Re: Brachy Measurements? Help

[Guest guest]

Brachycephaly Severity is measured by the Cephalic Ratio = Cranial

Breadth/Cranial Length.

ideal ratio - 78%

normal - 73-83%

moderate - 83.1% to 87.9%

severe - 88% and higher

Hope this helps!

Molly

California

Nicolas, 2, tort & plagio, STARband 4/24/06-9/12/06, Graduate!

, 4.75

, 8

Brachy Measurements? Help

Hi Everyone. I hope the holiday season finds each of you well. I

have a question... It seems that as I read messages on the board, the

moms have data/measurements on their child's plagio. Yesterday my son

received his Hanger helmet and the only measurement that we have been

given is an index of height to width of his head as it compares to an

average babies head. What measurements should we ask for as it

relates to brachy? Thanks so much!

For more plagio info

[Guest guest]

I guess I have a question on this as well.

The STARband center I use has measurements for the cephalic ratio by both age and sex. What is considered severe for a girl versus a boy is different, and also there is a difference when a baby is younger than 6 months and older than 6 months, and then I think the next age division happens at 12 months. I wish I had a copy of the information to put numbers to what I am saying.

It also says that normal is considered to be +/- 2 from the standard deviation. The orthotist told me that 95% of babies fall into that range.

Has anyone else seen this?

For the graduated brachy babies out there, what was the cephalic index before and after treatment?

Thanks!

Amy

~ 8 months ~ STARband 9/12/07

Plagiocephaly From: mafoley@...Date: Wed, 19 Dec 2007 08:47:36 -0800Subject: RE: Brachy Measurements? Help

Brachycephaly Severity is measured by the Cephalic Ratio = CranialBreadth/Cranial Length.ideal ratio - 78%normal - 73-83%moderate - 83.1% to 87.9% severe - 88% and higherHope this helps!MollyCaliforniaNicolas, 2, tort & plagio, STARband 4/24/06-9/12/06, Graduate!, 4.75, 8-----Original Message-----From: Plagiocephaly [mailto:Plagiocephaly ]On Behalf Of rcwkent2003Sent: 19 December 2007 07:52Plagiocephaly Subject: Brachy Measurements? HelpHi Everyone. I hope the holiday season finds each of you well. Ihave a question... It seems that as I read messages on the board, themoms have data/measurements on their child's plagio. Yesterday my sonreceived his Hanger helmet and the only measurement that we have beengiven is an index of height to width of his head as it compares to anaverage babies head. What measurements should we ask for as itrelates to brachy? Thanks so much!For more plagio info

[Guest guest]

Yes, most babies fall within 2 SD, but honestly I don't know how that

maps to numbers. There are some differences based on age and gender,

but I think that is pretty minimal. I think the numbers Molly provided

are very usefull (unless you only know the SD).

The cephalic index is width/length (side to side/front to back). My

daughter started at about 98% (not sure how many SD that is) and ended

at about 86%. 86 is still higher than average, but her head looks

pretty good, and it was a lot of improvement.

If someone knows how to map the measurements to the standard

deviations I would like to know.

Our doctor (cranial facial plastic surgeon) recommends banding at 90%

or above. I'm guess that might be about 2 SD, but I really don't know.

There was one paper I found online that said 2 SD above normal was 91.4.

thanks. -christine

>

> I guess I have a question on this as well.

>

> The STARband center I use has measurements for the cephalic ratio by

both age and sex. What is considered severe for a girl versus a boy is

different, and also there is a difference when a baby is younger than

6 months and older than 6 months, and then I think the next age

division happens at 12 months. I wish I had a copy of the information

to put numbers to what I am saying.

>

> It also says that normal is considered to be +/- 2 from the standard

deviation. The orthotist told me that 95% of babies fall into that range.

>

> Has anyone else seen this?

>

> For the graduated brachy babies out there, what was the cephalic

index before and after treatment?

>

> Thanks!

