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Cranial remolding orthoses (CROs), also commonly referred to as bands or helmets, are FDA class II medical devices that are proven to effectively treat irregular head shape conditions. Your baby’s natural growth does all of the work, while the cranial band simply provides a symmetrical space into which your child’s head will grow, gently shaping the skull over time.
There are many studies documenting the effectiveness of CRO treatments. To learn more about plagiocephaly treatment, we recommend this two-part article on “Evidence-Based Care of the Child with Deformational Plagiocephaly:”
Part I: Assessment and DiagnosisWendy S. Looman, PhD, RN, CNP, and Amanda B. Kack Flannery, MS, RN, CNP, 2011. Evidence-Based Care of the Child With Deformational Plagiocephaly, 1: Assessment & Diagnosis. Journal of Pediatric Health Care. Volume 26 Number 4 (2011). View full text.
Design: A systematic review of literature published between 2000 and 2011 on Deformational Plagiocephaly.
Abstract: Non-synostotic deformational plagiocephaly (DP) is head asymmetry that results from external forces that mold the skull in the first year of life. This common condition affects as many as one in five infants in the first two months of life. Primary care providers are most likely to encounter DP when infants present for well-child care, and for this reason it is important that providers be competent in assessing, diagnosing, and participating in the prevention and management of DP. Part I of this series provides a brief background of DP and associated problems with torticollis and infant development, and we present strategies for visual and anthropometric assessment of the infant with suspected DP. We also provide tools for differentiating DP from craniosynostosis and for classifying the type and severity of DP.
Part II: Management
Amanda B. Kack Flannery, MS, RN, CNP,Wendy S. Looman, PhD, RN, CNP, & Kristin Kemper, MS, RN, CNP. Evidence-Based Care of the Child With Deformational Plagiocephaly, 2: Management. Journal of Pediatric Health Care. Volume 26 Number 5 (2011). View full text.
Design: A systematic review and grading of literature on management of Deformational Plagiocephaly (DP) from 2000 and 2011 based on level of evidence and quality.
Abstract: Part II in this two-part series presents a synthesis of the evidence related to management of deformational plagiocephaly and an evidence-based clinical decision tool for multidisciplinary management of DP. The evidence suggests that although many cases of DP will improve over time, conservative management strategies such as repositioning, physical therapy, and cranial molding devices can safely and effectively minimize the degree of skull asymmetry when implemented in the first year of life. Outcomes are best when the timing of diagnosis and severity of asymmetry guide decision making related to interventions and referrals for DP. Prevention and management of early signs of DP are best achieved in a primary care setting, with multidisciplinary management based on the needs of the child and the goals of the family.
A three-dimensional scan can help diagnose the degree of asymmetry in your child’s head and is also used to design and build the cranial band to fit your baby perfectly. Scanning is quick, easy, safe, radiation-free and painless. It creates a detailed model of the contours of your baby’s head without using plaster casts. Scanning your baby before, during and at the end of treatment enables you to see your child’s treatment progress.
Baseline Scans You and your pediatrician may just keep an eye on your baby’s head shape as it develops through your child’s first few months. A baseline scan is a great way to get accurate measurements that can be repeated later to determine if the situation is improving or worsening. Hanger Clinic offers complimentary evaluation scans.