Re: Does positional therapy work? When to get a helmet.

[Guest guest]

It's really what you're comfortable with.  They generally recommend banding with a difference of 10mm or more for plagio.  Some have chosen to band at 7mm, others don't.  Repositioning does work, but the more mobile your baby gets the less effective it is, especially with tort in the mix.  When they are sleeping they will move to whatever they find most comfortable (usually on the flat spot) and there's isn't a lot you can do to prevent it after a point.

As for when, the earlier the better.  You'll catch more growth and see more improvement faster, meaning the time in the helmet is less.  If you get evaluated and decide to band, don't wait. 

Elaine (twin A), plagio & tort, grad 6/09 after two bandsOn Sun, Jan 24, 2010 at 10:02 PM, dunkingdiva <smilety2009@...> wrote:

 

I'm looking for advice from those of you with experience. Our story starts at our sons 2 month well child visit. His doctor noticed a flat spot on the back right side of his head and referred us to pediatric physical therapy. There we learned there was an 8 mm difference in measurments, and that he has torticollis. We were taught stretches and positional therapy. Three weeks later we went back to the physical therapist and found that his measurment had improved 1 mm. This was disappointing. The PT said he would have liked to see more improvement and made a couple of suggestions. He is now almost four months old, and we will be meeting with his PT and doctor soon. I'm wondering if others on this board have had positive experiences with positional therapy (any tips or advice would be welcomed) Also, do any of you have advice to share about if and when to get a helmet. What kind of measurements usually require a helmet? Is it better to get it at 4 months, or should be wait until 6 months? I feel lost in a new world. HELP!