>

> Amy

> ~ 8 months ~ STARband 9/12/07

>

>

>

>

>

> Plagiocephaly@...: mafoley@...: Wed, 19 Dec 2007 08:47:36

-0800Subject: RE: Brachy Measurements? Help

>

>

>

>

> Brachycephaly Severity is measured by the Cephalic Ratio =

CranialBreadth/Cranial Length.ideal ratio - 78%normal - 73-83%moderate

- 83.1% to 87.9% severe - 88% and higherHope this

helps!MollyCaliforniaNicolas, 2, tort & plagio, STARband

4/24/06-9/12/06, Graduate!, 4.75, 8-----Original

Message-----From: Plagiocephaly

[mailto:Plagiocephaly ]On Behalf Of rcwkent2003Sent: 19

December 2007 07:52Plagiocephaly@...: Brachy

Measurements? HelpHi Everyone. I hope the holiday season finds each of

you well. Ihave a question... It seems that as I read messages on the

board, themoms have data/measurements on their child's plagio.

Yesterday my sonreceived his Hanger helmet and the only measurement

that we have beengiven is an index of height to width of his head as

it compares to anaverage babies head. What measurements should we ask

for as itrelates to brachy? Thanks so much!For more plagio info, go to

www.plagiocephaly.org/support

[Guest guest]

,

Thanks for your response. I did some searching and found this on a website for Aetna and their policy for banding. I don't know how accurate it is.

Sex

Age

-2SD

-1SD

Mean

+1SD

+2SD

Male

16 days to 6 months

63.7

68.7

73.7

78.7

83.7

6 - 12 months

64.8

71.4

78.0

84.6

91.2

Female

16 days to 6 months

63.9

68.6

73.3

78.0

82.7

6-12 months

69.5

74.0

78.5

83.0

87.5

It looks very similar to the list my ortho uses. However, my ortho would like to get to 87% and I am hoping we are there this week at his appointment on Friday.

Amy

Plagiocephaly From: christineashok@...Date: Wed, 19 Dec 2007 18:05:24 +0000Subject: Re: Brachy Measurements? Help

Yes, most babies fall within 2 SD, but honestly I don't know how thatmaps to numbers. There are some differences based on age and gender,but I think that is pretty minimal. I think the numbers Molly providedare very usefull (unless you only know the SD). The cephalic index is width/length (side to side/front to back). Mydaughter started at about 98% (not sure how many SD that is) and endedat about 86%. 86 is still higher than average, but her head lookspretty good, and it was a lot of improvement.If someone knows how to map the measurements to the standarddeviations I would like to know.Our doctor (cranial facial plastic surgeon) recommends banding at 90%or above. I'm guess that might be about 2 SD, but I really don't know.There was one paper I found online that said 2 SD above normal was 91.4. thanks. -christine>> I guess I have a question on this as well. > > The STARband center I use has measurements for the cephalic ratio byboth age and sex. What is considered severe for a girl versus a boy isdifferent, and also there is a difference when a baby is younger than6 months and older than 6 months, and then I think the next agedivision happens at 12 months. I wish I had a copy of the informationto put numbers to what I am saying.> > It also says that normal is considered to be +/- 2 from the standarddeviation. The orthotist told me that 95% of babies fall into that range.> > Has anyone else seen this? > > For the graduated brachy babies out there, what was the cephalicindex before and after treatment?> > Thanks!> > Amy> ~ 8 months ~ STARband 9/12/07> > > > > > Plagiocephaly@...: mafoley@...: Wed, 19 Dec 2007 08:47:36-0800Subject: RE: Brachy Measurements? Help> > > > > Brachycephaly Severity is measured by the Cephalic Ratio =CranialBreadth/Cranial Length.ideal ratio - 78%normal - 73-83%moderate- 83.1% to 87.9% severe - 88% and higherHope thishelps!MollyCaliforniaNicolas, 2, tort & plagio, STARband4/24/06-9/12/06, Graduate!, 4.75, 8-----OriginalMessage-----From: Plagiocephaly [mailto:Plagiocephaly ]On Behalf Of rcwkent2003Sent: 19December 2007 07:52Plagiocephaly@...: BrachyMeasurements? HelpHi Everyone. I hope the holiday season finds each ofyou well. Ihave a question... It seems that as I read messages on theboard, themoms have data/measurements on their child's plagio.Yesterday my sonreceived his Hanger helmet and the only measurementthat we have beengiven is an index of height to width of his head asit compares to anaverage babies head. What measurements should we askfor as itrelates to brachy? Thanks so much!For more plagio info, go towww.plagiocephaly.org/support

[Guest guest]

Ok, all of this discussion is really helpful!!! It seems that there is

not a standardized way of measuring Brachy? Is that fair? I called

my orthotist back and asked for my son's measurement and it is 93

however, he categorized that as moderate. When I asked if there was a

standardized rating system to determine slight, moderate and severe

his answer was no. Is every company different? If so, any advice on

what my goal should be with treatment? My ortho says high 80s.

