Inverted television and video games to maintain neck extension

It has been the standard of care in our pediatric facility to keep patients on strict bedrest with the neck in hyperextension for 5 days after a neck contracture release or grafting. Multiple methods have been used to help maintain neck immobility after grafting. It has been challenging to maintain strict bedrest protocols, because of decreased compliance and boredom. To address this issue, we examined common sedentary diversional activities engaged in by children. We decided to use video games to facilitate the intrinsic motivation of play. The monitor of a video game activity was inverted and placed behind the head of the bed so that the child could maintain proper neck positioning. We found the activity to be beneficial in many aspects. It helped maintain neck positioning, decreased the demand for individual interventions, and provided opportunities for improving self-confidence.