The Hanger Cranial Band

Hanger Clinic has developed a set of clinical standards to ensure that our patients get the best possible evidenced-based care. These clinical practice guidelines have been recognized by the industry as a best practice and will ensure high-quality care for your baby.

The Hanger Clinic Cranial Asymmetry Protocols (CAP) Treatment Program  

The Importance of Standards & Guidelines 

Healthcare is always changing, and it can be difficult for individual healthcare providers to stay up to date with medical technologies. That is why the Hanger Clinic CAP program is based on clinical standards. These clinical practice guidelines were developed from a comprehensive literature search, validated by experts and published in a peer-reviewed journal. Hanger Clinic requires clinicians to uphold these standards and provides ongoing education in cranial treatments.



Your First Hanger Clinic Visit: Evaluation

First we’d like to introduce you to your orthotist. Orthotists are professionally trained experts in designing and providing custom bracing and support solutions. As a member of your child’s healthcare team, your orthotist will guide your baby’s treatment with a cranial remolding orthosis.

To learn more, find a Hanger Clinic location near you.

Free Evaluation

Hanger Clinic provides a complimentary initial scan report that can help you and your pediatrician decide when and if a cranial band should be prescribed. 

Suggested Questions to Ask Your Orthotist

Nothing is more important than the health of your baby, and you have a choice in healthcare providers. Hanger Clinic wants you to find the right clinician to treat your child. Here are some questions that you may want to ask during your evaluation visit.

  • Is the treating clinician an orthotist who is American Board Certified in Orthotics and Prosthetics?
  • Will my baby always see the same orthotist throughout treatment?
  • How many cranial bands does the clinician fit on babies each year?
  • How is the cranial band adjusted and how often will my baby be seen for adjustments and follow-up?
  • How do we know when treatment is complete?
  • Do you use a scanner to measure the baby's head?
  • Do you provide before and after reports?

Your Second Visit: ScanningOrthotist_with_baby.jpg

Once we have confirmed insurance coverage or payment, you will come back to Hanger Clinic so that we can scan your child's head to create the cranial band and so that you can select the color and design of your child’s band.

Hanger Clinic locations use either the Insignia™ Laser Scanning System, a hand-held device used while your baby sits on your lap, or the STARscanner system where your baby lays flat on the scanning bed for several seconds. Both scanning technologies provide similar reports that calculate the key measurements used in the CHOA scale, which will show us evidence of your child’s progress over time.

We will modify the scan to create a more symmetrical shape (what we want your baby’s head shape to look like) and to allow room for growth. Then we will send design to our central fabrication lab where the cranial band will be carefully made in a multi-step process according to FDA guidelines.

Your Third Visit: Fitting

The next time you return to our office, your child’s custom-made Hanger Cranial Band will have arrived, about a week later. First we will try the band on, ensure it fits properly and make any necessary adjustments.

Your orthotist will show you how to put the cranial band on and take it off using the Velcro strap, which opens and closes on the side of your child's head. The brim of the cranial band should sit just above your child's eyebrows at the front.

We will also review the wearing schedule, cleaning instructions and follow-up appointment schedule.

Adjusting to the Hanger Cranial Band

Your orthotist will give you a schedule that gradually increases the number of hours per day that your child should wear the cranial band, building up to 23 hours per day after a week.

After that, your baby should wear it for 23 hours a day, every day. This will improve your results and shorten the overall treatment time. The band should only be removed for daily cleaning, generally when you bathe your baby. We know keeping the band on all the time is tough, but just remember that this treatment is shaping your baby’s head for life and that treatment only lasts a few months.

Your baby may take some time to adjust, but most children adapt quickly, and your orthotist will be there at every step to make sure you and your baby are comfortable.

​Typical Wearing Schedule

​1​1 hour on/ 1 hour off (repeat until bedtime)​No​No​Each Time Removed
​2​2 hours on/ 1 hour off (repeat until bedtime)​No​No​​Each Time Removed
​3​4 hours on/ 1 hour off (repeat until bedtime)​Yes​No​​Each Time Removed
​46 hours on/ 1 hour off (repeat until bedtime)​Yes​No​​Each Time Removed
​56-8 hours on/ 1 hour off (repeat until bedtime)​Yes​No​​Each Time Removed
​6​8 hours on/ 1 hour off (repeat until bedtime)​Yes​Yes​​Each Time Removed
​723 hours on/1 hour off​Yes​Yes​​Each Time Removed

Provided as an example – please consult with your orthotist for his or her recommended schedule

Skin Checks
Look for any pink or red spots when you remove the cranial band. These should go away within 20 minutes. If the reddened areas persist, contact your orthotist as soon as possible.

It’s important to clean your Hanger Cranial Band every day according to your orthotist’s instructions, ideally at bath time so you can clean the cranial band and your baby’s head at the same time. Clean the cranial band with the shampoo that you use to wash your baby's head. Gently scrub the inside of the cranial band using a soft brush, toothbrush or bottle brush.

Your child's head will sweat more, especially at first, so you may want to clean the cranial band twice a day during the first few weeks. 

To remove stubborn stains, you can occasionally clean with 80% rubbing alcohol. To avoid skin irritation, wipe the inside of the cranial band with a damp cloth before leaving it to dry.

Follow-Up Visits

Your orthotist will set up a follow up schedule to make sure your baby's development is on track and any adjustments are made. It is very important to follow this schedule for successful treatment.

Typical Follow-Up Schedule 

​1st post-fitting appointment

​Check baby's head, cranial band fit

Re-measure and answer any questions

​Follow up appointments

​Measure baby's head

Make any adjustments

Take a mid-treatment scan (at one of these visits)

​Final appointment

​Take final measurements and scan

Provide you with the before and after scan report

Congratulate you on your baby's graudation from the plagiocelphaly treatment program!

 Provided as an example – please consult with your orthotist for his or her recommended schedule

Download the Hanger Cranial Band Wear and Care Guide​

Hanger Cranial Band