Tot Collar For Torticollis Provides A Conservative Treatment Option For Kids & Adults
The Tot Collar for Torticollis has been a popular tubular orthosis for addition to non-surgical management for children over 4 months of age.
The Collar features soft tubing which is braced by 2 shorter tubes. Different tube sizes are included. The tubes are placed in front and back of the trapezius crest. The tubing is secured using a strap with Velcro and and extra strap is also included. The Tot Collar is non-toxic and easily cleaned.
This collar use is employed for treatment in infants as young as four months of age. The adult size collar is for 10 years and older.
The Collar is used for spasmodic and congenital muscular torticollis. It is not a rigid support collar; it is used to provide a negative stimulus to the side of torticollis to aid in correction, along with other therapeutic measures.
For the infant, he/she must show a head tilting of five or more degrees and with sufficient range of motion, head control and strength to lift the head away from the effective side of the collar.
By adapting to the active side of the collar, it helps maintain a corrected head position. If left without correction, the condition may lead to complications.
Caution: A child should not be left unattended when wearing the Tot Collar!
The Tot Collar for torticollis is easy to fit and adjust with the inter-changeable tubes and longer sized tubes may be added or trimmed for improved correction and fit. It is cool and comfortable for the user.
Leave enough space in the collar for a minimum of 1 adult size finger to be inserted between the top long tubing and neck. Care should be taken in cutting the main tubes to make sure it can be reconnected. Check for redness where vertical tubes make contact with the skin. To improve comfort, the Tot Collar may be covered a stockinette or kneehigh nylon. Cleans with soap & water. Collar is not to be in use when wearer sleeps.
A 2018 report in Cochrane Database of Systematic Reviews indicates, “A soft collar or tubular orthosis [Tot] may be provided for children and babies over four months of age in order to support the head into a neutral position.”