Plagiocephaly (flat head syndrome): Treatment with a corrective helmetPPlagiocephaly (flat head syndrome): Treatment with a corrective helmetPlagiocephaly (flat head syndrome): Treatment with a corrective helmetEnglishPlasticsNewborn (0-28 days);Baby (1-12 months)SkullBonesNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices7.0000000000000072.00000000000001708.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how a corrective helmet is worn and helps correct the shape of your child's skull over time.</p><h2>What is plagiocephaly?</h2><p>Plagiocephaly (say: play-gee-o-SEFF-ah-lee) is asymmetry (unevenness) in the shape of a baby's skull. It is also known as "baby flat-head." </p> <figure> <span class="asset-image-title">Positional plagiocephaly</span> <img src="https://assets.aboutkidshealth.ca/akhassets/positional_plagiocephaly_MED_ILL_EN.png" alt="" /> <figcaption class="asset-image-caption">A part of your baby’s skull can become flattened if your baby is always on his back or prefers to look in one direction.</figcaption> </figure> <h2>What is a corrective helmet?</h2><p>A corrective helmet is a type of orthosis (medical device). It is custom-made to treat plagiocephaly in children with moderate to severe skull asymmetry. The helmet is designed to reshape the skull over time. </p> <figure> <span class="asset-image-title">Orthotic helmet</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Orthotic_helmet_EQUIP_ILL_EN.jpg" alt="" /> </figure><h2>Key points</h2> <ul> <li>A corrective helmet can help treat your baby's plagiocephaly or "baby flat-head." </li> <li>The helmet is designed to correct the shape of your child's skull over time. </li> <li>Your child will likely need to wear the helmet for four to six months. </li> <li>You and your child will need to visit the orthotist several times to measure, cast and fit your child's helmet. </li> </ul><h2>How long will your child need to wear the helmet?</h2> <p>Your child will likely need to wear the helmet for four to six months. It is recommended that your child wear the helmet between 18 to 22 hours per day. Your orthotist will give you specific recommendations based on your child's needs.</p><h2>First visit: Measuring and casting</h2><p>An initial visit with an orthotist is needed to measure your child's head and make a cast for the helmet. Measurements of your child's head are taken with the aid of a measuring tape made of cloth and a pair of calipers (a measuring tool). This takes about 20 to 40 minutes. </p><h3>Measurements</h3><p>Two measurements of your child's head are taken:</p><ul><li>the circumference (the distance around the skull) </li><li>the distance from the nose to the left and right ears </li></ul><h3>Casting</h3><p>The casting of your child's head is done in three stages:</p><ul><li>Two layers of cotton stockinette tubing (cotton material) will be pulled over your child's head and a hole will be cut out for the face so that your child can see. </li><li>Marks will be put on the stockinette with a permanent pencil. These marks will be on the forehead, back of the head, centre of each ear, and around each ear. </li><li>Finally, strips of plaster bandage are wrapped around your child's head. This is called "casting." The bandage becomes hard and is simply lifted off your child's head without any cutting tools. </li></ul><p>The casting procedure takes about 20 minutes. The casting process can be a little messy. While we try to protect your child's clothes as much as possible, we recommend that you dress your child in old clothes for this process. </p> <figure> <span class="asset-image-title">Stockinette</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Stockingette_for_helmet_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">Two layers of cotton stockinette tubing are put on your child, with a hole cut for the face, in the process of creating a cast for your child's helmet.</figcaption> </figure> <h2>Second visit: Fitting the helmet</h2><p>A return visit is needed to make sure the helmet fits properly. This visit will be booked two to three weeks after the initial casting visit. At this visit, you will be taught the proper use and care of the helmet. </p><h3>The total time required to properly fit your child's helmet is between two and two and a half hours</h3><p>The helmet will be placed on your child's head a number of times to allow the correct trim lines to be established. Once this is complete, the helmet will be finished by sanding the edges, adding straps, and splitting the helmet in the appropriate position. </p><p>During the final stage of the finishing process, you are free to take a break. When you return, you will be taught how to use and care for the helmet. </p><ul><li>initial fitting (45 minutes): you and your child need to be there </li><li>final finishing (one hour): you and your child can take a break </li><li>parent instruction (30 minutes): you and your child need to be there <br></li></ul><h2>At SickKids</h2> <h3>How much the helmet costs</h3> <p>In Ontario, OHIP does not cover any of the cost of the corrective helmet; however, most extended health insurance plans may cover all or a portion depending on your coverage. Ask your orthotist for an insurance letter to submit to your insurance company for coverage. If you need help to pay for the helmet, visit our reception desk for a listing of charitable organizations that may assist you. </p> <p>A minimum of 50% of the payment for this device is expected at the time of the casting. The remaining 50% of the cost is expected when you receive the helmet. We are unable to bill your insurance company directly.