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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Car Seats, Infant Carriers, and Swings: Their Role in Deformational Plagiocephaly
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Car Seats, Infant Carriers, and Swings: Their Role in Deformational Plagiocephaly

机译：汽车座椅，婴儿背带和秋千：它们在变形性斜脑畸形中的作用

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The recent increase in incidence of deformational plagiocephaly is commonly believed to be associated with the American Academy of Pediatrics' "Back to Sleep" campaign. Other factors, however, may contribute to the development of this condition. During the past decade, we have seen a number of infants whose deformities seem to be associated with the extended use of car seats, infant carriers, bouncy seats, and infant swings. Having recognized that notes about usage were being routinely recorded in the margins of our clinical records, we began collecting information on the amount of time infants were spending in these devices. In this report, we describe our findings and document the related cranial deformities. The data and photographs were collected between 1998 and 2000 and reviewed to determine the amount of time children with deformational plagiocephaly spent in these devices. During the three-year study period, 56.6% of the infants spent less than 1.5 hrs, 28.6% spent 1.5 to 4 hrs, and 14.8% spent more than 4 hrs/day in these devices. In addition, 5.7% slept in one of these devices during their first several months of life, frequently because of problems with reflux. These infants often developed an increase in posterior head height and "squaring" or "cornering" of the head. Normal use of car seats, carriers, swings and bouncy seats is not a concern; however, caution is warranted for infants who spend extended periods of time in these devices. The constant pressure these devices apply to the back of the cranium may perpetuate the deformation.
机译：人们普遍认为，变形性斜头畸形的发病率最近增加与美国儿科学会的“回睡”运动有关。但是，其他因素也可能导致这种情况的发展。在过去的十年中，我们已经看到许多婴儿的畸形似乎与汽车座椅，婴儿背带，充气座椅和婴儿秋千的广泛使用有关。在意识到有关使用的注意事项通常记录在临床记录的空白处之后，我们开始收集有关婴儿在这些设备上花费时间的信息。在本报告中，我们描述了我们的发现并记录了相关的颅骨畸形。收集了1998年至2000年的数据和照片，并进行了审查，以确定患有变形性斜头畸形的儿童在这些设备中花费的时间。在为期三年的研究期间，这些设备中有56.6％的婴儿每天花费少于1.5小时，28.6％的婴儿每天花费1.5到4小时，有14.8％的婴儿每天花费超过4小时。此外，在这些设备的最初几个月中，有5.7％的时间是在这些设备中睡觉的，这经常是由于回流问题。这些婴儿通常会出现头部后部高度增加和头部“方形”或“拐角”的增加。正常使用汽车安全座椅，行李架，秋千和充气座椅无需担心;但是，对于在这些设备中花费较长时间的婴儿，应谨慎行事。这些设备施加在颅骨后部的恒定压力可能会使变形永久化。

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