STARband Helmet: How to Use and Care for a STARband Cranial Remodeling Orthosis


A STARband Cranial Remolding Orthosis (also known as a STARband helmet) is used to shape a baby’s skull over a long period of time. Typically, a STARband helmet treats flat head syndrome or craniosynostosis.
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cranial remodling orthosis

  1. Your baby will eventually be wearing his/her STARband Cranial Remolding Orthosis 23 hours a day but will need several days to adjust to wearing the STARband. Please follow the schedule below, which is intended to gradually increase the daily wearing time. Do not accelerate this program even if your baby does not seem to be having any adjustment issues. This wearing schedule has been developed to prevent skin problems and to help your baby adjust appropriately to the STARband.
1 alternating 1 hr 1 hr no no
2 alternating 2 hrs 1 hr no no
3 alternating 4 hrs 1 hr yes yes
4 alternating 8 hrs 1 hr yes yes
5 alternating 23 hrs 1 hr yes yes


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  1. By the fifth day, your baby will be wearing the STARband full time, and the STARband should only be removed for one hour per day for cleaning purposes. The STARband should be removed and cleaned daily during the baby’s bath.
  1. For the first several days, your baby may perspire excessively until his/her body becomes accustomed to the STARband. This is normal. During this time, the STARband may be removed for a few minutes throughout the day to dry the baby’s head and the STARband using a towel or the cool setting on a hair dryer.  The STARband should be reapplied as soon as the baby’s hair and the STARband are dry.  You may want to dress your baby in cooler clothing as well.
  1. 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 for your baby, remove the STARband for the exercises and replace the band as soon as the exercises are completed.
  1. Each time you place the STARband on the baby’s head, check the chafe, strap, and stop-gap foam insert to make sure they are secure. Loose parts can be a choking hazard and can result in asphyxiation if the parts are swallowed.
  1. At bath time each day, remove and clean the STARband. Use 91% 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.  You may use the alcohol in a spray bottle to spray the inside, and then vigorously rub with a textured washcloth.  Set the STARband upside down to dry.  Drying it in the sun can help alleviate any odor and speed up the drying process.
  1. Shampoo the baby’s head daily. Reapply when both head and STARband 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 that can lead to skin irritation.
  1. The STARband should always be kept dry and should be removed for swimming. After swimming, wash your child’s head with shampoo to remove chlorine, sunscreen, etc. Reapply the orthosis, making sure both your baby’s hair and the STARband are dry.
  1. 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 within one hour after removing the band, as this may indicate the need for an adjustment. If there is any skin breakdown, remove the band and contact your doctor.  The STARband should not be worn until the skin has healed.
  1. If the baby develops a rash, contact your orthotist immediately. Also, keep the baby as cool as possible. Towel/blow-dry the baby’s hair and inside the STARband throughout the day with a cool hair dryer to prevent moisture build-up.  Replace the STARband as soon as the band and hair are dry.  Time out of the band should be less than 10 minutes.
  1. If you need to cut your baby’s hair during the cranial remolding treatment, do not shave the baby’s 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 that may result from a decrease or increase in the amount of hair.
  1. 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.
  1. Excessive time out of the STARband (more than 48 hours) may create problems with the fit of the STARband since the baby’s head is growing continuously.
  1. When the STARband is not on your baby’s head, keep it away from family pets. Dogs have been known to chew the plastic and foam liner.
  1. The STARband must be worn as prescribed, 23 hours a day, to constrain further abnormal growth and encourage growth in the correct locations until the physician, practitioner, and caregiver agree that the desired correction has been achieved. Early discontinuation of treatment against medical advice may result in incomplete correction of the head shape.
  1. Be sure to 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 anyone else taking care of your baby.
  1. If you have questions or concerns about your baby’s treatment, contact your practitioner so that any issues can be resolved quickly. Information for caregivers is available at and The team at Scheck & Siress wishes you and your baby a most successful STARband experience!