February 1, 2024

TOT collar: What is it and When it is Appropriate to Use?

A TOT collar is a device used to correct torticollis, often in addition to physical therapy. Next, you may be asking “what is torticollis?”

A TOT collar is a device used to correct torticollis, often in addition to physical therapy. Next, you may be asking “what is torticollis?” Torticollis, often referred to “wryneck” is a tightening or shortening of the sternocleidomastoid muscle in the neck. Infants with torticollis will likely present with a head tilt to one side, and chin rotated to the other side. Congenital muscular torticollis is usually recognized in the first 6 to 8 weeks of life. With physical therapy, it is correctible in over 90% of cases.

However, if left untreated, can lead to scoliosis, plagiocephaly (head flattening) and asymmetry with gross motor milestones.

If the child has a head tilt of 5 degrees or more and can lift his or her head away from the side of the head tilt, a TOT collar can be used, in addition to physical therapy, to help correct torticollis. The TOT collar is made of soft tubing and nylon tubes. The tubing is then fastened with a connecting strap.

The basis of the TOT collar is to have a stimulus to the side of the head tilt so that the child will be able to move his or her head away from the stimulus toward a midline head position.

Early intervention is key when treating torticollis. If you or your pediatrician see flattening on one side of your infants skull and notice that they are looking to one side, make sure to see a physical therapist for treatment.

Download our Guide for Families

We know that choosing a local ABA facility can be a hard decision. We’ve created an informational guide to help you understand more about the questions you should be asking while meeting with different providers.

Although we talk about our services here, our highest goal is for you to feel comfortable and knowledgeable about picking a provider that is the best fit for your needs. You are making a decision that will impact the entire trajectory of your child’s life!
Oops! Something went wrong while submitting the form.
The cover of the NSPT Guide for Families, which helps families to figure out the questions to ask when picking an ABA provider.

Continue Reading


Why we do what we do.
Success looks different for every child... But we bet we have a story that matches your child's needs. Like James, who started with us as non-verbal and lacking the ability to initiate and maintain social interactions. Today, he can speak complete sentences, clearly state his needs, and navigate social interactions with his friends!

Contact us to get started

  • 1
    Submit an inquiry form
    Completing this secure form helps us understand how we can serve you.
  • 2
    We'll reach out to you!
    One of our dedicated team members will connect with you to discuss services, your insurance benefits, and your family’s needs.
  • 3
    Paperwork & insurance
    We'll review and confirm your insurance benefits, and we'll work with you to gather additional paperwork required and discuss financial expectations based on insurance.
  • 4
    Treatment personalization
    We'll schedule an assessment date for your child with one of our clinicians. This assessment will serve as the basis for your child’s personalized treatment plan. After, we'll meet to discuss recommendations and your child’s treatment plan and start date.
  • 5
    Start making progress!
    We will greet and welcome your child to our warm and supportive environment where our staff will provide 1-on-1 care to meet our treatment goals.