Boston Othotics and Prosthetics

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

Upcoming Course Offering

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

Questions / Discussion