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Boston Band Cranial Remolding Guide for Parents

Development of the Boston Band



As with many other devices developed by Boston Brace, the Boston Band was developed in conjunction with the top physician specialists in their field.  In this case, it was with specialists in cranio-facial (plastic surgery) and pediatric neurology.  The Boston Band technique was developed because, simply, we felt there was a better way and better results were possible.  Many other types of cranial remolding helmets exist however our experience was that they required a tremendous amount of follow-up appointments and the results were slow to achieve.  We have proven our results through research and as part of our quality assurance program.  Average length of time that an infant is in the Boston Band is only 10-12 weeks compared to 4-6 months as advertised by other companies.

Causes


Positional cranial deformity means the head shape has been caused by the child’s position.  Don’t worry, it is no one’s fault and this is easily & quickly treated.  Often, infants establish a preference of position and do not yet have the ability or wherewithal to move their head.  In some cases, the infant may have a conditional called Torticollis.  This is the tightness of a muscle on one side of the head & causes the child to look towards the other shoulder.  This can be treated and actually many children simply grow out of this tendency.  Early on in life, over time, this same position can cause flatness in a given area because the skull is soft & growing.  We are certainly advocates of re-positioning techniques at this stage.  Separate from that, we have collaborated in development of a new sleep surface.  The PlagioCradle™ is available for infants as a means to prevent cranial deformity.  The PlagioCradle™ has built in curvature to encourage proper growth of the skull as opposed to the flat surface of a mattress.

  

The Boston Band can only be used on children 3 months of age & older.  It can successfully treat positional deformation up to about 18 months in age when the brain has reached near full size.  These helmets cause no pain and do not exert any force on the skull.  They are considered passive devices meaning the helmet is not forcing change.  It is actually the growth of the brain that is causing the skull to grow while the Boston Band is simply directing the shape of the head.  Due to this, the best results occur when the brain is growing the fastest.  The boy and girl growth charts show you the best time is between 3-9 months of age.

Positional deformity is certainly no cause for alarm and can be easily treated.  Our NOPCO staffPartner groups successfully treat about 1,000 new patients per year with Boston Bands.   We will be honored for you to entrust us with this care of your child and will happily go into greater detail in any of these areas.

 

Your pediatrician, neurology, or cranio-facial specialist will be your first stop along this journey.  They will help determine if a helmet is needed or if re-positioning and monitoring is the best course of action.
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