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Pediatrician and child
Because childhood should be simple ...

Cranial Asymmetry Program
Cook Children's Home Health provides The Boston Band and the Plagio Cradle™

Home health nurse fitting Boston Band 

Choosing your child's cranial helmet in North Texas

Cook Children's Home Health will assist with your child's initial evaluation, fitting and scan appointments. We'll also schedule follow-ups and make sure your child is comfortable throughout the duration of their treatment.

About the Boston Band About the
Plagio Cradle
 Asymmetry information

Girl wearing cranial helmetLocations

Home Health Fort Worth
1719 8th Ave., Fort Worth, TX 76110
Driving directions

Home Health Dallas
3040 West Story Road, Irving, TX 75038
Driving directions

Boy wearing cranial helmetWhat can parents expect?

Parents should plan on an hour for their first appointment. During this appointment, the orthotist will provide the parent with information about repositioning techniques, plagiocephaly, Plagio Cradle and Boston Band protocols. A general history will be taken, as well as detailed measurements and a 3-D scan.

About the Boston Band

Boston BandThe Boston Band uses a 3-D scan of the infant's head to ensure a custom fit. The band is made from a unique closed cell foam layering technique covered by a lightweight plastic shell. This allows the orthotist to remove layers when necessary as the child grows. The design of the band insures contact with the bulging areas of the child's head, leaving the flat areas free to grow. This enables the child to lie in any position he/she wants.

The Boston Band is typically recommended for children who are 3-18 months old and have any type of cranial asymmetry that has failed to improve with conservative measures, such as repositioning and/or using the Plagio Cradle.

How long the child may need to wear the Boston Band depends on how flat the head is and the amount of growth remaining. Children typically wear the Boston Band 23 hours a day for four months. Based on the child's age and head shape, the orthotist will outline a treatment plan specific to the child.

To make a referral to the Fort Worth or Dallas locations, call 800-747-8242. A Cook Children's Home Health representative will assist you.

About the Plagio Cradle

Plagio CradleThe Plagio Cradle was developed by Gary Rogers, M.D. and James Miller, CPO, at the Children's Hospital of Boston. This product is for preventing or treating early signs of plagiocephaly, not brachycephaly or scaphocephaly.

The Plagio Cradle is typically recommended for children who are 0-3 months old and must be discontinued immediately when the child exhibits signs of being able to roll over.

To make a referral to the Fort Worth or Dallas locations, call 800-747-8242. A Cook Children's Home Health representative will assist you.

Asymmetry information

Positional plagiocephaly is a disorder in which the back or one side of an infant's head is flattened, often with little hair growing in that area. It's most often the result of babies spending a lot of time lying on their backs or often being in a position where the head is resting against a flat surface (such as in cribs, strollers, swings, and playpens). Learn more about plagiocephaly.

Brachycephaly is symmetrical flattening on the back of the head. This causes the head to look very wide above the ears and short from front to back. From the side, the back of the head looks taller than the front.

Brachycephaly with asymmetryBrachycephaly with asymmetry
This is a head shape that has both brachycephaly and plagiocephaly.

Scaphocephaly is a head that is shaped long front to back and very narrow from side to side.

Torticollis is a tightening of the neck muscles on one side of the neck. It causes the head to tip toward the affected side and rotate toward the opposite side. This preferred positioning of the neck can lead to an asymmetry of the head. If the child has torticollis, physical therapy may be recommended for further monitoring and instruction. Learn more about torticollis.

Craniosynostosis is a premature union of the bones of the skull. If this happens before the child reaches full brain growth, it can cause an abnormal head shape. Doctors use physical examination and sometimes CT scans to tell the difference between craniosynostosis and plagiocephaly. If a child has craniosynostosis, Boston Bands are not used until after surgery.

Repositioning techniques
Because an infant's skull is flexible, he/she runs the risk of flattening his/her skull when against any surface. Doctors recommend alternating positions of the infant to evenly distribute the pressure of gravity on the growing skull. When parents observe flattening on the head, they should encourage a position where the flat spot is not touching. Supervised tummy time during the day is also important. A child should spend half of his/her waking time on his/her stomach.

Repositioning is considered conservative treatment of cranial asymmetry for a child less than 6 months old. If repositioning does not improve the shape of the child's head after two months, a doctor may recommend a Boston Band.

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