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Plagiocephaly Measurement with Craniometer: Diagnosis, Prevention, Treatment, Monitoring, Referral

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Mimos Love

This document discusses positional plagiocephaly, including diagnosis, prevention, treatment, monitoring, and referral. Diagnosis involves using scientific tools like a craniometer to measure head shape and calculate a plagiocephaly index, rather than relying only on visual assessment. Treatment and maximum recovery depends on the severity index and baby's age, with mild cases addressed through repositioning, tummy time, and using a positioning pillow. Monitoring involves repeat measurements every 2 weeks to track progress. Referral to a specialist may be needed if measurements don't improve.

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Positional Plagiocephaly 1. Diagnosis, 2. Prevention, 3. Treatment, 4. Monitoring 5. Referral
1. Diagnosis: Head Shape Deformity or Severity Index Assessment. Using Scientific tools Not rely only on bare eye observation and personal judgement.
Scientific Cranio Measurement Tools Antique Modern
Measurement With European CE approved Craniometer
i) Preparation 1. 2. 3. Align to the nose for consistent reference
ii) Plagiocephaly Measurement 1. 2.Reading (A) Reading (B)
Plagiocephaly Index Calculation Index = |A B | *Note: Example of Calculation A = 120mm, B= 130mm Index = |120 130| = |-10| =10mm Or Index = 130 120 = 10mm * Simple
Index Severity reference: Mild, Moderate or severe ? Based on two factors: 1) Severity index 2) Age of the Baby
Age (Month) Index(mm) Plagiocephaly Severity Chart Based on two factors: 1) Severity index 2) Age of the Baby
Age (Month) Index(mm) Plagiocephaly Severity Chart Example: Index = 10mm Age = 4 Month Severity
2-3) Prevention, Treatment and Maximum Recovery Base on the Severity index and Age of the baby
Babies Head Grows from WHO 1) Babys head grow rapidly at the 1st 18month of life. 2) Also the head skull is still soft and malleable 3) Therefore see next page
3) Therefore deformity regrow opportunity is great following this Maximum recovery curve Example: Max recovery expected at 4m = 19mm at 9m = 7mm
Protocol and Guideline for Treatment Again base on the severity index and Age: Health professional advice for natural intervention and treatment for index within the zone Standard Natural treatment including the following 1. repositioning 2. Tummy time to play 3. Back to Sleep with Pressure distribution Mimos Medical pillow
4. Monitoring *Progressive measurement and follow-up for reassurance Repeat the measurement every 2 weeks Record the reading on the chart The reading will normally follow the curve as below example This will reassure all the mention treatment techniques works
5. Referral ** If the reading do not show improvement, -> Referral to paediatric or Neurosurgeon for evaluation. This is to rule out the possibility for Craniosynostosis Note: Orthotic helmet treatment may be required, but cannot start before 6 month of age. If torticollis involve, please get help physiotherapist or Cranio osteopathy.
Brachycephaly and Scaphocephaly Measurement 1. 2.
Brachycephaly Index *Cranial Index (CI) Note: CI varies slightly from male to female and amongst races we can safely consider 78% as a general average www.mimospillow.co.uk/index.asp?function=webpage&page=16
Age (Month) CI(%)

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Plagiocephaly Measurement with Craniometer: Diagnosis, Prevention, Treatment, Monitoring, Referral

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