Re: Re: Can repo cause brachy? and more

[Guest guest]

Brachycephaly Severity:

Cephalic Ratio = Cranial Breadth/Cranial Length

ideal ratio - 78%

normal - 73-83%

moderate - 83.1% to 87.9%

severe - 88% and higher

Molly

Novato, California

Nicolas, 3, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/06,

Graduate!

, 6

, 9

Re: Can repo cause brachy? and more

Brachy is when the flat spot is straight across the back of the head

and sometimes incolves increased head height and angling (upward

towards the back). Plagio is when the flat spot is on either the

back right or back left of the head. Some babies have cominations of

both. Brachy is determined by a measurement called the cephalic

ratio, it's a percentage that is " normal " below 80% I think. Someone

with a brachy baby can confirm that for sure (my son has plagio),

but I do know that a " normal " head should be 2/3 longer than it is

wide, and brachy is present when the head is as long or longer than

it is wide.

Hope that helps some!

Jake-2 DOCBand Grad 9/08)

Jordan-5

> >

> > Maybe this has been discussed before. I am wondering if

repositioning

> > a child with plagio can cause brachy. We noticed my son's flat

spot

> > at about 3 months and really started repositioning a few weeks

> > later. The main changes I noticed in the 2 months we did were

that

> > there was less of an angle to the flat side and that he seemed

to get

> > flatter in back. Did repo cause that?

> >

> > Also, we have had great results with the Starband for the

plagio:

> > down from 11mm to 2mm in six weeks (we were down to 3mm in just

three

> > weeks!). But we just went from 91% to 90.5% cephalic index.

How

> > much longer will it take to get down into the mid-80's? Or will

we?

> > The orthotist isn't really very concerned with the brachy--he

thinks

> > it will resolve itself over time. Is that true? 's head

isn't

> > really flat on back, it just has a kind of round rather than

oblong

> > shape. I should really post some pics! I can't post " before "

pics

> > because the correction was so quick I didn't get around to

taking any.

> >

> > Thanks!

> >

> >

> > in Starband since 01/05/09

> > Kansas

> >

>

------------------------------------

For more plagio info

[Guest guest]

Molly,

Where did you get those numbers? We were told that average was 80 percent and anything below 90 or 91 was considered to be within the normal range (2 standard deviations). Our first measurement of 95 was described as moderate and our second measurement of 92.3 was described as mild. I will say that I'd like my daughter to be more "normal" than 2 standard deviations, but that's what I was told was the standard for describing normal.

, mom to , 18 months tomorrow

14 weeks in STARband plus CST

land RE: Re: Can repo cause brachy? and more

Brachycephaly Severity:Cephalic Ratio = Cranial Breadth/Cranial Lengthideal ratio - 78%normal - 73-83%moderate - 83.1% to 87.9% severe - 88% and higherMollyNovato, CaliforniaNicolas, 3, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/06,Graduate!, 6, 9-----Original Message-----From: Plagiocephaly [mailto:Plagiocephaly ]On Behalf Of Sent: 23 February 2009 01:13Plagiocephaly Subject: Re: Can repo cause brachy? and moreBrachy is when the flat spot is straight across the back of the head and sometimes incolves increased head height and angling (upward towards the back). Plagio is when the flat spot is on either the back right or back left of the head. Some babies have cominations of both. Brachy is determined by a measurement called the cephalic ratio, it's a percentage that is "normal" below 80% I think. Someone with a brachy baby can confirm that for sure (my son has plagio), but I do know that a "normal" head should be 2/3 longer than it is wide, and brachy is present when the head is as long or longer than it is wide. Hope that helps some!Jake-2 DOCBand Grad 9/08)Jordan-5> >> > Maybe this has been discussed before. I am wondering if repositioning> > a child with plagio can cause brachy. We noticed my son's flat spot > > at about 3 months and really started repositioning a few weeks > > later. The main changes I noticed in the 2 months we did were that > > there was less of an angle to the flat side and that he seemed to get > > flatter in back. Did repo cause that?> > > > Also, we have had great results with the Starband for the plagio: > > down from 11mm to 2mm in six weeks (we were down to 3mm in just three > > weeks!). But we just went from 91% to 90.5% cephalic index. How > > much longer will it take to get down into the mid-80's? Or will we? > > The orthotist isn't really very concerned with the brachy--he thinks > > it will resolve itself over time. Is that true? 's head isn't > > really flat on back, it just has a kind of round rather than oblong > > shape. I should really post some pics! I can't post "before" pics > > because the correction was so quick I didn't get around to taking any.> > > > Thanks!> > > > > > in Starband since 01/05/09> > Kansas> >>------------------------------------For more plagio info

[Guest guest]

Can anyone help with measurements? I am still confused also....What is normal for the cranial width, length, cephalic index?