</p> <p>Please visit or contact The Centre for Orthotics for further information on pricing.</p> <p>All proceeds from orthotic treatment at The Centre for Orthotics go to support patient care and research at SickKids. For more information, please see <a href="http://www.centrefororthotics.ca/">www.centrefororthotics.ca. </a></p>
Plagiocéphalie : Traitement avec un casque correcteurPPlagiocéphalie : Traitement avec un casque correcteurPlagiocephaly (flat head syndrome): Treatment with a corrective helmetFrenchPlasticsNewborn (0-28 days);Baby (1-12 months)SkullBonesNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices7.0000000000000072.00000000000001708.00000000000Health (A-Z) - ProcedureHealth A-Z<p>​Apprenez comment porter un casque correcteur et sachez comment il peut contribuer avec le temps à corriger la forme du crâne de votre enfant.</p><h2>Qu'est-ce que la plagiocéphalie?</h2><p>La plagiocéphalie est une asymétrie de la boîte crânienne d’un bébé. Le crâne n'est pas bien rond mais semble plutôt aplati. </p> <figure class="asset-c-80"> <span class="asset-image-title">Plagiocéphalie positionnelle</span><img src="https://assets.aboutkidshealth.ca/akhassets/positional_plagiocephaly_MED_ILL_FR.png" alt="" /><figcaption class="“asset-image-caption”">Une partie du crâne du bébé peut s'aplatir s'il est toujours sur le dos ou s'il préfère regarder dans un sens.</figcaption></figure> <h2>Qu’est-ce qu’un casque correcteur?</h2><p>Un casque correcteur est un type d’orthèse (dispositif médical). Il est fait sur mesure et sert à traiter une plagiocéphalie chez les enfants avec une asymétrie de la boîte crânienne modérée à grave. Le casque est conçu pour reformer le crâne avec le temps. </p> <figure class="asset-c-80"> <span class="asset-image-title">Casque orthopédique </span><img src="https://assets.aboutkidshealth.ca/akhassets/Orthotic_helmet_EQUIP_ILL_FR.jpg" alt="" /></figure> <br><h2>À retenir</h2> <ul><li>Un casque correcteur peut contribuer à traiter la plagiocéphalie de votre bébé.</li> <li>Le casque est conçu pour corriger avec le temps la forme du crâne de votre enfant.</li> <li>Votre enfant devra probablement porter le casque pendant 4 à 6 mois.</li> <li>Vous et votre enfant devrez visiter l’orthésiste plusieurs fois pour prendre des mesures, faire le moulage du casque et ajuster le casque de votre enfant.</li></ul><h2>Combien de temps votre enfant devra-t-il porter le casque correcteur?</h2> <p>Votre enfant devra probablement porter le casque 4 à 6 mois. On recommande que votre enfant porte le casque de 18 à 22 heures par jour. Votre orthésiste vous fera des recommandations précises selon les besoins de votre enfant.</p><h2>Première visite : mesure et moulage</h2><p>Une visite initiale avec un orthésiste est nécessaire pour mesurer la tête de votre enfant et préparer un moule pour le casque. Les mesures de la tête de votre enfant sont prises avec un mètre-ruban et d’un pied à coulisse (instrument de mesure). Cela prend 20 à 40 minutes. </p><h3>Mesures</h3><p>Deux mesures de la tête de votre enfant sont prises :</p><ul><li>la circonférence (le tour du crâne),</li><li>la distance du nez à l'oreille droite et à la gauche.</li></ul><h3>Moulage</h3> <figure> <span class="asset-image-title">Jersey tubulaire</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Stockingette_for_helmet_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="“asset-image-caption”">Afin de créer un moule pour le casque de votre enfant, on place deux épaisseurs de jersey tubulaire sur la tête de votre enfant et l'on y fait un trou pour le visage.</figcaption></figure> <p>Le moulage de la tête de votre enfant se fait en trois étapes :</p><ul><li>Deux couches de matériau en coton seront enfilées sur la tête de votre enfant et un trou sera coupé pour son visage pour qu’il puisse voir.</li><li>Des marques seront apposées sur le matériau de coton avec un feutre permanent. Ces marques seront placées sur le front, à l’arrière de la tête, au centre de chaque oreille et autour de chaque oreille.</li><li>Enfin, des bandes plâtrées seront enroulées autour de la tête de votre enfant. On appelle cela le « moulage ». Les bandes durciront et le tout sera simplement soulevé et enlevé de la tête de votre enfant sans recourir à des outils coupants.