The Boston Band in the Management of Positional Plagiocephaly and Post-operative Synostosis
Purpose:
To ensure the clinical team is current with the Boston Band clinical guidelines and understand the role of all the members of the clinical team.
Who should attend:
Orthotists, Technicians, Physical Therapists, Nurses; Physicians and Residents that treat patients with positional Plagiocephaly.
Presenters:
- TBD - dependent on the schedule
Program:
Chapter 1: Positional Plagiocephaly: An Overview
- 1. Introduction (lecture)
- Introduce instructors and course participants
- The purpose of the course is outlined and methods described
- Benefits and criteria for becoming a Certified Boston Band Provider
- 2. Define Positional Plagiocephaly and its natural history (lecture)
- Etiology
- Discuss the theories of progression
- When to treat
- Severity scales
- Evidence
- Update attendees on recent research showing the efficacy of Cranial Rebracing
Chapter 2: Patient Evaluation: Developing the Treatment Plan
- 3. Evaluating patients for the Boston Band (lecture/demonstration)
- Initial evaluation, patient birth history
- Measuring/scanning technique
- Outcome meaurements
- Educating and training the parents on tummy time and repositioning
- Ordering the Boston Band
Chapter 3 Fitting and Follow Up: Implementing the Treatment Plan
- 4. Fitting the Boston Band
- Prober donning
- Trim line evaluation
- Placement of the void
- Weaning in/wear schedule
- 5. Follow up
- Common adjustments to maximize correction/fit/ability to wear the orthosis
- Monitoring growth
- 6. Discharge Appointment
- Importance of the discharge appointment
- Challenges – parents knowing their responsibility
- Recording the outcome data
Chapter 4: Physical Therapy: Plagiocephaly Specific Exercises Program
- 7. Physical Therapy Program (lecture/interactive)
- Defining the role of the Therapist – building relationships
- Patient assessment – Therapist perspective
- Evaluating torticollis
- Educating and training the parents on repositioning/tummy time