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TOT Collar Use in Complex Case of Congenital Muscular Torticollis With Persistent Head Tilt
Amanda B Tillinghast1, Kelly R Greve, Sally P Le Cras
1Division of Occupational Therapy and Physical Therapy (Drs Tillinghast, Greve, and Le Cras), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Rehabilitation, Exercise and Nutrition Sciences (Drs Greve and Le Cras), College of Allied Health Sciences, University of Cincinnati, Cincinnati, Ohio.
Purpose:
The purposes of this case report were to (1) highlight the use and efficacy of the Tubular Orthosis for Torticollis (TOT) Collar in a prolonged and complex episode of care for an infant with congenital muscular torticollis (CMT) and (2) describe an infant with CMT receiving a physical therapy episode of care interrupted by the COVID-19 pandemic, leading to use of supplemental interventions.
Summary Of Key Points:
The patient presented was an infant with CMT who received physical therapy treatment, including the TOT Collar, to resolve all symptoms.
Statement Of Conclusions:
The TOT Collar helped achieve midline head position after all treatment options were exhausted at the end of a lengthy episode of care impacted by the COVID-19 pandemic.
Recommendation For Clinical Practice:
The TOT Collar may be an appropriate supplemental intervention choice for infants with CMT whose symptoms do not resolve with first-choice interventions.
