Clinical Application of Custom Neck Collar with Negative Sensory Feedback in Children with Intractable Torticollis

The aim of this study was to investigate the effect of a custom neck collar with negative sensory feedback for the treatment of torticollis that was previously unresponsive to conservative or surgical treatment. Twenty-four children diagnosed with unresponsive or intractable torticollis were enrolle...

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Bibliographic Details
Published inChildren (Basel) Vol. 11; no. 8; p. 1001
Main Authors Yoon, Jeewon, Yun, Rayu, Huh, Sungchul, Baik, Jisoo, Lee, Jae Meen, Kim, Soo-Yeon
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 01.08.2024
MDPI
Subjects
Caregivers
Clinical medicine
feedback
Genetic disorders
Neck
orthosis
Patients
Pediatrics
Physical therapy
Posture
Range of motion
Scoliosis
sensory
Surgery
Surgical outcomes
Torticollis
Ultrasonic imaging
United States
South Korea
feedback
sensory
torticollis
orthosis
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Summary:The aim of this study was to investigate the effect of a custom neck collar with negative sensory feedback for the treatment of torticollis that was previously unresponsive to conservative or surgical treatment. Twenty-four children diagnosed with unresponsive or intractable torticollis were enrolled in this two-stage, single-arm study. The ipsilateral aspect of the orthosis is adjustable in height and designed to provide support between the clavicle and the mandibular angle on the tilted side. In stage 1 (the adjustment period), the orthosis with a smooth surface was applied for 2 h per day for 3 months. In stage 2, a rough surface with a hook-and-loop fastener (Velcro©) was attached to the collar, and it was worn for a further 2 h a day for 3 months. Twenty children (mean age 63.95 ± 13.44 months) were included in the analysis. The mean torticollis angle was 17.60 ± 5.65° (mean ± SD) at baseline; 14.15 ± 3.62° directly after stage 1; and 6.00 ± 3.67° directly after stage 2 (X = 36.685, df = 19, = 0.000). This study demonstrated the feasibility, therapeutic effect, and safety of a novel tactile feedback orthosis for the treatment of children with torticollis. The use of a custom neck collar with negative sensory feedback may be a viable therapeutic option for the treatment of unresolved or intractable torticollis.
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ISSN:2227-9067
2227-9067
DOI:10.3390/children11081001