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The Align Clinic Blog
​ Your Home For Orthotic and Prosthetic Knowledge

Deformational Plagiocephaly (Flat Head Syndrome): A Comprehensive Guide

6/15/2023

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"Flat Head Syndrome" sounds like a strange, scary term, right? Officially known as Deformational Plagiocephaly, this condition is responsible for abnormal shapes of babies' heads and is often caused by external forces. If you're a parent, grandparent, or caregiver, you might have heard about it or even noticed it. What's reassuring is that it's not as unusual as it may seem at first glance, and it's quite manageable. Let's dive deeper into this topic and dispel some myths along the way.

Plagiocephaly: Before and After STARband Treatment

Deformational Plagiocephaly, to put it simply, alters a baby's head shape. If you're envisioning what a baby with this condition looks like before they undergo STARband treatment, you might picture a head that's slightly misshapen or asymmetrical. These changes can be present immediately after birth or gradually become evident within the first few months of the baby's life.

While it might seem unsettling at first, these physical changes can be addressed effectively. STARband treatment, a specialized therapeutic intervention, can do wonders. By providing gentle, continuous pressure on the baby's skull, it helps correct the shape over time. After STARband treatment, a baby's head shape appears more symmetrical and rounded, indicating that even though Plagiocephaly might sound concerning, with the right help, the condition is entirely manageable.

The Root Causes of Plagiocephaly: Unpacked

Several causes can lead to Deformational Plagiocephaly, some of which may occur before the baby is born. To give you a better understanding, let's dive into these causes:

  • Restricted space in the womb: Imagine being cramped in a small space without much room to move. That's what it can be like for a baby in the womb, particularly when there are multiple fetuses or if the baby is in a breech position. Prolonged pressure on particular areas of the baby's head due to restricted space can lead to deformation.

  • Use of birth-assistive devices: In some instances, birth may require the use of assistive devices such as vacuum or suction instruments. These tools, although necessary, can create forces that might deform the soft and delicate newborn skull.

  • Prematurity: Babies born before term have skulls that are thinner and more fragile compared to full-term babies. This susceptibility can make them more prone to developing Plagiocephaly.

A Guide to Action: What to Do If Your Baby Has Plagiocephaly

The sight of an unusual head shape in your baby is likely to cause concern. But the key is to stay calm and take appropriate steps:

  1. Engage with your pediatrician: Your pediatrician is your first port of call. Share your observations and concerns about your baby's head shape. The American Academy of Pediatrics (AAP) encourages pediatricians to evaluate the baby's head from different angles — top, sides, front, and back — at every visit.

  2. Adopt varied positioning and engage in "tummy time": Doctors typically advise moving the baby into different positions throughout the day to avoid pressure on one spot. Moreover, "tummy time," which involves the baby spending supervised awake time on their belly, is integral for healthy growth and preventing flat spots.

  3. Consider a cranial remolding helmet: If your baby, aged between 3 and 18 months, is diagnosed with Deformational Plagiocephaly, Brachycephaly, or Scaphocephaly, your pediatrician might suggest helmet therapy. A cranial remolding helmet is a custom-made helmet that gently corrects the baby's head shape over time.

The Orthotist: A Crucial Player in the Management of Plagiocephaly

Since 1979, orthotists and prosthetic practitioners have been leading experts in the use of cranial remolding orthoses, and their role in treating Plagiocephaly is indispensable. Their rich experience combined with their deep knowledge in anatomy, biomechanics, material science, and patient care ensures your baby gets the best care possible.

Working collaboratively with other craniofacial team members, these practitioners contribute significantly to achieving optimal results with helmet therapy. The transformation they help facilitate is not only physical but also offers reassurance to concerned families and enhances the overall well-being of the baby.

Understanding Deformational Plagiocephaly might seem daunting, but remember, you're not alone. Plenty of resources and experts can guide you on this journey. If you're still curious or need professional advice on selecting a cranial remolding helmet, don't hesitate to reach out to the Align Clinic today to schedule a consultation and learn more about your baby's care options.

Frequently Asked Questions (FAQ)

What is plagiocephaly?

