Symmetric designs TOT Collar™ serves as an efficient therapeutic tool for
treating infantile muscle torticollis and is intended to stimulate the lateral
portion of the skull. With a new center corrected position in hand, the user
walks away from this stimulus. Resetting your perception of the horizontal and
maintaining proper head alignment can be achieved by adopting a new, normal head
position. For infants with congenital muscle torticollis who are 4 months of age
or older and consistently tilt their heads 5 degrees or more, the TOT collar is
a conservative therapy option.
A loop of soft PVC tubing is bridged by two short nylon tubes. The collar comes with a variety of tubes of various sizes that are positioned anterior and posterior to the trapezius crest. The PVC tubing is fastened with a connecting strap and a spare velcro strap is also included. TOT collar is non-toxic and washable.
Benefits
- Simple to fit
- Improved alignment
- Easy to put on and remove
- Easy to keep clean (soap and water)
- Amount of support set to wearer needs
- Easy adjustment using interchangeable tubes
- Longer tubes can be inserted to accommodate
- All parts for the Collar are available as replacements
Fitting Instructions:
TOT Collar is already assembled and ready to fit for torticollis treatment. Collar is made of clear PVC tubing that is supplied at twice the circumference of the neck, plus 4"-6". It is joined with an end connector. White tubes or struts are selected according to the amount of lateral tilt of the head.
- Tube A spans from posterior to the crest of the trapezius to the occiput.
- Tube B from anterior to the crest of the trapezius to below the tip of the mastoid process. Avoid pressure on the mandible.
Collar tubes are short to start with and replaced by longer tubes as correction is achieved. If there is a significant amount of tilt then use very short tubes initially. For correct fit, the infant should be holding his or her head in midline, slightly away from the struts, and there should be room for at least one adult finger to fit between the top clear pvc tubing and the neck.
Fit the Collar loosely at first and ensure that the lateral tubes are the correct length and on the correct side. Snug up the collar by hand to check the fit.
Remove the Collar from the child. Pull through the clear pvc tubing to remove the excess. Trim this tubing to length with scissors and reconnect with the end connector. Replace the Collar after each trim to check the fit.
Note: Be careful not to cut off too much of the clear tubing. It cannot be reconnected if cut too short.
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