At Max’s orthotic assessment, Jo found that he had severe right-sided plagiocephaly. Max’s cranial vault asymmetry was 16mm; this measurement compares the right and left diagonals at 30 degrees from the centre of the head (front to back) and subtracting one from the other gives the asymmetry value. Anything over 12mm is considered to be severe.
Commenting on that appointment, Sophie said: “Jo was reassuring, while not over-promising about what improvements could be made to Max’s head shape. Having now read up on the subject, I was only too aware that we were starting treatment late, as Max was over 10 months of age when his head was scanned.” The optimal age for starting treatment is considered to be 4 to 5 months.
Cranial remoulding therapy (as it is called) works by applying gentle and constant pressure over the areas of a baby’s skull that are most prominent while allowing unrestricted growth over the flattened areas, so it is best to start treatment when a baby’s head is growing quickly and before growth stops at around the 18 month mark.
Max had no problems with his ‘helmet’. Indeed, as Sophie observed: “It probably saved him from any number of bumps and bruises on his head as he rushed about!”
By the end of treatment, Max’s asymmetry had improved to 9mm, in the moderate range. Sophie commented: “We knew it was unlikely that it would be possible to get his head back into what is termed the ‘normal’ range, Jo had been quite clear about that from the very beginning, but you can see from the scans how much better his head looks.
I’m also very pleased that his facial features and eyes are now much more symmetrical. I must add that “Jo was great throughout the process; she clearly has a vast amount of experience supporting babies with this condition and is a thorough professional.”