Plagiocephaly, or “flat head syndrome,” is a condition that results in a flattening of the back of a baby's head, typically on one side. Its severity can vary. When flatness occurs across the entire back of the head, it's referred to as brachycephaly.

What is torticollis?

Torticollis refers to a condition where muscles on one side of a baby's neck tighten, causing the head to tilt towards one shoulder and the chin to rotate to the opposite side. This condition often arises based on the baby's positioning in the womb.

How are they related?

There's a common link between torticollis and plagiocephaly. The neck muscle imbalance in babies with torticollis can lead to plagiocephaly as the tilt and rotation forces the baby to lay on the same spot for prolonged periods. Even with physical therapy, the child may still prefer laying on this area, causing further flattening.

Are they common?

Indeed, they are. Since the inception of the Back to Sleep program by the American Academy of Pediatrics in 1992, the number of deformational plagiocephaly cases has increased, while Sudden Infant Death Syndrome (SIDS) cases have decreased. It's estimated that up to 46% of otherwise healthy babies have plagiocephaly, and up to 90% of babies born with torticollis also have plagiocephaly.

What are the signs, and when do they begin to appear?

Torticollis signs include the baby having a tilt of the head to one side or an inability to turn their head over both shoulders without twisting their torso. It's often diagnosed within the first eight weeks of life. Plagiocephaly usually surfaces in the first few months of life, with treatment usually starting between the 4-6 month age range after tummy time and repositioning techniques have been attempted.

How do you treat these conditions?

A physical therapist typically treats torticollis with a personalized treatment plan, watching out for signs of plagiocephaly. Depending on severity, plagiocephaly is treated with tummy time, repositioning, or a cranial remolding orthosis.

How long is the treatment, and how does it work?

Babies prescribed a cranial remolding orthosis, also known as a cranial helmet or cranial band, generally wear the device for 3-6 months. The helmet works by gently limiting excessive growth in prominent areas, allowing the flattened areas of the baby's head to grow, creating a rounder and more symmetrical shape.

What can parents and caregivers do if they notice signs of plagiocephaly and/or torticollis in their child?

Align Clinic offers a free evaluation to assess your child for plagiocephaly. If you suspect that your child may have torticollis, you should ask your pediatrician for a referral for physical therapy to ensure early treatment.

How would you describe Align Clinic’s approach to care?

Align Clinic is committed to patient-focused care, staying up-to-date on cranial remolding research, and consistently collecting data to ensure the best outcomes. They collaborate with the patient's broader care team, from physical therapists to referring providers. Each Align Clinic team member fitting cranial helmets is certified to do so. They offer free evaluations to assess head shape severity, and with a broad insurance footprint, they provide appropriate financial counseling prior to treatment.

What advice would you give to parents who just learned their child may have plagiocephaly and/or torticollis?
​

Reach out to your local Align Clinic and request a free evaluation. The earlier these conditions are detected, the better. Your local clinic can connect you with other families going through similar experiences, providing an additional support system during the treatment process.
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Carbon Fiber Vs. Thermoplastic: A Comprehensive Comparison in Prosthetics and Orthotics

6/8/2023

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The fascinating world of prosthetics and orthotics has undergone dramatic advancements, contributing substantially to improved patient care. One area of particular interest is the types of materials used in creating these specialized devices. The two contenders making the most waves in this field are thermoplastics and carbon fiber. Each boasts unique advantages and finds utility in specific applications, enhancing the overall functionality and comfort of prosthetic and orthotic devices. Let's dive deeper into what these materials bring to the table.

Carbon Fiber: The Lightweight Champion of Strength and Resilience

Carbon fiber is an incredibly versatile player in orthopedic applications. What makes it stand out is its unparalleled strength and rigidity, all while being astoundingly lightweight. Importantly, carbon retains its shape excellently under high stress, due to its high tensile strength under both tension and compression.

Here's why this is crucial:

  • Bi-directional woven pattern: Carbon fiber's woven pattern adds another layer of durability. This feature enhances fracture resistance, leading to uniform strength across the device1. This means you can rely on your prosthetic or orthotic device to withstand daily wear and tear without compromising performance.