Alyson

Mom to Blake F. 5 months old (i did not realize their were 2 Blake's Re: Can repo cause brachy? and more > > Brachy is when the flat spot is straight across the back of the > head > and sometimes incolves increased head height and angling (upward > towards the back). Plagio is when the flat spot is on either the > back right or back left of the head. Some babies have > cominations of > both. Brachy is determined by a measurement called the cephalic > ratio, it's a percentage that is "normal" below 80% I think. > Someone > with a brachy baby can confirm that for sure (my son has > plagio), > but I do know that a "normal" head should be 2/3 longer than it > is > wide, and brachy is present when the head is as long or longer > than > it is wide. > > Hope that helps some! > > Jake-2 DOCBand Grad 9/08) > Jordan-5 > > > > > > > > Maybe this has been discussed before. I am wondering if > repositioning > > > a child with plagio can cause brachy. We noticed my son's > flat > spot > > > at about 3 months and really started repositioning a few > weeks > > > later. The main changes I noticed in the 2 months we did > were > that > > > there was less of an angle to the flat side and that he > seemed > to get > > > flatter in back. Did repo cause that? > > > > > > Also, we have had great results with the Starband for the > plagio: > > > down from 11mm to 2mm in six weeks (we were down to 3mm in > just > three > > > weeks!). But we just went from 91% to 90.5% cephalic index. > How > > > much longer will it take to get down into the mid-80's? Or > will > we? > > > The orthotist isn't really very concerned with the brachy--> he > thinks > > > it will resolve itself over time. Is that true? 's > head > isn't > > > really flat on back, it just has a kind of round rather than > oblong > > > shape. I should really post some pics! I can't post "before" > pics > > > because the correction was so quick I didn't get around to > taking any. > > > > > > Thanks! > > > > > > > > > in Starband since 01/05/09 > > > Kansas > > > > > > > ------------------------------------ > > For more plagio info

[Guest guest]

From what I've read everywhere, a normal Cephalic Index is between 78% and 83%. This said, I now think that anything below 90% shouldn't look as bad or as obvious and that 85% would be wonderful!

Leila

Maysa, 13 months old, week 3 in DOC band 2

http://mymaysa.wordpress.com/--- On Mon, 2/23/09, <nwilkens2275@...> wrote:

From: <nwilkens2275@...>Subject: Re: Can repo cause brachy? and morePlagiocephaly Date: Monday, February 23, 2009, 4:13 PM

Brachy is when the flat spot is straight across the back of the head and sometimes incolves increased head height and angling (upward towards the back). Plagio is when the flat spot is on either the back right or back left of the head. Some babies have cominations of both. Brachy is determined by a measurement called the cephalic ratio, it's a percentage that is "normal" below 80% I think. Someone with a brachy baby can confirm that for sure (my son has plagio), but I do know that a "normal" head should be 2/3 longer than it is wide, and brachy is present when the head is as long or longer than it is wide. Hope that helps some!Jake-2 DOCBand Grad 9/08)Jordan-5> >> > Maybe this has been discussed before. I am wondering if repositioning> > a child with plagio can cause brachy. We noticed my son's flat spot > > at about 3 months and really started repositioning a few weeks > > later. The main changes I noticed in the 2 months we did were that > > there was less of an angle to the flat side and that he seemed to get > > flatter in back. Did repo cause that?> > > > Also, we have had great results with the Starband for the plagio: > > down from 11mm to 2mm in six weeks (we were down to 3mm in just three > > weeks!). But we

just went from 91% to 90.5% cephalic index. How > > much longer will it take to get down into the mid-80's? Or will we? > > The orthotist isn't really very concerned with the brachy--he thinks > > it will resolve itself over time. Is that true? 's head isn't > > really flat on back, it just has a kind of round rather than oblong > > shape. I should really post some pics! I can't post "before" pics > > because the correction was so quick I didn't get around to taking any.> > > > Thanks!> > > > > > in Starband since 01/05/09> > Kansas> >>

[Guest guest]

I'm thinking that Molly's numbers are more similar to what I've seen before for girls (I've heard that the norms are different for boys and girls). 88 percent would be two standard deviations off. The range for what she calls normal is one standard deviation (which appears to be 5). That would mean that 's most recent measure of 92.3 (5 weeks ago) would put her just under 3 standard deviations from the mean. My orthotists uses the standard of two standard deviations to describe normal. I think that she is using the numbers for combined boys and girls or just boys because she keeps saying that this number is somewhere between 90 and 91 (I don't remember for sure). Either that, or she's using a different set of norms. She then uses the number of standard deviations to describe mild, moderate, and severe. I'm wondering if there are no universal standards for this because my cranial specialist gave me similar information as the orthotist.

I'd be dreaming if I thought that we could get down to 88 so I'm shooting for 90. That may also be unrealistic, but I'm going to shoot for it anyway.

