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Plagiocephaly Measurement with Craniometer: Diagnosis, Prevention, Treatment, Monitoring, Referral
- 1. Positional Plagiocephaly 1. Diagnosis, 2. Prevention, 3. Treatment, 4. Monitoring 5. Referral
- 2. 1. Diagnosis: Head Shape Deformity or Severity Index Assessment. Using Scientific tools Not rely only on bare eye observation and personal judgement.
- 4. Measurement With European CE approved Craniometer
- 5. i) Preparation 1. 2. 3. Align to the nose for consistent reference
- 6. ii) Plagiocephaly Measurement 1. 2.Reading (A) Reading (B)
- 7. 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
- 8. Index Severity reference: Mild, Moderate or severe ? Based on two factors: 1) Severity index 2) Age of the Baby
- 9. Age (Month) Index(mm) Plagiocephaly Severity Chart Based on two factors: 1) Severity index 2) Age of the Baby
- 10. Age (Month) Index(mm) Plagiocephaly Severity Chart Example: Index = 10mm Age = 4 Month Severity
- 11. 2-3) Prevention, Treatment and Maximum Recovery Base on the Severity index and Age of the baby
- 12. Babies Head Grows from WHO 1) Baby’s head grow rapidly at the 1st 18month of life. 2) Also the head skull is still soft and malleable 3) Therefore …see next page
- 13. 3) Therefore deformity regrow opportunity is great following this “Maximum recovery curve” • Example: Max recovery expected • at 4m = 19mm • at 9m = 7mm
- 14. 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
- 15. 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
- 16. 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.
- 18. 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
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