  • Durability: Carbon fiber is renowned for its durability. Regardless of whether it's a prosthetic socket or an orthotic brace, a device made from carbon fiber can endure a significant amount of pressure. This makes it an extremely dependable material that stands the test of time.

Carbon Fiber in Action: Where it Shines

Why carbon fiber prosthetics? In the realm of prosthetics, carbon fiber often becomes the material of choice for the definitive socket. This is the final socket that the patient receives after giving their approval of the test socket. 

The design of this socket is intricately tailored to the type of prosthesis being created, and the patient is even afforded the option to customize the outer design of the socket to their liking. This personal touch allows the device to become an extension of the patient's personality, promoting a more positive user experience.

On the orthotic front, the use of carbon fiber is determined based on the specific type of brace required and the patient's activity level. Given carbon fiber's rigidity, it provides increased stability, which is essential for devices such as those with an articulating ankle or braces that need to offer extra support. This is particularly crucial for patients who lead an active lifestyle and rely on their orthotic device to provide reliable, consistent performance.

Thermoplastics: Where Flexibility Meets Function

Despite the impressive qualities of carbon fiber prosthetics, thermoplastics offer a compelling alternative. They come with several advantages over carbon and other traditional materials. These include increased contact and support on the limb, a straightforward fabrication process, reduced weight while retaining strength, and numerous cosmetic options for color and decorative patterns.

While thermoplastics may not be as rigid as carbon fiber, they still bring considerable benefits to the table and are a fantastic option for many patients. This flexibility makes thermoplastics a go-to choice for patients who require a less rigid device that can adapt to various activities and conditions.

Thermoplastics in Practice: Their Role and Value
​

Different types of thermoplastics are harnessed for their specific strengths in prosthetics and orthotics.

In prosthetics:
  • Materials like Thermolyn and Orfitrans serve as the choice for diagnostic or test sockets. These thermoplastics are crucial when fine-tuning the fit of the socket before moving onto a carbon fiber socket.

  • For above-the-knee sockets, Vivak or DurrPlex are commonly used2. These materials offer unique properties that make them ideal for this specific application.

In the realm of orthotics, Copolymer and Polypropylene are two of the most common thermoplastics employed.

  • Polypropylene (Polypro) is renowned for its high elasticity and stiffness, making it the perfect choice for crafting thin-walled, lightweight, and stable orthotic devices. However, it's worth noting that while these properties make Polypro ideal for certain applications, it can be brittle and prone to breakage.

  • Copolymer (Copoly) stands out for its high impact strength and can be easily shaped at low temperatures. This characteristic makes it highly adjustable and versatile, able to be reshaped as necessary to suit the patient's needs.

In summary, these materials enable the crafting of the best possible device for each patient. With a wide range of strengths, rigidity levels, and weights available, there's potential to design a custom device that perfectly suits the patient's activity level and intended use of the device.

Pros and Cons: Carbon Fiber Vs. Thermoplastic

Despite both being fantastic choices for prosthetics and orthotics, it's crucial to understand the advantages and potential drawbacks of carbon fiber and thermoplastics to make an informed choice.

Carbon Fiber

Pros:
  • Highly durable and rigid, able to withstand high levels of stress
  • Lightweight, ensuring comfort for the user
  • Offers uniform strength across devices due to its bi-directional woven pattern

Cons:
  • Less flexible than thermoplastics, potentially limiting some design options
  • Can be more expensive due to the complex manufacturing process
  • Carbon fiber devices may be harder to adjust once fabricated

Thermoplastics

Pros:
  • Highly adaptable and flexible, allowing for a wider range of design options
  • Easy to adjust and reshape, ensuring an excellent fit
  • Available in a wide range of colors and patterns, providing more aesthetic choices

Cons:
  • Certain types may be brittle and prone to breakage
  • They are generally less durable and rigid compared to carbon fiber
  • May not provide the same level of support for highly active users or complex orthotic devices

When choosing the right material for your prosthetic or orthotic device, understanding these pros and cons will play a crucial role. However, remember that personal needs and lifestyle are key factors in this decision.

