Tot Collar
$108.00
The ToT Collar is a pre assembled neck support designed to alleviate the effects of Congenital Muscular Torticollis.
The Symmetric Designs ToT Collar is designed to alleviate the effects of Congenital Muscular Torticollis.
Congenital Muscular Torticollis (CMT) is typically identified within the first 6–8 weeks of life. This condition involves a tightening of the sternocleidomastoid muscle, leading to a tilted head position (toward the affected side) and rotation toward the opposite shoulder.
Without intervention, persistent postural imbalance may contribute to plagiocephaly (flattened head shape) or thoracic scoliosis.
Effective, Easy-to-Use Therapy for CMT
The ToT Collar is a simple yet effective therapeutic aid designed to support conservative treatment for infants with CMT. By applying gentle stimulation to the side of the skull, the collar encourages the infant to reposition their head toward a neutral, corrected alignment.
Over time, this helps retrain their perception of proper head positioning, promoting lasting postural improvement.
Ready to Use: The ToT Collar comes pre-assembled for immediate fitting, making it a convenient addition to your infant’s care routine.
How It Works
The TOT Collar gently stimulates the side of the skull, encouraging the infant to reposition their head away from the tilt and toward a neutral, corrected alignment.
By promoting this adjusted posture, the collar helps retrain the brain’s perception of proper head positioning, allowing the infant to maintain a more natural head position over time.
When to Use the TOT Collar
The collar is recommended as part of conservative treatment for infants (4 months or older) with congenital muscular torticollis (CMT), particularly when they exhibit:
- A consistent head tilt of 5 degrees or more
- Adequate neck range of motion (ROM)
- Lateral head righting reaction (sufficient head control and strength to lift their head away from the collar’s stimulus)
Design & Fit
The TOT Collar features
- A soft, adjustable PVC tubing loop connected by two short nylon tubes
- Interchangeable tube sizes (included) for optimal fit
- Secure placement in front of and behind the trapezius muscle for gentle, effective support
- A comfortable connecting strap for a customized fit
Safe & Easy Care
- Non-toxic, skin-friendly materials
- Hand-washable for hygiene and durability
By combining gentle correction with ergonomic design, the TOT Collar™ supports healthy postural development in infants with CMT.
Important Safety Note
- Never leave a child unattended while wearing the collar
- Remove the collar during sleep.
The TOT Collar is pre-assembled and ready to fit. There are two sizes: Adult and Child. The clear pvc tubing of the Collar is supplied at twice the circumference of the neck, plus 4”- 6” (10 cm - 15cm). The tubing is joined with an end connector.
The white tubes or struts are selected according to the amount of lateral tilt of the head. Extra tubes are supplied with the TOT Collar to allow for change in lateral tilt.
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.
The 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. Tubes can be trimmed to the exact length required.
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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