Boston Othotics and Prosthetics

Plagiocephaly Treatment Options

In order to determine whether cranial asymmetry is present, or if the child is at risk of developing asymmetry, an initial evaluation by a trained and licensed specialist must be performed. Plagiocephaly can be treated with repositioning techniques, sleep cradling, tummy time, or a corrective helmet such as the Boston Band. The best time to begin treatment is from 3 to 9 months of age.


An infant’s skull is incredibly flexible, which makes it vulnerable to flattening when placed against any surface for long periods of time. To avoid this, some medical experts recommend “repositioning,” which simply means alternating the infant’s position to evenly distribute the gravitational pressures on a growing skull, including:

  • Encouraging infants to respond to toys and stimuli equally on both right and left sides
  • Ensuring that the flattened portion of the child’s head is not in contact with any surface
  • Supervised “tummy time” on their stomach


The Plagio Cradle provides infants with a contoured sleep surface that supports the base of the head, enabling symmetrical cranial growth. Designed to be used during the first 3 months of an infant's life, the Plagio Cradle can prevent the need for more aggressive treatment, such as a corrective helmet. Use of the cradle must be immediately discontinued once the child has aged past 3 months, or can roll over.

Plagio Cradle Treatment Timeline

  • Primary evaluation and measurement of the infant's head to ensure the proper fit
  • Follow-up appointments as necessary throughout the treatment period
  • Concluding appointment for discharge


If your child has a cranial asymmetry and a treatment/prevention plan has not started before 3 months of age, a corrective helmet like the Boston Band may be prescribed. Helmets serve as a mold for the infant's head, enabling the flattened areas to grow in a normal, rounded fashion.

What is the The Boston Band?

The Boston Band is a lightweight head covering made of plastic and foam that is custom-made for your child’s head using a cast impression or a 3D cranial scan. It can be equipped with our trademark hinge, which allows you to easily put it on and take it off your child.

How Does the Boston Band Work?

The Boston Band allows the baby to comfortably sleep while keeping pressure off the flat spots so the baby’s head becomes more symmetrical. 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. It does not exert pressure on the skull and will not cause your child any pain.

How Long Does Treatment Take?

For optimum results, the Boston Band should be worn 23 hours a day, and can be removed for bathing. For children who begin wearing the Boston Band at 3-6 months of age, the problem is usually corrected within 10-14 weeks, compared to the industry standard of 4-6 months. Individual treatment plans may vary.

Boston Band Treatment Timeline

  • First Visit: Initial appointment and 3D scan for fabrication
  • Week 2: Initial fitting and delivery of Boston Band
  • Weeks 4-8: Follow up appointment/fit reassessment with orthotist
  • Weeks 10+: Final appointment and final scan with orthotist
  • If treatment continues past 10 weeks, follow up appointments will take place every 2-4 weeks until termination of the treatment. The final scan will take place during the final appointment.
  • Appointment schedule may vary depending on the infants age and severity at the start of treatment.