Boston Othotics and Prosthetics
Boston Othotic and Prosthetics

PerfectNoggin

The PerfectNoggin is an alternative resting surface designed to help prevent and/or treat developing plagiocephaly during the first 16 weeks of life. The PerfectNoggin is the most ergonomic and clinically effective sleep surface available to maintain a natural head shape in infants.

The PerfectNoggin was developed in 2006 (known then as the Plagio Cradle) to reduce many of the problems associated with conventional flat mattresses. Now in a new, more ergonomic iteration, the PerfectNoggin is a contoured surface that aligns the infant’s head and torso in the best position for breathing, with a recess that cradles the back of the infant’s head to help promote natural head shape and symmetry.

The PerfectNoggin can fit into a standard-sized crib or bassinet and supports the infant’s entire body. It comes in five different sizes (1 throught 5) to fit the child's head perfectly as they grow. The infant’s head rests in a concave space allowing unrestricted occipital growth. The neck is supported in an anatomically correct position by a semi-circular shape in the foam layers.

The PerfectNoggin works best when started in the first two months of life. It is used for a minimum of 12 hours each day, or whenever the infant is supine. Once an infant is able to roll over, cradle therapy is discontinued. At this age, if needed, the patient is then able to begin helmeting as a means of correcting their cranial asymmetry.

Benefits of the PerfectNoggin

  • Adjustability: Patented foam liners fit head circumferences from 11-17.5 inches
  • Proven effectiveness: 5 published studies and 15 years of clinical success
  • Anatomically correct shape: Promotes a natural, symmetrical head shape
  • Stable, low profile design: No unsafe loose pillows or cushions
  • Safe and secure: Anti-slide edge to prevent sliding or scooting off the surface
  • Neutral head-torso alignment: Best airway position for breathing
  • Aerated surface: Ventilation holes for better air circulation and heat exchange than standard mattresses
  • Easy to clean and hypoallergenic: Soft, medical-grade foam liners with fitted, hand-sewn cotton cover
  • Easy to use: Simple measurement and sizing, fits inside standard sized crib or bassinet

Treatment with Cradling

Prevention and/or treatment using the PerfectNoggin, consists of the following steps:

  • Initial evaluation by a trained and licensed specialist in order to determine whether cranial asymmetry is present, or if the child is at risk of developing asymmetry
  • Primary evaluation, fitting, and cranial scan appointment, at which the orthotist will provide information concerning repositioning methods, cranial asymmetries and the cradle. Measurements and a 3D scan will be taken of the infant’s head using infant-safe lasers and cameras
  • Follow-up appointments as necessary throughout the treatment period
  • Concluding appointment for discharge and final scan

PerfectNoggin Effectiveness and Outcomes

The PerfectNoggin and its predecessor, the Plagio Cradle, have been extensively studied and have shown excellent results in promoting cranial symmetry in infants under 4 months. A smaller version, Crown Cradle is currently used in a number of pediatric intensive care units around the United States to offset deformational head shape changes that commonly occur in premature infants. For more information, see the studies below.