Yoon Jeewon, Yun Rayu, Huh Sungchul, Baik Jisoo, Lee Jae Meen, Kim Soo-Yeon
Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Yangsan 50612, Republic of Korea.
Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Republic of Korea.
Children (Basel). 2024 Aug 16;11(8):1001. doi: 10.3390/children11081001.
BACKGROUND/OBJECTIVES: 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.
背景/目的：本研究旨在探讨一种具有负向感觉反馈的定制颈托对先前保守治疗或手术治疗无效的斜颈的治疗效果。
24名被诊断为难治性或顽固性斜颈的儿童纳入了这项两阶段单臂研究。矫形器的同侧高度可调，旨在为倾斜侧的锁骨和下颌角之间提供支撑。在第1阶段（调整期），应用表面光滑的矫形器，每天佩戴2小时，持续3个月。在第2阶段，在颈托上附着带有钩环扣（维可牢尼龙搭扣）的粗糙表面，每天再佩戴2小时，持续3个月。分析纳入了20名儿童（平均年龄63.95±13.44个月）。
基线时平均斜颈角度为17.60±5.65°（平均值±标准差）；第1阶段结束后直接测量为14.15±3.62°；第2阶段结束后直接测量为6.00±3.67°（X = 36.685，自由度 = 19，P = 0.000）。
本研究证明了一种新型触觉反馈矫形器治疗儿童斜颈的可行性、治疗效果和安全性。使用具有负向感觉反馈的定制颈托可能是治疗未解决或顽固性斜颈的一种可行治疗选择。