Conclusion: Choosing the Right Material for You

Choosing between carbon fiber prosthetics and thermoplastics isn't about deciding which material is intrinsically superior—it's about finding the best fit for your unique needs and lifestyle. Whether you're an athlete in need of a rigid, resilient prosthetic for high-impact activities, or you're seeking a flexible, lightweight orthotic for daily use, there's a tailored solution out there waiting for you.

Why not explore your options further with a consultation at Align Clinic? We're dedicated to helping you find the best prosthetic or orthotic device to enhance your lifestyle. Get in touch with us today and start your journey to improved mobility and quality of life.
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Unraveling the Magic of Carbon Fiber in Prosthetic Devices

6/1/2023

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Are you familiar with the remarkable material known as carbon fiber? This extraordinary composite is currently taking the world of prosthetic devices by storm, and for good reason! Comprised of thinly spread carbon strands that are intricately woven together before being immersed in a protective resin, carbon fiber is the new golden child in the realm of prosthetics. Let's take a deeper dive into the unique properties of this innovative material and discover why it's become such a game-changer.

Why Carbon Fiber is a Prosthetic Game-Changer

In a world where comfort and practicality are key, traditional heavy and cumbersome prosthetics no longer make the cut. Carbon fiber ushers in a new era of prosthetics that are lightweight and sturdy all at once. Here's a comprehensive look at the multitude of benefits offered by this revolutionary material:

1. Unparalleled Strength-to-weight Ratio

One of the most impressive attributes of carbon fiber is its remarkable strength-to-weight ratio. It surpasses traditional materials such as metals and plastics, being much lighter yet significantly stronger. This means that carbon fiber prosthetics can offer users enhanced comfort and reduced strain without compromising on durability. Simply put, these devices are built to last and to be worn with ease, transforming the user experience from a burden into a breeze.

2. Superior Flexibility

Customization is a critical component of any prosthetic device. Here's where the flexibility of carbon fiber comes into play. Its moldable nature allows for complex shapes and designs to be created, making for prosthetics that are specifically tailored to each patient's unique requirements. The result? Prosthetic devices that aren't just more comfortable but also incredibly functional. They are designed to seamlessly align with the patient's unique anatomy and movement patterns, thereby ensuring a higher degree of comfort and usability.

3. Excellent Corrosion and Fatigue Resistance

When it comes to the longevity of prosthetic materials, two common issues often crop up - corrosion and fatigue. However, carbon fiber simply shrugs these problems off. Its high resistance to both corrosion (which occurs when metals come into contact with moisture or certain substances) and fatigue (caused by repeated stress or strain) makes it an excellent choice for devices that need to endure long-term use and exposure to various environments. The result is a prosthetic that stands the test of time, reducing the need for frequent replacements.

4. Athlete's Best Friend

Sports and athletics place unique demands on prosthetics. Devices for athletes need to be lightweight, strong, flexible, and capable of handling swift movements. Carbon fiber steps up to the plate admirably in all these aspects. Its properties allow athletes to perform optimally, and its durability reduces the risk of injury. Moreover, its lightweight nature allows athletes to move with greater agility, offering them a competitive edge.

5. Attractive Aesthetics

Why shouldn't prosthetics have a dash of style? With carbon fiber prosthetics, users can enjoy a sleek and modern look that can be further customized to suit individual preferences. These devices can be finished in a variety of colors and textures, making them as visually appealing as they are functional.

Carbon Fiber: Changing the Face of Prosthetic Devices

Let's look at a few of the prosthetic devices where carbon fiber truly shines:

  • Prosthetic Limbs: Athletes or those needing advanced mobility can greatly benefit from carbon fiber prosthetic arms and legs. They are lightweight, robust, and are designed to accommodate high levels of activity and movement.

  • Prosthetic Feet and Ankles: Designed to mimic the natural movement of human feet and ankles, carbon fiber prosthetics in this category offer enhanced balance and a more natural gait. This greatly aids in reducing the physical strain users might experience and promotes overall comfort.

