Home | Plagiocephaly | Plagiocephaly Treatment | Repositioning

What is Repositioning?

If your baby has a ‘flat head’, the first option is to try repositioning. The objective is to continually reposition your baby’s head so he/she does not rest their head on the existing flattened area. Until four-five months of age, repositioning and tummy time techniques can be enough to encourage natural correction of your baby’s head shape. At night, consider alternating the end of the cot where your baby lays its head. Turn your baby’s head so that it does not lie on the flattened side.

Tummy Time

During the daytime encourage your baby to spend as much time as possible on its stomach (tummy time). Most babies dislike this initially as they do not have the strength to hold their head up. However, it is important to persevere and gradually build up the length of time spent on their tummy. This helps them build strength in their neck and trunk muscles to progress towards pushing up and crawling Tummy time can be made easier by using a support under the chest enabling them to lift their head more easily. As their strength develops you can make it more challenging by removing the support. Make tummy time fun by spending time lying down with your baby on top of or in front of you. Use interactive toys to entertain them.

Baby’s Head Position

You should also consider your baby’s head position whilst carrying, feeding or changing them. Alternate the side on which you do the activities, as this will encourage them to look and turn in both directions. It is important that you feel confident and safe in lifting and carrying your baby, therefore gradually build your ability to use both sides comfortably and securely, and together you can build your own muscle strength and control. As your baby’s strength develops you should spend some time carrying them tummy down, as this will encourage them to look up, further developing neck and trunk strength.

Travel

Baby travel systems are conveniently designed to click together so that there is no need to wake your baby when transporting them from the car to the house. Unfortunately, this can also mean long periods of time lying on their back with their head against a hard surface. Minimise the time your baby spends in the travel system when not travelling.

What if Repositioning is Not Working

Some babies just will not comply with attempts to reposition their heads and little natural correction can take place. Cranial remoulding therapy with the LOCband is the recommended treatment option in these cases and is a proven way of normalising head shape.

Worried About Your Baby’s Head Shape?

Using our flat head diagnosis form, you can get a fast, free, flat head diagnosis from our fully qualified orthotics team online. Simply follow the instructions on this page to send pictures of your baby’s head and one of our highly experienced orthotists will contact you within 24 hours to give you a free, qualified and impartial opinion on your baby’s condition. Or, if you prefer, you can book an initial, free flat head consultation at one of our clinics, where we will be happy to make an assessment and offer advice and discuss any necessary treatment.

Locations:

Locations Kingston upon Thames (HQ) Cambridge Romford Manchester

Plagiocephaly FAQs:

How frequently do we need to attend reviews?

This is very much dependent on how fast your baby is growing. The faster the growth, the more frequently your baby will be seen so that the helmet can be adjusted. In general, reviews will happen at two to four-week intervals.

What does the price of the treatment cover?

The price of treatment covers: all your baby’s required appointments from start to the end of treatment, no matter how many are required to achieve the improvement in head shape that you are happy with; the cost of manufacturing the LOCband and supply of appropriate cleaning fluid for the band; all reports to your GP/paediatrician/ cranial osteopath/physiotherapist, including a final scan report with objective measurements of change achieve; full telephone support from your clinician during treatment, and, if necessary, extra review appointments at short notice.

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 should I do if my baby is ill or has a temperature?

If your baby has a temperature or a fever due to illness you must remove the band. The band can be put back on once the temperature has returned to normal.

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.

Why should I choose LOC in preference of another clinic?

The clinics and clinicians that provide this treatment in the UK will have received similar training and experience. However, we are the only clinic that manufactures its own helmet and our clinicians are closely involved with the process for each individual helmet that we produce. In addition, we do not restrict review appointments to a set number, we are extremely flexible and respond to individual parents' needs so that the best outcome can be achieved for each baby.

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.