The TOT Collar
For the treatment of Congenital Muscular Torticollis
The TOT Collar™ is pre-assembled and ready to fit.
A loop of soft PVC tubing is bridged by two short nylon tubes. Varying sizes of tubes are packaged with the Collar. These tubes are positioned anterior and posterior to the crest of the trapezius. The PVC tubing is fastened with a connecting strap. A spare Velcro Strap is included.
The TOT Collar™ is non toxic and washable.
How it Works & Indications for Use
The TOT Collar™ 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 use is added to the conservative 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 (range of motion) and lateral head righting reaction (head control and strength) to lift his or her head away from the side of the Collar.