</li></ul><p>Le moulage prend environ 20 minutes et il peut être un peu salissant. Bien que nous essayons autant que possible de protéger les vêtements de votre enfant, nous vous recommandons de l’habiller avec de vieux vêtements pour le moulage. </p><h2>Deuxième visite : ajustement du casque</h2><p>Une visite de suivi est nécessaire pour s’assurer que le casque soit correctement ajusté. Cette visite aura lieu 2 ou 3 semaines après la visite initiale pour le moulage. Lors de cette deuxième visite, on vous apprendra à utiliser le casque et à en prendre soin.</p><h3>Il faut de 2 heures à 2 ½ heures pour ajuster correctement le casque de votre enfant</h3><p>Le casque sera placé sur la tête de votre enfant plusieurs fois pour établir correctement les lignes pour le découpage. Ensuite, on terminera le casque en ponçant les bords, en ajoutant les sangles et en partageant le casque dans la bonne position. </p><p>Pendant l’étape finale du processus, vous pourrez prendre une pose. À votre retour, on vous apprendra à utiliser le casque et à en prendre soin. </p><ul><li>Ajustement initial (45 minutes) : vous et votre enfant devez être présents;</li><li>Ajustement final (1 heure) : vous et votre enfant pouvez prendre une pose;</li><li>Instructions pour les parents (30 minutes) : vous et votre enfant devez être présents.</li></ul><h2>À l’hôpital SickKids :</h2><h3>Combien coûte le casque ?</h3><p>En Ontario, l’assurance-santé ne couvre pas les coûts du casque correcteur; cependant, la plupart des assurances médicales complémentaires peuvent couvrir la totalité ou une partie de ces frais. Demandez à votre orthésiste de vous fournir une lettre pour votre société d’assurance. Si vous avez besoin d’aide pour payer le casque correcteur, demandez au personnel à la réception une liste des organismes de charité qui pourraient vous aider.</p><p>Il faut débourser au moins 50 % du paiement au moment du coulage du casque. Le solde (les 50 % qui restent) devra être versé lorsque vous recevrez le casque. Il nous est impossible de facturer directement votre société d’assurance.</p><p>Veuillez consulter le Centre d’orthétique pour obtenir plus de renseignements sur les prix.</p><p>Tous les profits des traitements orthétiques du Centre d’orthétique sont destinés aux soins des patients et la recherche à l’hôpital SickKids. Pour plus de renseignements, consultez le site à l’adresse www.centrefororthotics.ca. </p>

 

 

Plagiocephaly (flat head syndrome): Treatment with a corrective helmet972.000000000000Plagiocephaly (flat head syndrome): Treatment with a corrective helmetPlagiocephaly (flat head syndrome): Treatment with a corrective helmetPEnglishPlasticsNewborn (0-28 days);Baby (1-12 months)SkullBonesNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices7.0000000000000072.00000000000001708.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how a corrective helmet is worn and helps correct the shape of your child's skull over time.</p><h2>What is plagiocephaly?</h2><p>Plagiocephaly (say: play-gee-o-SEFF-ah-lee) is asymmetry (unevenness) in the shape of a baby's skull. It is also known as "baby flat-head." </p> <figure> <span class="asset-image-title">Positional plagiocephaly</span> <img src="https://assets.aboutkidshealth.ca/akhassets/positional_plagiocephaly_MED_ILL_EN.png" alt="" /> <figcaption class="asset-image-caption">A part of your baby’s skull can become flattened if your baby is always on his back or prefers to look in one direction.</figcaption> </figure> <h2>What is a corrective helmet?</h2><p>A corrective helmet is a type of orthosis (medical device). It is custom-made to treat plagiocephaly in children with moderate to severe skull asymmetry. The helmet is designed to reshape the skull over time. </p> <figure> <span class="asset-image-title">Orthotic helmet</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Orthotic_helmet_EQUIP_ILL_EN.jpg" alt="" /> </figure><h2>Key points</h2> <ul> <li>A corrective helmet can help treat your baby's plagiocephaly or "baby flat-head." </li> <li>The helmet is designed to correct the shape of your child's skull over time. </li> <li>Your child will likely need to wear the helmet for four to six months. </li> <li>You and your child will need to visit the orthotist several times to measure, cast and fit your child's helmet. </li> </ul><h2>Use and care instructions</h2> <h3>Precautions</h3> <ul> <li>The tension on the slot in the helmet (where the helmet separates into two halves down the middle) must be adjusted three to four times a day. During the day, the head will get bigger due to increased water volume in the tissues. If the tension of the helmet is not adjusted to make room for the larger head size, the helmet may become too tight, causing too much pressure on the skull. This may cause a headache or in extreme cases, vomiting. Your orthotist will teach you how to adjust the tension on the helmet. Do not re-centre the