>> I guess I have a question on this as well. > >

The STARband center I use has measurements for the cephalic ratio

byboth age and sex. What is considered severe for a girl versus a boy

isdifferent, and also there is a difference when a baby is younger

than6 months and older than 6 months, and then I think the next

agedivision happens at 12 months. I wish I had a copy of the

informationto put numbers to what I am saying.> > It also says that

normal is considered to be +/- 2 from the standarddeviation. The

orthotist told me that 95% of babies fall into that range.> > Has

anyone else seen this? > > For the graduated brachy babies out there,

what was the cephalicindex before and after treatment?> > Thanks!> >

Amy> ~ 8 months ~ STARband 9/12/07> > > > > > To:

Plagiocephaly@: mafoley@: Wed, 19 Dec 2007 08:47:36-0800Subject: RE:

Brachy Measurements? Help> > > > > Brachycephaly Severity is

measured by the Cephalic Ratio =CranialBreadth/Cranial Length.ideal

ratio - 78%normal - 73-83%moderate- 83.1% to 87.9% severe - 88% and

higherHope thishelps!MollyCaliforniaNicolas, 2, tort & plagio,

STARband4/24/06-9/12/06, Graduate!, 4.75,

8-----OriginalMessage-----From:

Plagiocephaly [mailto:Plagiocephaly ]On

Behalf Of rcwkent2003Sent: 19December 2007 07:52Plagiocephaly@:

BrachyMeasurements? HelpHi Everyone. I hope the holiday

season finds each ofyou well. Ihave a question... It seems that as I

read messages on theboard, themoms have data/measurements on their

child's plagio.Yesterday my sonreceived his Hanger helmet and the only

measurementthat we have beengiven is an index of height to width of

his head asit compares to anaverage babies head. What measurements

should we askfor as itrelates to brachy? Thanks so much!For more

plagio info, go towww.plagiocephaly.org/support To unsubscribe from

this group or tochange your mailing options,

gotoPlagiocephaly/ and click EDIT

MYMEMBERSHIP.*Please note that any advice/comments from this site do

notnecessarilyvoice the opinions of the group owner or moderators*

Groups Links>

>

[Guest guest]

Since our doc recommends banding above 90, his goal is to get in the

80s, but the lower the better. My dd was at about 88 and I was ready

to quit (after 4 mo). He recommended we continue until she outgrew the

band, and I'm glad we did because she got down to 86 a month later.

Since with brachy you generally have extra width you won't end up with

a " normal " number like 80.

-christine

sydney 23 mo starband grad

>> I guess I have a question on this as well. > >

> The STARband center I use has measurements for the cephalic ratio

> byboth age and sex. What is considered severe for a girl versus a boy

> isdifferent, and also there is a difference when a baby is younger

> than6 months and older than 6 months, and then I think the next

> agedivision happens at 12 months. I wish I had a copy of the

> informationto put numbers to what I am saying.> > It also says that

> normal is considered to be +/- 2 from the standarddeviation. The

> orthotist told me that 95% of babies fall into that range.> > Has

> anyone else seen this? > > For the graduated brachy babies out there,

> what was the cephalicindex before and after treatment?> > Thanks!> >

> Amy> ~ 8 months ~ STARband 9/12/07> > > > > > To:

> Plagiocephaly@: mafoley@: Wed, 19 Dec 2007 08:47:36-0800Subject: RE:

> Brachy Measurements? Help> > > > > Brachycephaly Severity is

> measured by the Cephalic Ratio =CranialBreadth/Cranial Length.ideal

> ratio - 78%normal - 73-83%moderate- 83.1% to 87.9% severe - 88% and

> higherHope thishelps!MollyCaliforniaNicolas, 2, tort & plagio,

> STARband4/24/06-9/12/06, Graduate!, 4.75,

> 8-----OriginalMessage-----From:

> Plagiocephaly [mailto:Plagiocephaly ]On

> Behalf Of rcwkent2003Sent: 19December 2007 07:52Plagiocephaly@:

