Article

Osteogenesis imperfecta is an inherited disorder of the connective
tissue characterized primarily by fractures with no or small causal antecedents
and extremely variable clinical presentation. The disorder requires a global and,
therefore, multidisciplinary therapeutic approach that should aim, among other
aspects, at the prevention and treatment of deformities resulting from
osteogenesis imperfecta. Due to limitations related to bony deformities, it can
be difficult to place these infants in a variety of positions that would help
remediate skull deformities, so a cranial orthosis becomes the therapy of choice.
The aim of this study was to demonstrate the results obtained during treatment
with a cranial remolding orthosis (helmet) in babies with osteogenesis
imperfecta. Case Description and Methods: For the first time in the scientific
literature, this study describes the use of a cranial orthosis for the treatment
of infants with osteogenesis imperfecta. Both children had severe asymmetrical
brachycephaly documented by laser digital scanning and were submitted to
treatment with a cranial remolding orthosis. Outcomes and Conclusion: The study
showed that there was a significant improvement in cranial proportion and
symmetry, with a reduction in the cephalic index at reevaluation. It is concluded
that the orthotic therapy is an effective therapeutic modality to improve the
proportion and minimize the asymmetry in children with osteogenesis imperfecta.
Clinical relevance The clinical relevance of such a description is that children
with osteogenesis imperfecta may have numerous deformities and minimizing them
can be an important factor. This report showed a beneficial result as the
orthotic therapy modality improved the proportions and minimized the asymmetry.
This treatment offers too high levels of satisfaction to parents and brings these
children closer to normal indices.

Langue : ANGLAIS