helmet more than four times a day. </li> <li>Since the head regulates body temperature, you must check that your child is not overheating with the helmet on. You may need to use thinner clothes and blankets. Watch for heat rashes. </li> <li>If your child has a fever, do not put the helmet on your child until the fever is gone. </li> <li>Be careful not to be knocked in the face when you are close to your child while they are wearing the helmet. The helmet is very hard and can hurt you if you are hit by it. </li> <li>There will be redness on your child's head. Lotion can be applied to the red spots. </li> </ul> <h3>Keep the helmet clean</h3> <p>Keeping the helmet clean is very important to decrease the risk of bacteria caused from sweating. The following steps will keep your child's helmet as clean as possible: </p> <ul> <li>Wash your child's hair once a day. </li> <li>Wipe the inside of the helmet twice a day with an antimicrobial sanitizer on a damp cloth. Wipe vigorously and allow to air dry. </li> <li>After cleaning, dust the front of the helmet (forehead area) with corn starch to allow the skin on the forehead to glide more easily along the helmet. </li> <li>Wash the chin strap once a week in the washing machine. Do not place it in the dryer, as the elastic will deteriorate. Make sure the dome is facing away from the skin when putting the strap back on the helmet. </li> </ul> <h3>Decorating the helmet</h3> <p>Feel free to decorate the helmet with car model paint or stickers to make it more pleasing for your child. Car model paints are available at craft supply stores. Remember to plug the ventilation holes if you are spray painting the helmet.</p> <h2>Other reminders</h2> <ul> <li>The helmet can be removed for up to six hours. </li> <li>Your child can sleep in any position with the helmet on. </li> <li>Check your child's head position with the helmet on in the car seat. If the neck is tilted too far forward, you may need to remove the helmet when riding in the car seat. </li> <li>The helmet will spin off centre at first. This is normal. Over the period of three to four weeks, the helmet will spin less as your child's head changes shape. </li> </ul> <p>If you have any questions or concerns, call your orthotist.</p><h2>Follow-up visits (30 minutes to one hour)</h2> <p>You will have a follow-up visit with your orthotist three weeks after the fitting and then every four weeks until the end of treatment. Your child's head will be examined for shape changes. Measurements of your child's head circumference as well as the distance from the bridge of the nose to left and right ear will be taken. There may be adjustments made to your child's helmet at these visits. </p><h2>How long will your child need to wear the helmet?</h2> <p>Your child will likely need to wear the helmet for four to six months. It is recommended that your child wear the helmet between 18 to 22 hours per day. Your orthotist will give you specific recommendations based on your child's needs.</p><h2>First visit: Measuring and casting</h2><p>An initial visit with an orthotist is needed to measure your child's head and make a cast for the helmet. Measurements of your child's head are taken with the aid of a measuring tape made of cloth and a pair of calipers (a measuring tool). This takes about 20 to 40 minutes. </p><h3>Measurements</h3><p>Two measurements of your child's head are taken:</p><ul><li>the circumference (the distance around the skull) </li><li>the distance from the nose to the left and right ears </li></ul><h3>Casting</h3><p>The casting of your child's head is done in three stages:</p><ul><li>Two layers of cotton stockinette tubing (cotton material) will be pulled over your child's head and a hole will be cut out for the face so that your child can see. </li><li>Marks will be put on the stockinette with a permanent pencil. These marks will be on the forehead, back of the head, centre of each ear, and around each ear. </li><li>Finally, strips of plaster bandage are wrapped around your child's head. This is called "casting." The bandage becomes hard and is simply lifted off your child's head without any cutting tools. </li></ul><p>The casting procedure takes about 20 minutes. The casting process can be a little messy. While we try to protect your child's clothes as much as possible, we recommend that you dress your child in old clothes for this process. </p> <figure> <span class="asset-image-title">Stockinette</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Stockingette_for_helmet_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">Two layers of cotton stockinette tubing are put on your child, with a hole cut for the face, in the process of creating a cast for your child's helmet.