Clinical Application of Custom Neck Collar with Negative Sensory Feedback in Children with Intractable Torticollis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Design of Neck Collar
2.3. Study Protocol
2.4. Outcome Measurement
2.4.1. Inclination of the Head (Torticollis Angle)
2.4.2. Brace Tolerance Assessment
2.4.3. Safety Assessment
2.5. Statistical Analysis
3. Results
3.1. Characteristics of Subjects
3.2. Therapeutic Effect of Custom Neck Collar without and with Negative Sensory Feedback on Torticollis Angle
3.3. Impact of Characteristics on Treatment Effect
3.4. Treatment Satisfaction
3.5. Adverse Events
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variables | Mean ± SD | |
---|---|---|
Age (months) | 63.95 ± 13.44 | |
Baseline torticollis angle | 17.6 ± 5.65 | |
N (%) | ||
Gender | Male | 11 (55.0) |
Female | 9 (45.0) | |
Side of lesion | Right | 12 (60.0) |
Left | 8 (40.0) | |
Diagnosis | Postural torticollis | 11 (55.0) |
Postoperative state of ocular torticollis | 5 (25.0) | |
Postoperative state of congenital muscular torticollis | 4 (20.0) |
Diagnosis | Baseline Angle (Mean ± SD) | Angle at End of Stage 1 (Mean ± SD) | Angle at End of Stage 2 (Mean ± SD) | SS | df | MS | Χ2 | p |
---|---|---|---|---|---|---|---|---|
PSCMT | 18.75 ± 4.79 | 14.75 ± 3.77 | 6.75 ± 5.38 | 27 | 2 | 13.5 | 8.000 | 0.018 * |
PSOT | 15.60 ± 5.18 | 12.80 ± 2.77 | 6.40 ± 3.51 | 75 | 2 | 37.5 | 7.600 | 0.022 * |
PT | 18.09 ± 6.35 | 14.55 ± 4.03 | 5.55 ± 3.39 | 1056 | 2 | 528 | 21.140 | 0.000 * |
Variables | Improvement in Neck Angle | |
---|---|---|
r-Value | p-Value | |
Age when starting treatment (months) | 0.026 | 0.915 |
Baseline neck angle (°) | 0.751 | 0.000 * |
Gender | 0.292 | 0.211 |
Side of tilt | 2.216 | 0.361 |
Diagnosis | −0.081 | 0.736 |
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Yoon, J.; Yun, R.; Huh, S.; Baik, J.; Lee, J.M.; Kim, S.-Y. Clinical Application of Custom Neck Collar with Negative Sensory Feedback in Children with Intractable Torticollis. Children 2024, 11, 1001. https://doi.org/10.3390/children11081001
Yoon J, Yun R, Huh S, Baik J, Lee JM, Kim S-Y. Clinical Application of Custom Neck Collar with Negative Sensory Feedback in Children with Intractable Torticollis. Children. 2024; 11(8):1001. https://doi.org/10.3390/children11081001
Chicago/Turabian StyleYoon, Jeewon, Rayu Yun, Sungchul Huh, Jisoo Baik, Jae Meen Lee, and Soo-Yeon Kim. 2024. "Clinical Application of Custom Neck Collar with Negative Sensory Feedback in Children with Intractable Torticollis" Children 11, no. 8: 1001. https://doi.org/10.3390/children11081001