Guest guest Posted July 10, 2008 Report Share Posted July 10, 2008 Hi! I have been reading through the messages and everyone seems so educated on plagio that I thought I'd ask for some opinions. My daughter got her scan today and her asymmetry measurement was 7 mm. They said anything over 5 is considered visible. Does that sound right? She's only 4 and a half months so the doctor wants me to try repositioning for 6 weeks and then come back for a rescan to monitor if any progress was made. Do you think we have a chance of making significant enough improvements to avoid helmet therapy? Right now I am basically keeping her off her head all day long by using a bumbo, exersaucer, and bjorn carrier. I even hold her when she naps so that she doesn't put any pressure on the back of her head. Any other suggestions? Thanks. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2008 Report Share Posted July 10, 2008 Hi- I think the assessment of 5mm and above being visible would be about right. We were told by Cranial Tech that 2-4mm of asym is considered " normal " though I think some orthos say 0-3mm. I think that with her age and the mildness of asym, you could definitely see some positive change in 6 weeks of aggressive repositioning. I personally think it's worth a shot and if you do end up having to get a helmet, 6 months old is still a great age to start, so you wouldn't be losing any valuable time. One thing to try besides just keeping her up off of her head, is trying to add counter pressure to the non-flat side. So if her flat spot is on her right side, you might want to try (if you haven't already) getting her to sleep with a sleep positioner on her left side or at least with her head turned to the left. Or like when you hold her to nap, have her sleep on her belly on your chest with her head turned to rest on the non-flat side. If she gets some time to lay on the non-flat side and add some pressure there it will help the flat side to pop out, more than just keeping her up off her head all together. Good luck with the repo! Please keep us posted! Jake-22m (tort resolved/rt plagio/DOCBand #2 5 weeks) Jordan-4 > > Hi! I have been reading through the messages and everyone seems so > educated on plagio that I thought I'd ask for some opinions. My > daughter got her scan today and her asymmetry measurement was 7 mm. > They said anything over 5 is considered visible. Does that sound > right? She's only 4 and a half months so the doctor wants me to try > repositioning for 6 weeks and then come back for a rescan to monitor > if any progress was made. > > Do you think we have a chance of making significant enough > improvements to avoid helmet therapy? Right now I am basically > keeping her off her head all day long by using a bumbo, exersaucer, > and bjorn carrier. I even hold her when she naps so that she doesn't > put any pressure on the back of her head. Any other suggestions? > > Thanks. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 10, 2008 Report Share Posted July 10, 2008 7mm is pretty mild and could be corrected with aggressive repositioning. Our specialist (cranio facial plastic surgeon) recommends banding at 10mm or above, but some band at lower numbers. It sounds like you are doing well so far, but you also need to keep her off the flat spot while sleeping. If she's young (below 6 mo) try a rolled up blanket or sock filled with rice sewed to her jammies to keep her slightly to one side (so her head falls on the prominent area not the flat spot). Repo-ing older kids can be done too, but is a lot harder since they move more. However since the plagio is mild it may be possible. If the neck is involved (torticollis) this will cause her to prefer to always look in a certain direction, and you may also need PT/stretches to make her more comfortable looking in the other direction. Please keep us posted on your progress. -christine sydney 2.5 yrs starband grad > > Hi! I have been reading through the messages and everyone seems so > educated on plagio that I thought I'd ask for some opinions. My > daughter got her scan today and her asymmetry measurement was 7 mm. > They said anything over 5 is considered visible. Does that sound > right? She's only 4 and a half months so the doctor wants me to try > repositioning for 6 weeks and then come back for a rescan to monitor > if any progress was made. > > Do you think we have a chance of making significant enough > improvements to avoid helmet therapy? Right now I am basically > keeping her off her head all day long by using a bumbo, exersaucer, > and bjorn carrier. I even hold her when she naps so that she doesn't > put any pressure on the back of her head. Any other suggestions? > > Thanks. > Quote Link to comment Share on other sites More sharing options...
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