Boston Band for Plagiocephaly

Cranial Remodeling Orthosis

Available at Boston Band Certified Orthotic Centers Only:  Visit NOPCO Clinics or our Partners page for locations. With extensive experience in the management of Deformational Plagiocephaly through our NOPCO clinical network, Boston Brace is bringing progressive designs and techniques forward to advance the treatment options for this pediatric population. The Boston Band is now available through select Orthotic centers, specifically trained in the design, fit, and treatment techniques necessary for the highest level of patient care.

Protocol for Treatment

The following guidelines are provided to ensure that the identification of Plagiocephaly and the referral for treatment, are managed to provide optimal results for each patient.

• It is recommended that at three months of age, as a standard of practice, each child be evaluated and measured for cranial symmetry. Anthropometric calipers may be used for manual measurement taking.
• If it is determined that a cranial asymmetry of 8mm or greater is present, the child needs to be referred to a trained specialist in cranial remolding for treatment, care, and tracking of progress.

Treatment with the Boston Band

The treatment of plagiocephaly with a cranial remolding orthosis should commence at approximately 3 months of age. The Boston Band is a lightweight, plastic and foam orthosis made from a cast impression or a 3-D scan of the infant’s head. It is made of a plastic flexible shell lined with polyethylene foam. The foam can be modified over time to allow for growth and will provide a pathway for the infant’s head to grow into a more symmetrical shape. The Boston Band allows the baby to sleep in any position he or she wants, yet keeps pressure off the flat spots and constrains head growth along the axis of the prominent parts. It offers a simple and direct solution to the problem of positional plagiocephaly and brachycephaly. Correction usually occurs within 2 to 3 months for patients beginning Boston Band treatment at 3 months of age. In older patients, longer treatment time is necessary.

Boston Band Treatment Timeline

If treatment continues past 10 weeks, follow up appointments will take place every 4 weeks until termination of the treatment. The final scan will take place during the final appointment.