WorksheetsCTech1395
Total questions: 39
Worksheet time: 34mins
What Journal was the plagiocephaly guidelines published?
American Academy of Pediatrics
Congress of Neurological Surgeons
Association of Neurological Surgeons
Academy of Neurological Surgeons
What year was the CNS guidelines published?
2014
2011
2016
2017
The CNS gudelines are
A clinical trial for studying the management of plagiocephaly
Clinical study published by Cranial Tech to review effectiveness of the DOC band
A systematic review of and evidenced based guidelines for the management of plagiocephaly
The CNS guidelines replaces a previous set of plagiocephaly guidelines that was published in 2011
True
False
Fill in the blank with the answers: Total __#__ abstracts CNS reviewed. Total __#__ full studies pulled for full review. Total __#__ of the articles that met criteria for inclusion.
874, 549, 100
1292, 1003, 289
108, 227, 54
396, 110, 60
According to the CNS guidelines, what percentage of infants experience some form of plagiocephaly?
20%
47%
10%
25%
According to the CNS guidelines, distinguishing patients with craniosynostosis from positional plagiocephaly is normally straightforward and does not require imaging?
True
False
The task force decided that the guidelines should contain 4 major sub topics. The sub topics chosen were: (select all that are true)
Imaging modalities for diagnosis
Repositioning
Incidence rates
Molding orthosis
Physical Therapy
The task force searched the Cochrane Library and the National Library of Medicine for literature related to plagiocephaly published between the following years:
1945-2011
1973-2015
1993-2018
1966-2014
According to the guidelines, a clinical examination is most often sufficient to diagnose plagiocephaly.
True
False
Imaging such as an Xray or CT scan is often helpful in the diagnosis of plagiocephaly.
True
False
Select all that apply, Stereophotogrammetry is
Not at all mentioned in the CNS guidelines
A component of chapter 2 in the CNS guidelines
Computer software combining photographs with stereo sound waves to get a more accurate measurement
Computer based topographical scans
Craniosynostosis is amenable to surgical correction whereas positional plagiocephaly can be treated with a cranial helmet.
True
False
According to the guidelines, most infants with plagiocephaly can be diagnosed with a thorough clinical examination.
True
False
Surface imaging such as our DSI system is specifically recommended by the guidelines to asses head shapes in infants with plagiocephaly without synostosis.
True
False
In which of the following scenarios would the CNS guidelines recommend use of an X-ray or ultrasound imaging? Select all that apply
When the clinical examination is equivocal an xray or ultrasound of the suspected suture is recommended
When the practitioner is confident the infant has positional plagiocephaly an xray or ultrasound is recommended
In cases where the practitioner suspects ear shift, an xray or ultrasound is recommended
When the practitioner cannot tell the difference between positional plagiocephaly and cranial synostosis
The guidelines state that repositioning education is effective in affording some degree of correction in virtually all infants with brachycephaly or plagiocephaly.
True
False
The AAP and CNS recommend the use of soft positioning pillows in the sleeping environment to aid in repositioning.
True
False
What year did the AAP recommend that infants be placed on their back to sleep on to reduce sudden infant death syndrome?
2002
1982
1992
1995
Treatment of plagiocephaly include all of the following except...
Observation
Helmet Therapy
Repositioning and Physical Therapy
Surgical Options
The guidelines state that both repositioning is inferior to both physical therapy and helmet therapy respectively.
True
False
The guidelines indicate the following may be a result of plagiocephaly except
Sleep Apnea
Misalignment of the eyes
Congenital torticollis
Misalignment of the ears
What age do the CNS guidelines recommend initiation of physical therapy?
2 months
4 months
12 weeks
7 weeks
According to the guidelines, physical therapy is an effective treatment option for positional plagiocephaly.
True
False
The CNS guidelines include studies where Tim Littlefield was a mentioned author.
True
False
When is helmet therapy recommended for the treatment of plagiocephaly?
Immediately at diagnosis
At the 6 month well check
After a course of conservative treatment including physical therapy and repositioning
According to the guidelines which type of cranial asymmetry is the most common?
Scaphocephaly
Plagiocephaly
Brachycephaly
Which of the following statements describe a passive helmet therapy?
Helmet therapy where a child wears the helmet for 12 hours per day
A helmet where compression is applied to the bossed areas of the head resulting in more rapid correction
Waiting until 9 months of age before initiating treatment allowing for the head to correct itself with conservative therapy
Orthosis that allows room for growth in the flattened areas while minimal pressure is applied to the areas of bossing
The CNS Guidelines indicate the results from the BMJ study stand in stark contrast to the remainder of evidence uncovered during the systematic review.
True
False
The conclusion of the BMJ article was that helmet therapy has no added value in the treatment of plagiocephaly.
True
False
CNS Guidelines recommend helmet therapy in which of the following scenarios? Check all that apply.
When the diagnosis is equivocal.
Infant with moderate or severe plagio after a course of conservative therapy.
Infant with moderate or severe plagio presenting at an advanced age.
Infant with severe torticollis to prevent the development of plagiocephaly
Guidelines indicate there is a substantive body of non randomized evidence to suggest helmet therapy works better than repositioning to improve cranial symmetry
True
False
Many of the authors of the CNS guidelines have personal, financial, and institutional interest in some of the materials and devices described in the paper.
True
False
The guidelines indicate that diagnosis of plagio can be made from a physical examination alone in the vast majority of cases
True
False
Which is a more effective treatment for severe plagio?
Repositioning Therapy
Physical Therapy
Treatment for Plagiocephaly and Brachycephaly differ slightly, therefore the CNS Guidelines are limited to the treatment of Plagiocephaly only.
True
False
The authors of the guidelines including the doctors, research assistants, and medical librarians received financial compensation.
True
False
How many Randomized Controlled Trials were mentioned in the CNS guidelines?
60
1
23
17
29
Which statement describes active helmet therapy
When a child enters treatment at 3 months in an effort to actively improve outcomes
Orthosis that allows room for growth in flattened areas by applying minimal pressure to the areas of bossing
Orthosis where compression is applied to the bossed areas resulting in more rapid correction
A type of CranioSacral therapy combing helmet therapy with active cranial massage therapy to improve outcomes
