Positional Plagiocephaly & Brachycephaly

What is it?

Flat Head Syndrome

Positional Plagiocephaly, also known as flat head syndrome, is the term used to describe a head shape that is asymmetrical and characterized by a flat area on one side. Plagiocephaly is caused by prolonged pressure (such as laying on one side for a long time) on the part of the head that creates a “flat spot”. The opposite side of the head can have a protrusion at the forehead. There can also be uneven positioning of the ears and eyes.


Brachycephaly is a head shape that is flattened across the back resulting in a wider head. The forehead can also protrude more in the front. It is similar to plagiocephaly as both conditions are caused by long periods of pressure in one spot on the growing skull.

Baby helmet
Achieve a more symmetrical shape for your child

Cranial remolding helmet

Cranial remolding helmets can be used in the treatment of deformational plagiocephaly, brachycephaly and other conditions. The objective of the remolding helmet is to leave a space where the concerned area (flat spot) is and maintain contact of the head in the other areas. As the head grows, it will fill into the space and the growth will slow in the areas of contact.

The goal is to try to achieve a more symmetrical shape of the head at the end of treatment. The length of treatment time varies depending on the severity and age of the infant.


Each infant with plagiocephaly or brachycephaly should be assessed by an experienced healthcare professional who will provide a treatment plan for the infant based on the individual requirements. It is important to have a physician assess the head and determine the cause for the asymmetry to ensure that the cause is addressed in the treatment plan.  The Certified Orthotists at CODG are trained to provide Cranial Remolding Helmet Treatments.

  • Repositioning – increasing tummy time, frequent position changes, holding the infant more often
  • Physiotherapy for torticollis
  • Cranial remolding helmet 

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