Tot Collar For Children & Adults
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Just like the child version, the adult version provides a comfortable and progressive means to help in torticollis treatment. Providing initial support that you can customize and allowing for changes in your condition or positioning with the supply of bracing tubes that can easily be changed. No need to buy a new tot collar, the bracing tubes are easily changed. There is a supply of these that come with the collar, including an extra velcro fastener. So, the collar comes with everything you need, however, if you need, All <Parts For Tot Collar> are readily available.
Soft tubing, which is gentle to the skin as well as non-toxic and washable, is looped and connected with velcro for a secure and comfortable fit. The Tot Collar provides a custom level of support by supplying you with bracing tubes which vary in length and connect the tubing which forms the collar, providing stabilization in front and back of the shoulder area.
The Tot Collar use is added to the conservative torticollis treatment in adults with the larger size collar, and with infants diagnosed with congenital muscular torticollis starting at 4 months.
In adults, it is lightweight and discrete in and outside the home. Like the Child version, this collar is a therapy aid – and is NOT meant to act as a stand-alone support. The collar is designed to provide a “prompt” or stimulus that the wearer will pull away from. Quite honestly – most adults will not wear, nor benefit hugely from this collar. Some adults do find it useful when actively working to correct a torticollis –like contracture, as it acts (as intended) as a “reminder” to hold their head up straight, but unless the adult is “working” it, it’s generally not the right choice. So if you are an adult looking to correct torticollis (or similar contracture) you would benefit more from a bracing system for torticollis.
For torticollis treatment in infants and children, there should be sufficient motion range, along with a consistent tilting of the head equal to or greater than 5 degrees.
The infant or child should additionally have adequate righting reactions from the side in order to lift the head away from the higher side of the tot collar.
How The Tot Collar Works For Torticollis Treatment
The idea behind the collar is to assist in torticollis treatment. The tot collar produces a negative stimulating sensation on the high side of the collar as it contacts the side of the head. New muscular patterns are stimulated as the wearer will move the head away from this sensation using the neck muscles to a more balanced position. This new position allows normal perception regarding visual input and, along with muscle training, helps to restore a new, balanced posture.
For the adult, torticollis treatment may take longer, there may be a slight amount of correction or none at all. Whatever the case, the Tot Collar will provide support without having to rely on rigid and uncomfortable collars. No delays with returning collars to exchange size, since this has the ability to be customized to the exact amount of support you need, as well as having the capability to be modified for whatever life situation demands. Additionally, you can get all parts as replacements as you need. Furthermore, it is an economical torticollis treatment, costing about half as much as more rigid, bulky and unforgiving collars.
Congenital Muscular Torticollis is often diagnosed early in life, usually within six to eight weeks. The problem is with a neck muscle called the sternocleidomastoid. The name of the muscle gives a clue to the locations and actions. The muscle connects from the sternum and clavicle to the mastoid bone of the skull behind the ear. As this muscle becomes contracted, is results in the head being side bent to the problem side and turned to the opposite side.
In adults, problems with this muscle can a painful neck condition and involvement can produce headaches. A problems with this muscle can be triggered by looking up for long periods or from doing activities like reading in bed and having the head turned to one side as often happens when there is inadequate light.
It can be irritated from a shirt collar or tie that is excessively tight or from a poorly supportive pillow or sleeping on your stomach.
With torticollis treatment, it is advised as early as possible in order to prevent a curvature of the spine called scoliosis or problems in physical development.
The Tot Collar is available in both Adult and Child sizes. The Child size fits a 4 month to 10 year old child. The Adult size is often used for spasmotic torticollis and fits an average 10 year old to adult. Note: When using for infants or children, they should not be left unattended while using the collar for torticollis treatment.
Tot Collar Benefits For Torticollis Treatment
Fitting is simple and easy. Easily adjusts with various tube lengths. Longer length tubes used for optimal alignment. Every part is individually obtainable for replacement if necessary – you do not have to buy a whole new collar
Comfortable and allows air circulation for gentleness to skin. Easily Taken off and put on. Original design for discrete use. Easily cleaned with just mild soap and water. Adjustable and customizable level of support
The collar is already assembled, ready to customize and fit for torticollis treatment. Comes in Child & Adult sizes. The tubing comes in a length about two times the measurement around the neck, plus 4 to 6 inches or 10 to 15 cm. An end connector securely joins the tubing.
How To Use The Tot Collar
The verticle or stabilizing tubes for support are chosen from the variety supplied to achieve the appropriate side support head level. A variety of these tubes are included, allowing a custom fit and these may even be cut to precise levels of side tilting.
The (A) tube goes from the back of the trapezius muscle to the back of the head. The (B) tube goes from the front of the trapezius muscle to under the mastoid process behind the ear. Try not to place pressure on the jaw bone. Begin with the shorter tubes, replacing with longer ones as gradual correction takes place.
