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Not yet recruitingNCT07201324Updated Oct 1, 2025

Effects of Corrective Helmet Therapy on Cervical Motion and Thermoregulation in Children With Positional Deformities

An observational study in Plagiocephaly, Nonsynostotic and Brachycephaly, sponsored by Wroclaw University of Health and Sport Sciences. Not yet recruiting. Open to participants aged 4 Months to 12 Months. Per ClinicalTrials.gov, last updated 2025-10-01.

Sponsored by Wroclaw University of Health and Sport Sciences · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
270
Ages
4 Months to 12 Months
Sex
All
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Study summary

The purpose of the study is to examine how cranial helmet therapy may affect neck movement and body temperature regulation in children with positional head deformity. The study will also look at factors that might influence how well the therapy works, such as the child's age, sex, and the type of head shape deformity.

During the study, children will undergo several assessments:

measurement of head shape using standard cranial indices, recording of body surface temperature with a thermal imaging camera, evaluation of neck mobility, focusing on rotation of the cervical spine.

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Conditions studied

  • Plagiocephaly, Nonsynostotic
  • Brachycephaly

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Keywords

  • positional head deformity
  • helmet therapy
  • infants
  • thermoregulation
  • range of motion of the cervical spine
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In context

Craniosynostoses

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

This study's planned enrollment of 270 is above the median of 43 across 26 observational studies indexed under Craniosynostoses.

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Lead sponsor

Wroclaw University of Health and Sport Sciences is the lead sponsor of 46 studies on the registry; 10 are open to participants now.

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

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Who can participate

Ages eligible
4 Months to 12 Months
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants are children from various cities in Poland, aged 4-12 months, diagnosed with severe or very severe positional head deformity and referred for cranial helmet therapy by a neurosurgeon. Both boys and girls are included. All referring physicians used the same standardized scale to determine the severity of the deformity, ensuring consistency across sites.

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

  • positional head deformity of severe or very severe degree;
  • age at therapy initiation: 4-12 months;
  • minimum therapy duration of 12 weeks (for Stage 1 and Stage 2).

Exclusion criteria

Exclusion Criteria:

  • craniosynostosis;
  • hydrocephalus;
  • non-adherence to 23-hour daily helmet use;
  • metabolic disorders;
  • torticollis.
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Study design

Observational model
Cohort
Time perspective
Other
Enrollment
270 participants (estimated)
Target follow-up
6 Months
Patient registry
Yes

Interventions

  • Othercranial helmet therapy - observational

    This observational study involves children undergoing cranial helmet therapy. The intervention is not assigned by the investigator. Repeated measurements are performed within participants to evaluate therapy effects. Stage 1 assesses head shape changes to analyze therapy effectiveness. Stage 2 examines factors influencing effectiveness, considering age, deformity type, and sex. Stage 3 measures body surface temperature using thermal imaging before, during, and after helmet use, with participants analyzed in three age groups: 4-6, 7-9, and 10-12 months. Stage 4 evaluates cervical spine rotation before therapy and after completion, with participants analyzed in the same three age groups.

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What researchers measure

Primary outcomes

  1. Change in Cranial Index (CI)

    Assessment of cranial proportion using the Cranial Index (CI) in children undergoing cranial helmet therapy. Each participant serves as their own control.

    Time frame: Baseline (before therapy initiation) and after completion of cranial helmet therapy (average of 3-7 months after initiation).

  2. Change in Cranial Vault Asymmetry Index (CVAI)

    Assessment of head shape asymmetry using the Cranial Vault Asymmetry Index (CVAI) in children undergoing cranial helmet therapy. Each participant serves as their own control.

    Time frame: Baseline (before therapy initiation) and after completion of cranial helmet therapy (average of 3-7 months after initiation).

Secondary outcomes

  1. Factors Determining Therapy Effectiveness

    Analysis of how age, sex, and type of deformity influence changes in head shape. Same children as in Primary Outcome are included, divided according to age, deformity type, and sex.

    Time frame: Baseline (before therapy initiation) and after completion of cranial helmet therapy (average of 3-7 months after initiation)

  2. Thermoregulatory Responses

    Measurement of body surface temperature using thermal imaging to assess distribution and changes during and after cranial helmet therapy. Data will be analyzed in three age groups: 4-6, 7-9, and 10-12 months. Participants are different from those in the Primary Outcome.

    Time frame: Before helmet application, after 30 minutes of helmet use, immediately after removal, 10 minutes and 15 minutes post-removal

  3. Cervical Spine Rotation Range

    Assessment of neck rotation range in children to evaluate changes in cervical spine mobility. Measurements will be analyzed in three age groups: 4-6, 7-9, and 10-12 months.

    Time frame: Before therapy during helmet adaptation and after completion of cranial helmet therapy

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Study locations

No study locations are listed for this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07201324
Lead sponsor
Wroclaw University of Health and Sport Sciences
Responsible party
Natalia Zielińska (Master of Physiotherapy, Wroclaw University of Health and Sport Sciences) — Principal investigator
First posted
Oct 1, 2025
Start date
Sep 2025 (estimated)
Primary completion
Dec 2026 (estimated)
Completion
May 2027 (estimated)
Last update
Oct 1, 2025

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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