  • Prosthetic Braces and Supports: Carbon fiber's lightweight nature and high strength make it perfect for braces and supports designed to stabilize joints. These devices improve mobility, reduce pain, and are comfortable to wear, making them a popular choice for those who require long-term support.

Gazing into the Future of Carbon Fiber Prosthetics

The journey of carbon fiber in prosthetics is far from over. With continuous advancements in technology, several exciting possibilities are on the horizon:

  • 3D Printing: This technology is all set to bring about a significant shift in the design and production of prosthetic devices. Carbon fiber 3D printing, already employed in industries like aerospace, can result in highly customized and accurately fitting prosthetics, enhancing user comfort and device efficiency.

  • Sensors and Electronics: The integration of sensors and electronics into prosthetic devices can provide users with greater control and improved sensory feedback. This allows for a more intuitive use of the prosthetic, making movements more natural and easier to control.

  • Nanotechnology: With the help of nanotechnology, carbon fiber prosthetics can be imbued with improved performance and durability. Nanoparticles can be used to enhance the material's properties, adding additional strength, durability, and even antimicrobial features to prevent infections.

Potential Roadblocks for Carbon Fiber Prosthetics

Despite the multitude of advantages offered by carbon fiber prosthetics, there are a few potential hurdles to consider:

  • Cost: Carbon fiber prosthetics tend to be pricier than traditional ones. However, when considering the long-term durability and reduced maintenance needs, the higher initial investment may be justified.

  • Patient Suitability: Not every patient might be a suitable candidate for carbon fiber prosthetics. Certain factors such as cost constraints, weight, or specific medical conditions might necessitate the use of more traditional materials.

Conclusion

The strength, flexibility, durability, and aesthetic appeal of carbon fiber have cemented its position as a leading material in prosthetic devices. While there are certain challenges to consider, the benefits it offers are significant and can dramatically improve the lives of prosthetic users. As we continue to progress in technology and material science, we can anticipate an even greater role for carbon fiber in the field of prosthetics.

Excited to explore the potential of carbon fiber prosthetics for yourself or a loved one? Don't hesitate to reach out to us at Align Clinic for a consultation. We're eager to guide you through the array of options available and help you find the perfect solution to meet your unique needs.
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San Mateo, California
700 S Claremont St
Suite #105
San Mateo, CA 94402 
Hours: 8:30-5:30 M-F
​Phone: (650) 375-2231
Fax: (650) 627-4632
Sacramento, CA
3000 Lava Ridge Court,
Suite 110,
Roseville, CA 95661
Tuesdays and Thursdays
Phone: (248) 417-4047
andrea@align-clinic.com
Green Bay, Wisconsin
445 Cardinal Lane
Suite #110
Green Bay, WI 54313
Hours: 8:30-5:30 M-F
Phone: (920) 940-5277
Fax: (844) 308-8462


Houston, Texas
1001 Medical Plaza Drive,
​Suite #130
The Woodlands, TX  77380
Hours: 8:30-5:30 M-F
​Phone: (346) 770-2970
Fax: (281) 419-1615
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  • Home
  • Locations
    • AC San Mateo, CA >
      • Inside AC SM
      • Our Practitioners >
        • Grant Wood
        • Steve Baum
        • Miguel Bustamante
        • Hosna Sharafi
        • Megan D'Apice
      • Advanced Technology
      • Stanford Children's Health Partnership
      • Local Hotels
      • Contact Us
      • Team Members
    • AC Green Bay, WI >
      • Inside Wisconsin
      • Patient Testimonials
      • Contact Us
      • Emery Maloney
    • AC The Woodlands, TX
    • AC Sacramento, CA
  • The WCR Brace
    • Case Presentations >
      • Infantile Idiopathic Scoliosis
      • Juvenile Idiopathic Scoliosis
      • Adolescent Idiopathic Scoliosis
      • Switching to a WCR Brace
      • Adult Scoliosis Bracing
      • Neuromuscular Scoliosis
      • Treating Upper Thoracic Curves
    • Brace Articles
    • Patient Testimonials >
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    • Past Events >
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