Orthomerica STARband Installation guide

1.) Your baby will eventually wear his or her
STARband Cranial Remolding Orthosis 23 hours a
day, but needs several days to adjust to wearing the
STARband. Follow the schedule below to gradually
increase the wearing time. Do not accelerate this
program, even if your baby is not having any
problems. The wearing schedule below was
developed to prevent skin problems and to help your
baby adjust to the STARband.
2.) This wearing schedule provides a safe way to
acclimate to the STARband. The 5th day is
considered full-time wear, and at
this point the STARband should only
be removed for one hour per day.
The STARband should be removed
and cleaned during the baby’s bath.
3.) Remove the STARband if your
baby has a fever or the flu. Return
to full-time wear as soon as
possible. If the baby has not been
able to wear the STARband for 48
hours, ramp up the wearing
schedule slowly over a few days to
help the baby adapt to wearing the
STARband again.
4.) If your baby has been diagnosed with torticollis,
the torticollis must be treated in order to achieve
head shape correction. If your therapist or physician
has given you neck exercises to perform, remove
the STARband for the exercises and replace the
band as soon as the exercises are finished.
5.) At bath time each day, remove and clean the
STARband. Only use unscented rubbing alcohol to
clean the inside of the STARband. Other
cleaners, such as soap, water, bleach, or
perfume can cause skin irritation and should not
be used inside the STARband. Vigorously rub
the inside of the STARband with a clean washcloth
containing the rubbing alcohol, or apply rubbing
alcohol using a new soft toothbrush. Set the band
upside down to dry. A fan, in addition to the rubbing
alcohol, may be used to help alleviate odor that
sometimes develops inside the band.
6.) Shampoo the baby’s head daily and reapply the
STARband when both the head and the band are
dry. Babies with very sensitive scalps may benefit
from a mild, unscented hypoallergenic shampoo.
The STARband should not get wet and should be
removed for swimming. After swimming, wash your
child’s head with shampoo to remove chlorine,
sunscreen, etc. Reapply the orthosis when both
your baby’s hair and the STARband are dry.
7.) For the first several
days, your baby may
perspire excessively
until his or her body
becomes accustomed
to the STARband.
This is normal. During
this time, the
STARband can be
removed for a couple
minutes throughout the
day to dry the baby’s
head and band with a
towel or cool hair
dryer. The STARband should be reapplied as soon
as the baby’s hair and the band are dry. Do not use
powders, lotions, or wipes on the baby’s head or
inside the STARband. These products may contain
perfumes and ingredients which can lead to skin
irritation. Dress your baby in cooler clothing if the
baby perspires excessively.
STARband® Cranial Remolding Orthosis
Wear and Care Instrucons
Day On O Nap Night
11 hr 1 hr No No
22 hrs 1 hr No No
34 hrs 1 hr Yes Yes
48 hrs 1 hr Yes Yes
523 hrs 1 hr Yes Yes
[phone] or [phone]

8.) If the baby
develops a rash,
consult your
doctor
immediately.
Also keep the
baby as cool as
possible and
towel or blow dry
the baby’s hair
and the inside of the band throughout the day with a
cool hair dryer to prevent moisture buildup. Replace
the STARband as soon as the band and hair are
dry. Time out of the band should be less than 10
minutes.
9.) If you need to cut your baby’s hair during the
STARband treatment, do not shave the entire head.
The contact of the band against the head may
cause irritation when the hair starts to grow back in
and the baby may develop skin irritation. Try to
keep your baby’s hair the same length throughout
treatment to prevent fitting problems which may
result from a decrease or increase in the amount of
hair.
10.) Skin checks should be performed every time
the STARband is removed. Call your practitioner
immediately if there is an area of deep redness that
does not fade in one hour after removing the band.
This may indicate a need for an adjustment. If there
is any skin breakdown, remove the band and
contact your doctor.
11.) Excessive time out of the STARband (more
than 48 hours) may create problems with the fit
since the baby’s head is growing continuously. Limit
the time out of the STARband and seek assistance
when something prevents your baby from tolerating
or wearing the band.
12.) Each time you place the STARband on the
baby’s head, check the chafe and strap (if present)
to make sure they are secure. Loose parts may be
a choking hazard and can result in asphyxiation if
the parts are swallowed.
13.) When the STARband if off your baby’s head,
keep the STARband away from family pets. Dogs
have been known to chew and destroy the
STARband.
14.) The STARband must be worn as prescribed, 23
hours a day, to constrain further abnormal growth
and encourage growth in the correct locations.
Even at the end of treatment, the band should be
worn 23 hours a day until the physician, practitioner,
and caregiver agree that treatment is complete.
Early discontinuation of treatment against
medical advice may result in incomplete
correction of the head shape. Continued use of
the STARband against medical advice may
restrict skull growth and may impair brain
growth and development.
15.) Explain the purpose of the STARband to other
caregivers and train them in the proper application,
removal, and wearing schedule. Training is
important for family, friends, daycare personnel, and
any other person taking care of your baby.
16.) If you have questions or concerns about your
baby’s care, contact your practitioner so that any
issues can be resolved quickly. Information and
other resources are available for caregivers on
Orthomerica’s website at www.starbandkids.com.
Orthomerica wishes you and your baby a most
successful STARband experience.
STARband® Cranial Remolding Orthosis
Wear and Care Instrucons (Connued)
[phone] or [phone]