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Sam and Rodin4D

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Sam and Rodin4D

BY Jon W

03 February 2016 This week LOC’s Senior Orthoptist, Sam Walmsley, will be representing our practice and our patients at the 4th Rodin4D User Day Conference in Bordeaux. The 4D scanner is an advanced piece of equipment that we use in our own clinic to measure heads and chests for the diagnosis and treatment of plagiocephaly and pectus deformities. It allows us to: Quickly and painlessly digitise a full scan of the patient’s form Simulate, measure and reproduce correction strategies in 3D Inform our in-house manufacturing team to produce the very best bespoke orthosis for each of our patients and their individual conditions. Find out more about the technology we use. The Rodin4D User Days are a valuable opportunity for orthotists and other clinical practitioners to meet and exchange best practices. Sam is looking forward to coming together with the international orthotics community and engaging in a packed programme of debate and sharing, where we can learn from each other and from the experiences we support our patients through. Follow us on Twitter to find out how Sam gets on at this important event.

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FAQs:

Does cranial remoulding therapy really work?

Yes - All babies that have completed their course of treatment with us have achieved a measurable improvement in head shape. However, you don’t have to take our word for it.
Recent independent research conducted by a University Hospital in Germany has endorsed the treatment for babies with moderate or severe plagiocephaly. A larger, retrospective study has just been published that found complete correction was achieved in 94.4% of babies treated with helmet therapy. The results were conclusive: repositioning achieved acceptable correction in 77.1% of cases, but 15.8% were moved onto helmet therapy because re-positioning was not working. Meanwhile, 94.4% of the infants who started in the helmet-treated group achieved full correction, as did 96.1% of those who were transferred from the repositioning group into the helmet-treated group. Further information can be found on our Plagiocephaly Research page.

What is the best age to start treatment?

The optimum age for treatment is between four and seven months. This is because the skull is most malleable at this age and improvements to head shape tend to take less time and are more dramatic. That is not to say that helmet therapy should be ruled out if the baby is older than seven months. Routinely, babies up to the age of 16 months can be treated very successfully. The cut off age is around 18 months when the fontanelles (soft spots on the head) are no longer malleable. As babies grow and develop at different rates, it is always worth checking if you are not sure. There have been cases where a baby’s fontanelles have not fused yet by the age of 18 months, who have achieved successful, but less-marked results with cranial remoulding therapy.

What is torticollis?

Torticollis is a condition in which a tight or shortened muscle in one side of the neck causes the head to tilt or turn to one side, resulting in the infant resting its head in the same position. In 2013, we analysed the data from all first appointments in our Kingston clinic and found that 20% of the babies examined had some kind of neck condition that was causing head immobility.

How does helmet therapy work?

The LOCband is non-invasive and works by applying gentle, constant pressure over the areas of the baby’s skull that are most prominent while allowing unrestricted growth over the flattened areas. The band consists of a soft foam layer inside a thermoplastic shell. As the baby grows, the band will be adjusted frequently to gently guide the skull into a more symmetrical shape.

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