TOT Collar Use in Complex Case of Congenital Muscular Torticollis With Persistent Head Tilt

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.