Measurement Confusion and CST Appointment

[Guest guest]

Okay, I know there's been a lot of discussion regarding not putting too much emphasis on numbers, but I'm a number person.

had her CST appointment with her physical therapist yesterday and she took measurements. I also asked her to give me all of the previous measurements. These are hand measurements as were taken at CT. She was measured last October, treated with CST for a month, put in a band in November, and measured again in December. Then I have the measurements from yesterday.

So, I now have three estimates of her cranail index.

92.2 (STARscan done in May)

86 (hand measurements at CT in July)

91.3 (hand measurements by the PT yesterday)

Her cranial vault assymetry numbers:

2.5 mm (STARscan done in May)

4 mm (hand measurements done in July)

9 mm (hand measurements done yesterday)

I should point out the difference in starting measurements:

95 (STARscan done on 10/23)

100 (hand measurements done by PT on 10/20)

1.5 mm (STARscan on 10/23)

2.5 mm (hand measurement done by PT on 10/20)

So, I'm not sure what to think. She's obviously improved. Based upon the PT's current numbers, actually has mild plagio.

So, if I think about the measurement conditions:

For the STARscan, was screaming, but there were three of us holding her down. Our ortho felt we had gotten a good scan.

For the CT measurements, was also screaming and was lying down, but was holding relatively still.

For the PT's measurements, was calm and cooperative for the length and width measurements and was sitting up (she had done it first to her doll and then said she wanted a turn). For the plagio numbers, she wasn't crying, but was no longer cooperating very well in that she was hanging from my arms. The PT just went ahead and took them.

According to the PT's numbers, 's head is the same exact width on all three measurements. Her length has increased a half inch.

I'm inclined to take the middle numbers. That would be 91.3 percent and 4 mm. I do have to say that her head looks very slightly asymmetric, but that's never been the focus of treatment. Now, our PT wants us to try and work on evening her out with the CST. I'll be curious to see what numbers she gets when she measures her again.

The appointment went well in that cooperated. We were given different home exercises to do and told to call in three weeks to let her know how it is going. Then, more than likely, we will go for treatments every three weeks. She didn't promise any improvement, but said that we should be able to free things up so that if her body is able to correct more, it will. The trick is always getting to cooperate during the exercises.

, mom to , 23 months

STARband grad plus CST

land

[Guest guest]

Hi,

When we started our cranial vault asymmetry numbers were 7.1mm with the

scan and 15mm by hand. Our ortho told us it depends where the hand

measurements are taken. We used the 7.1mm for the insurance, but the

ortho told us that visually our case was moderate. I'm interested in

why people are reporting higher asymmetry measurements out of CT than

with the Starband scan.

Best,

Kathy, mom to , 14 months, Starband 2 months

melanie.watson@... wrote:

Okay, I know there's been a lot of discussion regarding not

putting too much emphasis on numbers, but I'm a number person.

had her CST appointment with her physical therapist

yesterday and she took measurements. I also asked her to give me all of

the previous measurements. These are hand measurements as were taken at

CT. She was measured last October, treated with CST for a month, put in

a band in November, and measured again in December. Then I have the

measurements from yesterday.

So, I now have three estimates of her cranail index.

92.2 (STARscan done in May)

86 (hand measurements at CT in July)

91.3 (hand measurements by the PT yesterday)

Her cranial vault assymetry numbers:

2.5 mm (STARscan done in May)

4 mm (hand measurements done in July)

9 mm (hand measurements done yesterday)

I should point out the difference in starting measurements:

95 (STARscan done on 10/23)

100 (hand measurements done by PT on 10/20)

1.5 mm (STARscan on 10/23)

2.5 mm (hand measurement done by PT on 10/20)

So, I'm not sure what to think. She's obviously improved. Based

upon the PT's current numbers, actually has mild plagio.

So, if I think about the measurement conditions:

For the STARscan, was screaming, but there were three of

us holding her down. Our ortho felt we had gotten a good scan.

For the CT measurements, was also screaming and was lying

down, but was holding relatively still.

For the PT's measurements, was calm and cooperative for

the length and width measurements and was sitting up (she had done it

first to her doll and then said she wanted a turn). For the

plagio numbers, she wasn't crying, but was no longer cooperating very

well in that she was hanging from my arms. The PT just went ahead and

took them.

According to the PT's numbers, 's head is the same exact

width on all three measurements. Her length has increased a half inch.

I'm inclined to take the middle numbers. That would be 91.3

percent and 4 mm. I do have to say that her head looks very slightly

asymmetric, but that's never been the focus of treatment. Now, our PT

wants us to try and work on evening her out with the CST. I'll be

curious to see what numbers she gets when she measures her again.

The appointment went well in that cooperated. We were

given different home exercises to do and told to call in three weeks to

let her know how it is going. Then, more than likely, we will go for

treatments every three weeks. She didn't promise any improvement, but

said that we should be able to free things up so that if her body is

able to correct more, it will. The trick is always getting to

cooperate during the exercises.

, mom to , 23 months

STARband grad plus CST

land