Joganic EF, Beals SP, Riggs JA, McGuire MK, Littlefield TR. Helmet Treatment of Infants With Deformational Brachycephaly. Glob Pediatr Health. 2018 Oct 16;5:2333794X18805618. doi: 10.1177/2333794X18805618. eCollection 2018. PubMed 30349871 ↗
  • Hinken L, Willenborg H, Davila LA, Daentzer D. Outcome analysis of molding helmet therapy using a classification for differentiation between plagiocephaly, brachycephaly and combination of both. J Craniomaxillofac Surg. 2019 May;47(5):720-725. doi: 10.1016/j.jcms.2019.01.011. Epub 2019 Jan 17. PubMed 30733135 ↗
  • Schaaf H, Malik CY, Streckbein P, Pons-Kuehnemann J, Howaldt HP, Wilbrand JF. Three-dimensional photographic analysis of outcome after helmet treatment of a nonsynostotic cranial deformity. J Craniofac Surg. 2010 Nov;21(6):1677-82. doi: 10.1097/SCS.0b013e3181f3c630. PubMed 21119399 ↗
  • Hutchison BL, Hutchison LA, Thompson JM, Mitchell EA. Quantification of plagiocephaly and brachycephaly in infants using a digital photographic technique. Cleft Palate Craniofac J. 2005 Sep;42(5):539-47. doi: 10.1597/04-059r.1. PubMed 16149837 ↗
  • Wilbrand JF, Wilbrand M, Pons-Kuehnemann J, Blecher JC, Christophis P, Howaldt HP, Schaaf H. Value and reliability of anthropometric measurements of cranial deformity in early childhood. J Craniomaxillofac Surg. 2011 Jan;39(1):24-9. doi: 10.1016/j.jcms.2010.03.010. Epub 2010 Apr 24. PubMed 20418107 ↗
  • Purnell CA, Benz AW, Gosain AK. Assessment of Head Shape by Craniofacial Teams: Structuring Practice Parameters to Optimize Efficiency. J Craniofac Surg. 2015 Sep;26(6):1808-11. doi: 10.1097/SCS.0000000000001948. PubMed 26267560 ↗
  • Skolnick GB, Naidoo SD, Nguyen DC, Patel KB, Woo AS. Comparison of Direct and Digital Measures of Cranial Vault Asymmetry for Assessment of Plagiocephaly. J Craniofac Surg. 2015 Sep;26(6):1900-3. doi: 10.1097/SCS.0000000000002019. PubMed 26267578 ↗
  • Kluba S, Kraut W, Reinert S, Krimmel M. What is the optimal time to start helmet therapy in positional plagiocephaly? Plast Reconstr Surg. 2011 Aug;128(2):492-498. doi: 10.1097/PRS.0b013e31821b62d6. PubMed 21788840 ↗
  • Mulliken JB, Vander Woude DL, Hansen M, LaBrie RA, Scott RM. Analysis of posterior plagiocephaly: deformational versus synostotic. Plast Reconstr Surg. 1999 Feb;103(2):371-80. doi: 10.1097/00006534-199902000-00003. PubMed 9950521 ↗
  • Steinberg JP, Rawlani R, Humphries LS, Rawlani V, Vicari FA. Effectiveness of conservative therapy and helmet therapy for positional cranial deformation. Plast Reconstr Surg. 2015 Mar;135(3):833-842. doi: 10.1097/PRS.0000000000000955. PubMed 25415272 ↗
  • Kelly KM, Littlefield TR, Pomatto JK, Manwaring KH, Beals SP. Cranial growth unrestricted during treatment of deformational plagiocephaly. Pediatr Neurosurg. 1999 Apr;30(4):193-9. doi: 10.1159/000028794. PubMed 10420129 ↗
  • Graham T, Adams-Huet B, Gilbert N, Witthoff K, Gregory T, Walsh M. Effects of Initial Age and Severity on Cranial Remolding Orthotic Treatment for Infants with Deformational Plagiocephaly. J Clin Med. 2019 Jul 24;8(8):1097. doi: 10.3390/jcm8081097. PubMed 31344968 ↗
  • Pollack IF, Losken HW, Fasick P. Diagnosis and management of posterior plagiocephaly. Pediatrics. 1997 Feb;99(2):180-5. doi: 10.1542/peds.99.2.180. PubMed 9024443 ↗
  • Mottolese C, Szathmari A, Ricci AC, Ginguene C, Simon E, Paulus C. [Positional plagiocephaly: the place of cranial orthotics]. Neurochirurgie. 2006 Jun;52(2-3 Pt 2):184-94. doi: 10.1016/s0028-3770(06)71214-0. No abstract available. French. PubMed 16981652 ↗
  • Kim HY, Chung YK, Kim YO. Effectiveness of Helmet Cranial Remodeling in Older Infants with Positional Plagiocephaly. Arch Craniofac Surg. 2014 Aug;15(2):47-52. doi: 10.7181/acfs.2014.15.2.47. Epub 2014 Aug 14. PubMed 28913190 ↗