</figcaption> </figure> <h2>Second visit: Fitting the helmet</h2><p>A return visit is needed to make sure the helmet fits properly. This visit will be booked two to three weeks after the initial casting visit. At this visit, you will be taught the proper use and care of the helmet. </p><h3>The total time required to properly fit your child's helmet is between two and two and a half hours</h3><p>The helmet will be placed on your child's head a number of times to allow the correct trim lines to be established. Once this is complete, the helmet will be finished by sanding the edges, adding straps, and splitting the helmet in the appropriate position. </p><p>During the final stage of the finishing process, you are free to take a break. When you return, you will be taught how to use and care for the helmet. </p><ul><li>initial fitting (45 minutes): you and your child need to be there </li><li>final finishing (one hour): you and your child can take a break </li><li>parent instruction (30 minutes): you and your child need to be there <br></li></ul><h2>Becoming comfortable with the helmet</h2> <p>Most small children do not like wearing anything on their heads. It will likely take three to seven days to get your child used to wearing the helmet for 18 to 22 hours a day. For the first few days, have your child wear the helmet as long as possible (half an hour to one hour). Anticipate a sweaty head during these first few days. </p> <p>If your child gets cranky, take off the helmet for 20 minutes, then put it back on. Increase wear time until your child is wearing the helmet only when they are awake. Then, have your child wear the helmet during waking hours and during daytime naps. </p> <p>Lastly, have your child wear the helmet while sleeping through the night as well as during waking hours and nap hours. Remove the helmet for "tummy time." The helmet may tip forward, making it hard to see when crawling. </p> <h3>Putting the helmet on</h3> <ol> <li>Unlock the locking strap over the slotted area of the helmet (where the helmet separates into two halves down the middle).</li> <li>Spread the slot slightly as you put the helmet on your child's head.</li> <li>Do up the chin strap. Put your finger between your child's chin and the strap to prevent pinching when snapping the strap into place. Tighten properly.</li> <li>The chin strap should not pucker under the chin when the plastic loops that the strap is attached to are pressed towards the cheeks. To check the tightness, hold onto the holes and pull. The helmet should not move more than half an inch. Over time, the strap will stretch and may need to be tightened.</li> <li>Align the upper edge of the cut-out for the face along the eyebrow line.</li> <li>Align your child's ears evenly in the ear cut-outs.</li> <li>Tighten the slot and lock it in position. Your orthotist will demonstrate this for you.</li> </ol> <p>For the first three weeks, do not expect the helmet to stay in position. It will tend to rotate and may tip to one side because the inside of the helmet is symmetrical (even) but your child's head is not. As your child's head begins to change shape, the helmet will start to rotate back in the other direction until it will stay in the proper spot. </p> <h3>Taking the helmet off</h3> <ol> <li>Unlock the closure strap over the slot (where the helmet separates into two halves down the middle).</li> <li>Undo the chinstrap.</li> <li>Spread the slot open slightly and remove the helmet.</li> </ol> <h3>Things to watch for</h3> <p>The helmet will tend to create red spots on your child's head. These areas will be red whenever the helmet is worn. These spots may go deep red but they should not blister, swell excessively, or become an open wound. If this happens, discontinue the use of the helmet and call your orthotist as soon as possible. </p><h2>At SickKids</h2> <h3>How much the helmet costs</h3> <p>In Ontario, OHIP does not cover any of the cost of the corrective helmet; however, most extended health insurance plans may cover all or a portion depending on your coverage. Ask your orthotist for an insurance letter to submit to your insurance company for coverage. If you need help to pay for the helmet, visit our reception desk for a listing of charitable organizations that may assist you. </p> <p>A minimum of 50% of the payment for this device is expected at the time of the casting. The remaining 50% of the cost is expected when you receive the helmet. We are unable to bill your insurance company directly.</p> <p>Please visit or contact The Centre for Orthotics for further information on pricing.</p> <p>All proceeds from orthotic treatment at The Centre for Orthotics go to support patient care and research at SickKids. For more information, please see <a href="http://www.centrefororthotics.ca/">www.centrefororthotics.ca. </a></p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/Plagiocephaly_treatment_with_helmet.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/Plagiocephaly_treatment_with_helmet.jpgplagiocephalytreatmentPlagiocephaly (flat head syndrome): Treatment with a corrective helmet

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