A preemie orthotic device to support the development of an infant’s natural head shape
The Crown Cradle:
- Promotes physiologic flexion, containment, and midline positioning
- Encourages proper alignment of head, neck, and spine
- Can be used during x-rays and MRI’s
- Helps to keep head in midline position when used in combination with the DandlePAL or Cozy Cub
- Positions the infant at a 4 degree incline
Protecting the infant’s brain is always a priority.
You do everything you can to protect the infant’s developing brain. Now, you can also help to protect cranial formation, as well as head, neck, and spinal alignment, with one positioning device – the patented Crown Cradle.
Positioning of hospitalized infants is challenging due to severity of illness, placement of medical devices, caregiver preferences, and/or limited resources for implementing holding and developmental play. Deformational plagiocephaly (DP), hallmarked by cranial flattening, ear misalignment, frontal bossing, and facial asymmetry, can occur as a result of limited positioning options on a bed surface that is often too firm. DP can negatively affect hospitalized infants in the short- and long-term, contributing to altered parental attachment, neurobehavioral problems, and social isolation. Studies have also linked DP with gross and fine motor delays, communication deficits, and vision and hearing problems.
The Crown Cradle is a noninvasive, nonrestrictive adjustable orthotic device that supports development of a hospitalized infant’s natural head shape. The Crown Cradle relieves pressure on the occiput, allowing cranial development without the impact of negative external forces. The two-part system includes a specialized mattress with removable foam inserts that comfortably cradle the head and help promote proper alignment of the head, neck, and spine. The foam layer is easily removed and replaced with a plug when prone positioning is desired.
Studies have shown that the Crown Cradle (referred to in the literature as the Cranial Cup, Plagio Cradle, and POD) may reduce the potential impact to the infant’s head by redistributing contact pressure, supporting the cranium, and providing a pathway for more symmetrical skull growth. Developed by neonatal professionals committed to advancing neurodevelopmental care, the Crown Cradle allows the bedside caregiver to confidently position the infant while providing proper alignment of the head, neck, and spine and supporting healthy cranial growth.
Each mattress size comes with four sequentially-sized foam inserts that can be upsized as the infant’s head grows.
- Small mattress for infants <1800 g, with foam insert sizes 1-4:
- Size 1: < 750 g
- Size 2: 750-1000 g
- Size 3: 1000-1400 g
- Size 4: 1400-1800 g
- Large mattress for infants 1800-3600g, with foam insert sizes 5-8:
- Size 5: 1800-2150 g
- Size 6: 2150-2500 g
- Size 7: 2500-3000 g
- Size 8: 3000-3600 g
- Crown Cradle Information Sheet
- Crown Cradle Bibliography
- Using The Crown Cradle In-Service Video
- Neurodevelopmental Care Overview video
- Neurodevelopmental Positioning Aids (White paper published by National Association of Neonatal Therapists)
- Neurodevelopmental Positioning: Cause and Effect (White paper published by DandleLION Medical)
- The effects of alternative positioning on preterm infants in the neonatal intensive care unit: A randomized clinical trial
- Neonatal Nurses’ and Therapists’ Perceptions of Positioning for Preterm Infants in the Neonatal Intensive Care Unit