Background: Historically, daily hours of wearing a cranial remolding orthosis (CRO) was not objectively assessed, and the compliance to the treatment plan was evaluated subjectively through questionnaires in previous studies. Objective: To assess objective monitoring of the postoperative CRO in infants with single suture craniosynostosis. Study design: Prospective comparative study. Methods: Data collection regarding the number of hours that the CRO was worn was obtained from data recorded from the Orthotimer sensor and data recorded from the participants' parents. Results: A total of 21 individuals (11 boys and 10 girls) participated in the study. Among these 21 participants, 9 had scaphocephaly (sagittal craniosynostosis), 9 had trigonocephaly (metopic craniosynostosis), and 3 had unilateral coronal deformity (coronal craniosynostosis). A significant difference was observed in adherence to the CRO treatment between the objective and subjective methods (p<0.05). Accordingly, the compliance based on parental reports (subjective method) was significantly higher than the data recorded objectively (p<0.05). Conclusion: It was found that parents tend to report higher estimates regarding the use and compliance of the CRO. Therefore, for a more accurate assessment of the hours spent wearing the CRO, the objective method is the preferred choice.
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Babaee et al. (2026) studied this question.
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