> BrachyMeasurements? HelpHi Everyone. I hope the holiday

> season finds each ofyou well. Ihave a question... It seems that as I

> read messages on theboard, themoms have data/measurements on their

> child's plagio.Yesterday my sonreceived his Hanger helmet and the only

> measurementthat we have beengiven is an index of height to width of

> his head asit compares to anaverage babies head. What measurements

> should we askfor as itrelates to brachy? Thanks so much!For more

> plagio info, go towww.plagiocephaly.org/support To unsubscribe from

> this group or tochange your mailing options,

> gotoPlagiocephaly/ and click EDIT

> MYMEMBERSHIP.*Please note that any advice/comments from this site do

> notnecessarilyvoice the opinions of the group owner or moderators*

> Groups Links>

> >

>

[Guest guest]

Another question, it also seems like some doctors have a measurement

where they recommend banding. Is that true? My experience was

totally different... my pediatrician said that my son would grow out

of it and I requested to see a surgeon and even the surgeon said let's

watch it for a month. I proactively took my son back in for a followup

and still did not get a definitive reco to band. He really left it up

to us.

My concern is this, I just don't want parents who do not know what

they do not know to make the wrong choices out of lack of definitive

recos from the doctors that they trust. Is there any advice anyone

has on getting doctors to be more proactive on this topic and with

treatment?

>> I guess I have a question on this as well. > >

> > The STARband center I use has measurements for the cephalic ratio

> > byboth age and sex. What is considered severe for a girl versus a boy

> > isdifferent, and also there is a difference when a baby is younger

> > than6 months and older than 6 months, and then I think the next

> > agedivision happens at 12 months. I wish I had a copy of the

> > informationto put numbers to what I am saying.> > It also says that

> > normal is considered to be +/- 2 from the standarddeviation. The

> > orthotist told me that 95% of babies fall into that range.> > Has

> > anyone else seen this? > > For the graduated brachy babies out there,

> > what was the cephalicindex before and after treatment?> > Thanks!> >

> > Amy> ~ 8 months ~ STARband 9/12/07> > > > > > To:

> > Plagiocephaly@: mafoley@: Wed, 19 Dec 2007 08:47:36-0800Subject: RE:

> > Brachy Measurements? Help> > > > > Brachycephaly Severity is

> > measured by the Cephalic Ratio =CranialBreadth/Cranial Length.ideal

> > ratio - 78%normal - 73-83%moderate- 83.1% to 87.9% severe - 88% and

> > higherHope thishelps!MollyCaliforniaNicolas, 2, tort & plagio,

> > STARband4/24/06-9/12/06, Graduate!, 4.75,

> > 8-----OriginalMessage-----From:

> > Plagiocephaly [mailto:Plagiocephaly ]On

> > Behalf Of rcwkent2003Sent: 19December 2007 07:52Plagiocephaly@:

> > BrachyMeasurements? HelpHi Everyone. I hope the holiday

> > season finds each ofyou well. Ihave a question... It seems that as I

> > read messages on theboard, themoms have data/measurements on their

> > child's plagio.Yesterday my sonreceived his Hanger helmet and the only

> > measurementthat we have beengiven is an index of height to width of

> > his head asit compares to anaverage babies head. What measurements

> > should we askfor as itrelates to brachy? Thanks so much!For more

> > plagio info, go towww.plagiocephaly.org/support To unsubscribe from

> > this group or tochange your mailing options,

> > gotoPlagiocephaly/ and click EDIT

> > MYMEMBERSHIP.*Please note that any advice/comments from this site do

> > notnecessarilyvoice the opinions of the group owner or moderators*

> > Groups Links>

> > >

> >

>

[Guest guest]

At what point doctors recommend to band varies from doctor to doctor.

Sometimes it is dictated by insurance requirements. Other doctors look at

the whole picture - i.e., the asymmetry of the head might be small but is

there is a lot of ear or facial asymmetry they will recommend banding.

Unfortunately some doctors are still clueless and will say that it will

round out on its own regardless of what the measurements are.

Molly

California

Nicolas, 2, tort & plagio, STARband 4/24/06-9/12/06, Graduate!