That said, I think that 's head looked so much better at 92.3 than at 95, it is amazing. Other than a little more rounding in the back, I'm not seeing much difference since that last scan so I may have to settle for between 91 and 92. They say the head really slows down at 18 months, but I'm hoping that her 3 weeks early delivery will buy me that time (who knows?). I'm also cramming calories into her so I may end up with a chubby baby (unlikely given she's so little now), but if her head grows more, then who cares? Re: Can repo cause brachy? and more

Hi ,I don't know if Molly responded, but I've seen those numbers in this group for a long time. I'm not sure where they came from. However I wanted to say that our specialist (cranio facial plastic surgeon) recommends banding at 90% or higher. He didn't say what was "normal", however if he's treating at 90% you can assume that he considers it at least mild to moderate. For plagio is guideline is 10mm so he isn't as aggressive as some (some docs treat at lower numbers). He likes to see all his patients get below 90% or as low as possible. Even when we got to about 87% he wanted us to continue since the band still fit. My daugther graduated at 85%.-christinesydney, 3 yrs, starband grad > > > > > > Maybe this has been discussed before. I am wondering if > repositioning > > > a child with plagio can cause brachy. We noticed my son's flat > spot > > > at about 3 months and really started repositioning a few weeks > > > later. The main changes I noticed in the 2 months we did were > that > > > there was less of an angle to the flat side and that he seemed > to get > > > flatter in back. Did repo cause that? > > > > > > Also, we have had great results with the Starband for the > plagio: > > > down from 11mm to 2mm in six weeks (we were down to 3mm in just > three > > > weeks!). But we just went from 91% to 90.5% cephalic index. > How > > > much longer will it take to get down into the mid-80's? Or will > we? > > > The orthotist isn't really very concerned with the brachy--he > thinks > > > it will resolve itself over time. Is that true? 's head > isn't > > > really flat on back, it just has a kind of round rather than > oblong > > > shape. I should really post some pics! I can't post "before" > pics > > > because the correction was so quick I didn't get around to > taking any. > > > > > > Thanks! > > > > > > > > > in Starband since 01/05/09 > > > Kansas > > > > > > > ------------------------------------ > > For more plagio info

[Guest guest]

Sorry, I didn't see the original e-mail.  I've seen the

numbers several places.

Several insurance websites (Cigna, Aetna) post the

following information about the cephalic index:

The cephalic index is

considered abnormal if it is two standard deviations (SD) above or below the

mean measurements (Farkas and Munro, 1987)

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

I also saw the numbers on a UK plagio website but

unfortunately I went to look for the link and the site no longer exists.

Molly

Novato, California

Nicolas, 3, tort & plagio, STARband (CIRS Oakland)

4/24/06-9/12/06, Graduate!

, 6

, 9

Re: Can repo cause brachy? and more

Hi ,

I don't know if Molly responded, but I've seen those

numbers in this

group for a long time. I'm not sure where they came from.

However I

wanted to say that our specialist (cranio facial plastic

surgeon)

recommends banding at 90% or higher. He didn't say what

was " normal " ,

however if he's treating at 90% you can assume that he

considers it

at least mild to moderate. For plagio is guideline is

10mm so he

isn't as aggressive as some (some docs treat at lower

numbers). He

likes to see all his patients get below 90% or as low as

possible.

Even when we got to about 87% he wanted us to continue

since the band

still fit. My daugther graduated at 85%.

-christine

sydney, 3 yrs, starband grad

> > >

> > > Maybe this has been discussed before. I am

wondering if

> repositioning

> > > a child with plagio can cause brachy. We

noticed my son's flat

> spot

> > > at about 3 months and really started repositioning

a few weeks

> > > later. The main changes I noticed in the 2

months we did were

> that

> > > there was less of an angle to the flat

side and that he seemed

> to get

> > > flatter in back. Did repo cause that?

> > >

> > > Also, we have had great results with the

Starband for the

> plagio:

> > > down from 11mm to 2mm in six weeks (we

were down to 3mm in just

> three

> > > weeks!). But we just went from 91% to

90.5% cephalic index.

> How

> > > much longer will it take to get down into

the mid-80's? Or will

> we?

> > > The orthotist isn't really very concerned

with the brachy--he

> thinks

> > > it will resolve itself over time. Is that

true? 's head

> isn't

> > > really flat on back, it just has a kind of

round rather than

> oblong

> > > shape. I should really post some pics! I

can't post " before "

> pics

> > > because the correction was so quick I

didn't get around to

> taking any.

> > >

> > > Thanks!

> > >

> > >

> > > in Starband since 01/05/09

> > > Kansas

> > >

> >

>

> ------------------------------------

>

> For more plagio info, go to

www.plagiocephaly.org/support

>