Re: I don't understand what these measurements mean?

[Guest guest]

All I got was a verbal 11. Nothing else. So I'm glad other people are getting the other numbers at least even though they don't know what they mean.KimFrom: emma3312010 <scotnikki@...>Plagiocephaly Sent: Mon, October 25, 2010 5:18:46 PMSubject: I don't

understand what these measurements mean?

We never received a copy of our daughters measurements from her intial evaluation. (She is recieving treatment at Cranial Technologies is Oakbrook, IL. Wednesday will be 3 weeks since she has gotten her helmet). Last Wednesday at her appt for the helmet adjustment I asked the orthotist for her initial measurements. She told me they really don't mean anything, and don't give an accurate picture. She said basically the only reason they do them is for insurance purposes. I have read posts about the measurements, and percentages and never knew what it meant. I am also curious if she will be remeasured at some point to give us some idea how she is progressing. Wouldn't comparing the numbers be an accurate way to do it? Can someone helm me decipher what all this means? Here is what our daughters numbers were at the intial eval:

Cranial Width 130

Cranial Length 125

Cephalic Index 104

Standard Deviation of Cephalic Index +6.5

fzR - OcpL 135

fzL - OcpR 127

Cranial Vault Asymmetry 8

exL -tL 50

exR -tR 46

Mid-Face Asymmetry 4

sn-tL 87

sn -tR 82

Skull-Base Asymmetry 5

[Guest guest]

The Cephalic Index measures the Brachycephaly Severity:

Cephalic Index = Cranial Breadth/Cranial Length (130/125=104%)

ideal ratio - 78%

normal - 73-83%

moderate - 83.1% to 87.9%

severe - 88% and higher

Plagiocephaly severity is measured at the different points you list below -

Cranial Vault, Mid-Face and Skull Base.

0-3 mm is normal

<6 mm is very mild

6-10 mm is mild

10-15 mm is moderate

15+ mm is severe

Molly

Novato, California

Nicolas, 5, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/06,

Graduate!

, 7.5

, 11

I don't understand what these measurements mean?

We never received a copy of our daughters measurements from her intial

evaluation. (She is recieving treatment at Cranial Technologies is Oakbrook,

IL. Wednesday will be 3 weeks since she has gotten her helmet). Last

Wednesday at her appt for the helmet adjustment I asked the orthotist for

her initial measurements. She told me they really don't mean anything, and

don't give an accurate picture. She said basically the only reason they do

them is for insurance purposes. I have read posts about the measurements,

and percentages and never knew what it meant. I am also curious if she will

be remeasured at some point to give us some idea how she is progressing.

Wouldn't comparing the numbers be an accurate way to do it? Can someone helm

me decipher what all this means? Here is what our daughters numbers were at

the intial eval:

Cranial Width 130

Cranial Length 125

Cephalic Index 104

Standard Deviation of Cephalic Index +6.5

fzR - OcpL 135

fzL - OcpR 127

Cranial Vault Asymmetry 8

exL -tL 50

exR -tR 46

Mid-Face Asymmetry 4

sn-tL 87

sn -tR 82

Skull-Base Asymmetry 5

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

For more plagio info

[Guest guest]

I agree with molly's measurements, but the brachy thing can be a bit misleading

since some specialists set their target of banding at about 90%. My daughter

started at 96% and got down to about 85%. My doctors goal was to get his

patients below 90% if possible. With brachy the extra width doesn't go away, so

the key is to increase the head length (front to back), while keeping the width

from increasing to improve the proportion. Since your daughter has severe

brachy, and mild plagio, I would ask your clinician which they are focusing on.

Often they focus on one problem first. In your case I would guess the brachy,

but not sure. I would ask them what changes you can expect to see first. My

daughter had very mild asymmetry, so we didn't even worry about that.

Also your daughters age will be a factor in how much correction you can expect.

There are no guarantees, but young children generally grow faster, and thus have

more/quicker improvement.

If you like you can look at my daughter's before and after shots to see the

change in her head shape over time. CT also has pictures on their website. She's

under Our Plagio Babies S/Sydney M

-christine

sydney, 4.5 yrs, starband grad

>

> The Cephalic Index measures the Brachycephaly Severity:

> Cephalic Index = Cranial Breadth/Cranial Length (130/125=104%)

> ideal ratio - 78%

> normal - 73-83%

> moderate - 83.1% to 87.9%

> severe - 88% and higher

>

> Plagiocephaly severity is measured at the different points you list below -

> Cranial Vault, Mid-Face and Skull Base.

> 0-3 mm is normal

> <6 mm is very mild

> 6-10 mm is mild

> 10-15 mm is moderate

> 15+ mm is severe

>

> Molly

> Novato, California

> Nicolas, 5, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/06,

> Graduate!

> , 7.5

> , 11

>

> I don't understand what these measurements mean?

>

> We never received a copy of our daughters measurements from her intial

> evaluation. (She is recieving treatment at Cranial Technologies is Oakbrook,

> IL. Wednesday will be 3 weeks since she has gotten her helmet). Last

> Wednesday at her appt for the helmet adjustment I asked the orthotist for

> her initial measurements. She told me they really don't mean anything, and

> don't give an accurate picture. She said basically the only reason they do

> them is for insurance purposes. I have read posts about the measurements,

> and percentages and never knew what it meant. I am also curious if she will

> be remeasured at some point to give us some idea how she is progressing.

> Wouldn't comparing the numbers be an accurate way to do it? Can someone helm

> me decipher what all this means? Here is what our daughters numbers were at

> the intial eval:

> Cranial Width 130

> Cranial Length 125

> Cephalic Index 104

> Standard Deviation of Cephalic Index +6.5

>

> fzR - OcpL 135

> fzL - OcpR 127

> Cranial Vault Asymmetry 8

>

> exL -tL 50

> exR -tR 46

> Mid-Face Asymmetry 4

>

> sn-tL 87

> sn -tR 82

> Skull-Base Asymmetry 5

>

>

>

>

>

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

>

> For more plagio info

[Guest guest]

On Oct 25, 2010, at 8:18 PM, emma3312010 wrote:

> fzR - OcpL 135

> fzL - OcpR 127

> Cranial Vault Asymmetry 8

>

> exL -tL 50

> exR -tR 46

> Mid-Face Asymmetry 4

>

> sn-tL 87

> sn -tR 82

> Skull-Base Asymmetry 5

Most of the landmarks are defined here:

http://www.plagiocephaly.info/faqs/anthropometry.htm

(Measurements taken from each side are subtracted from one another.)

But, what does Ocp refer to? It would seem that the website is

incorrect with respect to CT's definition of CVA, and they are

currently using some variant of diagonal difference as the

measurement. OcpL is probably the occipital prominence, defined in

opposition to fzR, while the corresponding points in flat areas might

be defined by a line at the reverse angle:

http://www.plagiocephalyflathead.com/measure_plagiocephaly.php

In a similar vein, I've seen other measurements used for skull-base

asymmetry. And, the mid-face asymmetry measurement used here is

called " ear offset " in some contexts.

While that spanish website makes a great deal of sense to me, CT

could very well be using DD for insurance purposes: our insurance

guidelines, at least (BCBS) feature a diagram with diagonal lines.

Adjustments to the helmet may be informed by the measurements, but

remodeling is largely a craft. So, funding would be the pragmatic

" meaning " of the measurements to a self-centered clinician.

Hope this helps,

Thad Launderville

town, VT

Clara age 2, STARband '10