, 4.5

, 8

RE:

> > Brachy Measurements? Help> > > > > Brachycephaly Severity is

> > measured by the Cephalic Ratio =CranialBreadth/Cranial Length.ideal

> > ratio - 78%normal - 73-83%moderate- 83.1% to 87.9% severe - 88% and

> > higherHope thishelps!MollyCaliforniaNicolas, 2, tort & plagio,

> > STARband4/24/06-9/12/06, Graduate!, 4.75,

> > 8-----OriginalMessage-----From:

> > Plagiocephaly [mailto:Plagiocephaly ]On

> > Behalf Of rcwkent2003Sent: 19December 2007 07:52Plagiocephaly@:

> > BrachyMeasurements? HelpHi Everyone. I hope the holiday

> > season finds each ofyou well. Ihave a question... It seems that as I

> > read messages on theboard, themoms have data/measurements on their

> > child's plagio.Yesterday my sonreceived his Hanger helmet and the only

> > measurementthat we have beengiven is an index of height to width of

> > his head asit compares to anaverage babies head. What measurements

> > should we askfor as itrelates to brachy? Thanks so much!For more

> > plagio info, go towww.plagiocephaly.org/support To unsubscribe from

> > this group or tochange your mailing options,

> > gotoPlagiocephaly/ and click EDIT

> > MYMEMBERSHIP.*Please note that any advice/comments from this site do

> > notnecessarilyvoice the opinions of the group owner or moderators*

> > Groups Links>

> > >

> >

>

For more plagio info

[Guest guest]

Unfortunately a lot of doctors are anti-banding and try and convince

every parent the child will outgrow it no matter how severe the

headshape is. I really don't know why, since if you spent 5 minutes on

the OlderPlag group on you would see they obviously don't always

outgrow it. Even here several times a year there are posts from

parents of all different age kids wishing they had known to do

something before age 2.

I think the only options sometimes are to force your doc to write the

Rx even if they aren't in agreement, or to switch to a new doc. There

are definitely lots of parents who get bad advice from their doctors

on this. It is sad that someone should have a deformed head because

their doctor did not " believe " in banding.

I can tell you my husband's head is still flat and he's 43. It's not

bad, but I'm sure it would look nicer if he had a rounder head (he's

from India where back sleeping has been the norm for some time). Even

my ortho told me his nephew (age 12?) had a flat head and his scuba

goggles keep slipping off because he doesn't have the curve to his

head that normally holds them on.

-christine

sydney 23 mo starband grad

>> I guess I have a question on this as well. > >

> > > The STARband center I use has measurements for the cephalic ratio

> > > byboth age and sex. What is considered severe for a girl versus

a boy

> > > isdifferent, and also there is a difference when a baby is younger

> > > than6 months and older than 6 months, and then I think the next

> > > agedivision happens at 12 months. I wish I had a copy of the

> > > informationto put numbers to what I am saying.> > It also says that

> > > normal is considered to be +/- 2 from the standarddeviation. The

> > > orthotist told me that 95% of babies fall into that range.> > Has

> > > anyone else seen this? > > For the graduated brachy babies out

there,

> > > what was the cephalicindex before and after treatment?> > Thanks!> >

> > > Amy> ~ 8 months ~ STARband 9/12/07> > > > > > To:

> > > Plagiocephaly@: mafoley@: Wed, 19 Dec 2007 08:47:36-0800Subject: RE:

> > > Brachy Measurements? Help> > > > > Brachycephaly

Severity is

> > > measured by the Cephalic Ratio =CranialBreadth/Cranial Length.ideal

> > > ratio - 78%normal - 73-83%moderate- 83.1% to 87.9% severe - 88% and

> > > higherHope thishelps!MollyCaliforniaNicolas, 2, tort & plagio,

> > > STARband4/24/06-9/12/06, Graduate!, 4.75,

> > > 8-----OriginalMessage-----From:

> > >

Plagiocephaly [mailto:Plagiocephaly ]On

> > > Behalf Of rcwkent2003Sent: 19December 2007 07:52Plagiocephaly@:

> > > BrachyMeasurements? HelpHi Everyone. I hope the holiday

> > > season finds each ofyou well. Ihave a question... It seems that as I

> > > read messages on theboard, themoms have data/measurements on their

> > > child's plagio.Yesterday my sonreceived his Hanger helmet and

the only

> > > measurementthat we have beengiven is an index of height to width of

> > > his head asit compares to anaverage babies head. What measurements

> > > should we askfor as itrelates to brachy? Thanks so much!For more

> > > plagio info, go towww.plagiocephaly.org/support To unsubscribe from

> > > this group or tochange your mailing options,

> > > gotoPlagiocephaly/ and click EDIT

> > > MYMEMBERSHIP.*Please note that any advice/comments from this site do

> > > notnecessarilyvoice the opinions of the group owner or moderators*

> > > Groups Links>

> > > >

> > >

> >

>