For best fitting, have the wearer hold his/her head straight, just off the verticle tubes, allowing room for a finger to be comfortably placed inbetween the collar and the neck. The collar should be loose initially, ensuring the side tubes are of the appropriate length and fitted on the affected side. Make sure the collar is correctly fit by hand.
Take the collar off and fit the tubing to size, removing excess. Cut tubing to the correct length using a sharp scissors and fasten it again using the end connector. Place the collar on following every adjustment to make sure it is fitted correctly for torticollis treatment. Note: Take special care in cutting the tubing. If it’s cut too much, it will not be able to be reconnected.
Final Checks for the Tot Collar
- Ensure the vertical tubes are positioned correctly around the trapezius
- Make sure a the collar can be positioned correctly by a caregiver or parent – place a mark on the top end of the Collar if needed
- Take note of any irritation where the tubes contact the skin
- The Collar can be with a stockinette – 2 inches to makeit more comfortable
- Cleaning should be done frequently using soapy water
- Take collar off when user is sleeping
Use the Tot Collar with a stretching regime for best torticollis treatment results. Caution: Make sure not to leave a child unattended while wearing this Collar!
Torticollis Treatment With The Tot Collar
If your child has been diagnosed with torticollis, a therapist often recommends the tot collar as part of the rehabilitation and congenital muscular torticollis treatment.
Congenital muscular torticollis is a problem which may cause your child’s head to tilt and using the tot collar will help train your child or infant to hold his or her head straight.
Effects of the Tot Collar
The tot collar uses a clear and non-toxic plastic tubing and has plastic posts which are placed on the side of head tilt. These vertical posts make contact with the head of your child as it falls to one side. The collar stimulates the infant or child to raise the head and acts to strengthen the weak muscles responsible for the tilt.
Wearing The ToT Collar
For treatment of torticollis, the tot collar reminds your child to lift the head, therefore, it is effective only when the child is awake. Therefore, the tot should be removed when napping and when sleeping at night. It is also important to remove the tot collar your child is in the car seat in case he/she falls asleep.
When your child or infant is feeding, it is your decision if you want to use the tot collar. The collar should also be removed for the range of motion exercises and it can remain on for any tilt and strength exercising.
What If Your Child or Infant Is Sick
When sick, torticollis treatment with the collar can be used for a portion of the day as long as the child is comfortable. This has the benefit of allowing him or her to remain accustomed to the collar. When quite ill, there is no requirement to keep the collar on when uncomfortable and/or too restless and can be put on when feeling better.
How To Help My Child Adjust To Wearing The Tot Collar
It is best to put the collar on first when your child is well rested and you have the time to be playful with your child. Only allow the collar in place for about 30 minutes. This allows you to distract him or her with play because your child may be fussy. If your child is not in a playful mood, take off the tot collar and allow your child to rest some before trying again. It is possible your child will tolerate the collar for a few hours during the first use.
You can put the collar on 3 or 4 times each day for the first week, allowing it to remain on a little longer each time. It usually takes about a week for your child to get used to the collar. For the second week, most children can tolerate torticollis treatment with the collar on all the time when awake.
What Is The Best Way To Put On The Tot Collar
Put the collar on when your child is lying on his or her stomach or when sitting. Place the collar around the child’s neck, adjust the position of the posts and fasten the clip.
Where Do I Place The Posts On The Tot Collar
The picture shows the positioning for a right torticollis. The posts are positioned on the tilt side, which is the side where the muscle is short.
A post is placed in front of the shoulder with the top behind the ear, the other post is placed behind the shoulder with the top touching the back of the child’s head.
What Is The Right Fit For The Tot Collar
It should stay in place without shifting. Two adult fingers should fit flat between the collar and the child’s neck at the back clip. At first, the tot collar can be loose, then second placement, adjusted to not move out of place.
It is possible for red areas to be on the skin of the child’s neck, and this should go away after 20 – 30 minutes after removing the collar. If the areas remain longer than 30 minutes, consult your therapist.
The collar can be placed under all clothing. Shirts and loosely fitting turtleneck sweaters can be worn over the tot collar.
If your child develops a heat rash, it may be beneficial to put the collar inside a sleeve. If your therapist does not have one, you can cut out the foot portion of a child’s cotton sock to place over the collar.
While choking is not a problem, watch your child just as a precaution similar to anything that goes around the neck.
How Long Should My Child Wear The Tot Collar
The time it takes will vary, but all children should wear the collar for at least 2 months for torticollis treatment.
Begin weaning from the collar when your child is capable of holding his/her head for about an hour with no tilt. Do not hasten weaning because it may require several months before the neck muscles strengthen enough to stabilize the head while walking and crawling.
For torticollis treatment, the tot collar helps learn movements in a more even and stable manner. Being frustrated when learning a new task like crawling or walking, you may take the collar off for a short time when playing.
Please note: We are incorporating new T-junctions that are slightly smaller and have open fasteners at the top that will permit easier fitting and adjustments.
If you need assistance or have questions, please feel free to contact Neck Solutions.