  • Cabrera-Martos I, Valenza MC, Valenza-Demet G, Benitez-Feliponi A, Robles-Vizcaino C, Ruiz-Extremera A. Effects of manual therapy on treatment duration and motor development in infants with severe nonsynostotic plagiocephaly: a randomised controlled pilot study. Childs Nerv Syst. 2016 Nov;32(11):2211-2217. doi: 10.1007/s00381-016-3200-5. Epub 2016 Jul 27. PubMed 27465676 ↗
  • Vles JS, Colla C, Weber JW, Beuls E, Wilmink J, Kingma H. Helmet versus nonhelmet treatment in nonsynostotic positional posterior plagiocephaly. J Craniofac Surg. 2000 Nov;11(6):572-4. doi: 10.1097/00001665-200011060-00010. PubMed 11314498 ↗
  • van Wijk RM, van Vlimmeren LA, Groothuis-Oudshoorn CG, Van der Ploeg CP, Ijzerman MJ, Boere-Boonekamp MM. Helmet therapy in infants with positional skull deformation: randomised controlled trial. BMJ. 2014 May 1;348:g2741. doi: 10.1136/bmj.g2741. PubMed 24784879 ↗
  • Kluba S, Kraut W, Calgeer B, Reinert S, Krimmel M. Treatment of positional plagiocephaly--helmet or no helmet? J Craniomaxillofac Surg. 2014 Jul;42(5):683-8. doi: 10.1016/j.jcms.2013.09.015. Epub 2013 Oct 15. PubMed 24238984 ↗
  • Kim SY, Park MS, Yang JI, Yim SY. Comparison of helmet therapy and counter positioning for deformational plagiocephaly. Ann Rehabil Med. 2013 Dec;37(6):785-95. doi: 10.5535/arm.2013.37.6.785. Epub 2013 Dec 23. PubMed 24466513 ↗
  • Wen J, Qian J, Zhang L, Ji C, Guo X, Chi X, Tong M. Effect of helmet therapy in the treatment of positional head deformity. J Paediatr Child Health. 2020 May;56(5):735-741. doi: 10.1111/jpc.14717. Epub 2019 Dec 23. PubMed 31868272 ↗
  • Lipira AB, Gordon S, Darvann TA, Hermann NV, Van Pelt AE, Naidoo SD, Govier D, Kane AA. Helmet versus active repositioning for plagiocephaly: a three-dimensional analysis. Pediatrics. 2010 Oct;126(4):e936-45. doi: 10.1542/peds.2009-1249. Epub 2010 Sep 13. PubMed 20837585 ↗
  • Clarren SK, Smith DW, Hanson JW. Helmet treatment for plagiocephaly and congenital muscular torticollis. J Pediatr. 1979 Jan;94(1):43-6. doi: 10.1016/s0022-3476(79)80347-9. PubMed 758420 ↗
  • Lam S, Pan IW, Strickland BA, Hadley C, Daniels B, Brookshier J, Luerssen TG. Factors influencing outcomes of the treatment of positional plagiocephaly in infants: a 7-year experience. J Neurosurg Pediatr. 2017 Mar;19(3):273-281. doi: 10.3171/2016.9.PEDS16275. Epub 2017 Jan 13. PubMed 28084921 ↗
  • Picart T, Beuriat PA, Szathmari A, Di Rocco F, Mottolese C. Positional cranial deformation in children: A plea for the efficacy of the cranial helmet in children. Neurochirurgie. 2020 Apr;66(2):102-109. doi: 10.1016/j.neuchi.2019.10.011. Epub 2020 Jan 17. PubMed 31958410 ↗
  • Lee HS, Kim SJ, Kwon JY. Parents' Perspectives and Clinical Effectiveness of Cranial-Molding Orthoses in Infants With Plagiocephaly. Ann Rehabil Med. 2018 Oct;42(5):737-747. doi: 10.5535/arm.2018.42.5.737. Epub 2018 Oct 31. PubMed 30404423 ↗
  • Demers L, Weiss-Lambrou R, Ska B. Development of the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST). Assist Technol. 1996;8(1):3-13. doi: 10.1080/10400435.1996.10132268. PubMed 10159726 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2021 to primary completion in Jan 2022, 2 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 15, 2021
First posted
Dec 10, 2021
StartActual
Nov 15, 2021
Primary completionActual
Jan 15, 2022
CompletionActual
Jan 31, 2022
Last update
Apr 12, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 12, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05154175
Lead sponsor
Otto Bock France SNC
Collaborators
Quanta Medical
Responsible party
Sponsor
First posted
Dec 10, 2021
Start date
Nov 15, 2021
Primary completion
Jan 15, 2022
Completion
Jan 31, 2022
Last update
Apr 12, 2022

Study contacts

Hannelore Willenborg, Dr.
study chair · Hannover University Hospital Center, Diakovere Annastift, Germany
Dorothea Daentzer, Prof.Dr.med.
study chair · Hannover University Hospital Center, Diakovere Annastift, Germany

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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