The TOT Collar for Torticollis Treatment


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The TOT Collar (Tubular Orthosis for Torticollis) is the best treatment for Congenital Muscular Torticollis when combined with stretching.

Designed as a treatment for Congenital Muscular Torticolllis, the TOT Collar is a simple, effective and inexpensive therapy to correct head position and prevent further health problems. It is used for infant torticollis as well as for older patients. When combined with stretching of the muscle, the TOT Collar offers better results for torticollis than stretching alone.

About Torticollis:
Congenital Muscular Torticollis is usually discovered in the first 6 to 8 weeks of an infant`s life. It is characterized by a contracture of the sternocleidomastoid muscle, causing the head to be laterally flexed to the affected side and rotated to the opposite shoulder. If uncorrected, this posture may lead to plagiocephaly and a high thoracic scoliosis.

How the TOT Collar works:
The TOT Collar for Torticollis Treatment is designed to provide a noxious stimulus to the lateral aspect of the skull. The user moves away from this stimulus towards a new, central corrected position. Adoption of a new, normal head position provides the ability to reset perception of horizontal and so maintain the corrected head position. The TOT Collar is preassembled and ready to fit.

Specifications of the TOT Collar:
The TOT Collar is made of a loop of soft PVC tubing that is bridged by two short nylon tubes. Varying sizes of tubes are packaged with the TOT Collar. These tubes are positioned anterior and posterior to the crest of the trapezius. The PVC tubing is fastened with a Velcro strap. The TOT Collar is non-toxic and washable. It can be cleaned with soap and water.

Indications for use:
TOT Collar use is added to the conservative torticollis treatment of infants with congenital muscular torticollis if they are 4 months of age or older and show a consistent head tilt of 5 degrees or more. The infant must have adequate ROM and lateral head righting reaction (head control and strength) to lift his or her head away from the side of the TOT Collar.

Features and Benefits of the TOT Collar:

For the Fitter:
* simple to fit
* easy adjustment using interchangeable tubes
* longer tubes can be inserted to accomodate improved alignment

For the wearer and/or caregiver:

  • * a cool comfortable collar
  • * easy to put on and remove
  • * easy to keep clean
  • * low profile, unobtrusive appearance
  • * amount of support set to wearer needs

Available Sizes:
TOT 01 Child: fits a four-month to 10-year-old child (for infant torticollis)
TOT 02 Adult: fits an average 10-year-old to adult


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