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Does an Abnormal Head Shape Need a Helmet?. Sources- PMID 37508680 vialettaknurov on TT The use of a cranial remolding helmet is a specialized intervention typically reserved for moderate to severe cases of "flat head syndrome" that do not improve with conservative measures. While most minor irregularities in an infant's head shape resolve naturally as the child begins to sit up and crawl, a helmet may be medically indicated if persistent flattening remains after a trial of repositioning therapy or physical therapy. The primary goal of the helmet is to provide a gentle, custom-fitted "mold" that directs the natural growth of the skull into flatter areas while inhibiting growth in prominent ones. This is most effective during the window of rapid brain and skull development, generally between the ages of 4 and 12 months, as the skull begins to harden and fuse beyond this point. A clinician might recommend a helmet if a child presents with significant positional plagiocephaly, which is a flattening on one side, or brachycephaly, which is a widening of the head caused by flattening at the back. These conditions are often measured by a "Cranial Vault Asymmetry Index" (CVAI), with scores above 6.25% or 8.75% often serving as the threshold for intervention. Helmets are also frequently used as a secondary treatment for craniosynostosis, a more serious condition where the skull's bony plates fuse too early, requiring surgical correction followed by helmeting to guide the postoperative shape. Because the treatment requires the child to wear the device for approximately 23 hours a day for several months, it is generally considered a significant commitment reserved for cases where the head shape is likely to cause future issues with the fit of glasses, sports helmets, or significant facial asymmetry. #helmet #babies #mums