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• W2029948149 abstract "Describir las medidas preventives de la plagiocefalia postural. Se ha revisado la base de datos Medline hasta septiembre de 2007, que se completó con una búsqueda en la biblioteca Cochrane, en otras bases de datos y revisando las citas bibliográficas de los artículos seleccionados. No se encontró ningún ensayo clínico aleatorizado que valorase la efectividad de las medidas preventivas. Se localizaron tres estudios de cohorte prospectivo y uno de caso-control, junto con diversos estudios epidemiológicos menos específicos y una guía general de práctica clínica de las plagiocefalias. La evidencia científica de las medidas preventivas es escasa, basada exclusivamente en artículos recientes relacionados con la historia natural, los factores de riesgo y las consecuencias a largo plazo. Se recogen las medidas preventivas divididas en prevención primaria, dirigidas al niño sano, y medidas de prevención secundaria, para el niño con deformidad craneal y/o preferencia postural o tortícolis. Se destacan como aspectos más importantes que los principales factores de riesgo son posnatales/medioambientales, que las medidas preventivas deben adoptarse de forma precoz (en particular en las primeras 6 semanas de vida) y que la actuación preventiva debe ser enérgica, con el empleo de medidas posturales, y cuando estén ndicados ejercicios cervicales y estimulación del desarrollo motor. To describe the preventive measures of the positional or deformational plagiocephaly. We reviewed the Medline database up to September 2007, completing this with a search in the Cochrane Library, in other databases and reviewed the articles selected. No randomized clinical trials that evaluated the effectiveness of the preventive measures were found. Three prospective cohort studies and 1 case-control study were found together with other less specific epidemiological studies and 1 general clinical practice guideline on plagiocephaly. Scientific evidence of preventive measures is scarce, only based on recent reports related to natural history, risk factors and long-term outcome. We propose a series of preventive measures, aimed at the healthy child and secondary preventive ones, for the child with cranial deformation and/or positional preference or torticollis. The more important aspects outlined are that the main risk factors are postnatal/environmental ones; the preventive measures must be adopted as soon as possible, especially during the first 6 weeks of life; and the preventive performance must be energetic, with the employment of positional therapy, together with cervical exercises and motor developmental achievements stimulating when it is indicated." @default.
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• W2029948149 date "2008-06-01" @default.
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• W2029948149 title "Medidas preventivas en la plagiocefalia postural" @default.
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