Confusing interpretation of STARscan measurements

[Guest guest]

Hi everyone! I'm writing because I'm hoping some of you might be able to shed

some light on confusing interpretation I got on STARscan measurements.

I recently took my 5-month-old baby for measurements at a STARscan center

because I was concerned about his brachy. I knew he also had mild plagio (which

had been much improved with repo since he was 2 months old), but I was worried

his brachy was more severe. It turns out I was right about the plagio, and the

clinician agreed: though his CVAI was only 1.0, his Overall Symmetry Ratio was

0.888 (or a 3).

However, the interesting part came next. His Cephalic Ratio was 0.904, which to

my mind equals at least mild, if not moderate, brachy. Based on the shape of his

head, however (which is not flat, but flatter than I've seen in other babies),

the clinician insisted repeatedly that my son has no brachy. Not even mild

brachy. No brachy at all. I am torn between believing that and taking it with

caution. Perhaps she was working with another definition of brachy than I? She

did agree that his CR was 2 standard deviations above the mean, which is

concerning.

Another explanation could be that my baby simply has a very round head

naturally. But that is contradicted by the fact that the clinician said I should

be aiming to go below 2 standard deviations by 7 months when the plagio improves

more. She said that the plagio caused a flat spot on the right side of the back

of his head, which makes the head look flatter. (Also, if his head were

naturally round, would his measurements not fall within the range of normality,

rather than go 2 standard deviations above the mean?)

What do you think?

P.S. She flatly said my baby does not need a band.