A Comparison of Neck Movement in the Soft Cervical Collar and Rigid Cervical Brace in Healthy Subjects

Whitcroft, Katherine L.; Massouh, Laura; Amirfeyz, Rouin; Bannister, G.C.

doi:10.1016/j.jmpt.2010.12.007

Cited by 29 publications

(22 citation statements)

References 21 publications

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“…The results of this study indicated that soft and rigid collars both limited head and neck ROM. This result is similar to those of previous studies [ 3 10 ].…”

Section: Discussionsupporting

confidence: 93%

“…Due to the variety of methods used to measure ROM, it is difficult to compare our results with those of other studies. However, our results were similar to those reported by some previous studies [ 3 7 8 9 ].…”

Section: Discussionsupporting

confidence: 93%

“…Cervical collars are generally divided into two groups: soft and rigid collars. Routinely, soft collars are prescribed for whiplash injury; however, some studies have suggested the use of rigid collars [ 2 3 ]. The primary function of cervical collars is to immobilize the cervical spine [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Soft and Rigid Cervical Collars on Head and Neck Immobilization in Healthy Subjects

et al. 2017

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Study DesignWhiplash injury is a prevalent and often destructive injury of the cervical column, which can lead to serious neck pain. Many approaches have been suggested for the treatment of whiplash injury, including anti-inflammatory drugs, manipulation, supervised exercise, and cervical collars. Cervical collars are generally divided into two groups: soft and rigid collars.PurposeThe present study aimed to compare the effect of soft and rigid cervical collars on immobilizing head and neck motion.Overview of LiteratureMany studies have investigated the effect of collars on neck motion. Rigid collars have been shown to provide more immobilization in the sagittal and transverse planes compared with soft collars. However, according to some studies, soft and rigid collars provide the same range of motion in the frontal plane.MethodsTwenty-nine healthy subjects aged 18–26 participated in this study. Data were collected using a three-dimensional motion analysis system and six infrared cameras. Eight markers, weighing 4.4 g and thickened 2 cm2 were used to record kinematic data. According to the normality of the data, a paired t-test was used for statistical analyses. The level of significance was set at α=0.01.ResultsAll motion significantly decreased when subjects used soft collars (p<0.01). According to the obtained data, flexion and lateral rotation experienced the maximum (39%) and minimum (11%) immobilization in all six motions using soft collars. Rigid collars caused maximum immobilization in flexion (59%) and minimum immobilization in the lateral rotation (18%) and limited all motion much more than the soft collar.ConclusionsThis study showed that different cervical collars have different effects on neck motion. Rigid and soft cervical collars used in the present study limited the neck motion in both directions. Rigid collars contributed to significantly more immobilization in all directions.

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“…The results of this study indicated that soft and rigid collars both limited head and neck ROM. This result is similar to those of previous studies [ 3 10 ].…”

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

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The Effect of Soft and Rigid Cervical Collars on Head and Neck Immobilization in Healthy Subjects

et al. 2017

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“…Although the soft collar did not provide adequate immobilization of the cervical spine, [12] we used the soft collar for resting the cervical spine muscle postoperatively. After discharge from the hospital, the patients were encouraged to engage in range-of-motion exercises of the cervical spine as permitted by wound pain.…”

Section: Methodsmentioning

confidence: 99%

Union Rate on Hinge Side after Open-Door Laminoplasty Using Maxillofacial Titanium Miniplate

Siribumrungwong

Kiriratnikom

Tangtrakulwanich

2013

Advances in Orthopedics

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Background. One of the important complications of open-door laminoplasty is a premature laminoplasty closure. In order to prevent premature laminoplasty closure many techniques have been described and a titanium miniplate is one of the instruments to maintain cervical canal expansion. This study was performed to evaluate the effectiveness of titanium miniplates on the union rate for open-door laminoplasty. Materials and Methods. We performed open-door laminoplasty in 68 levels of fourteen patients using maxillofacial titanium miniplates. Axial computed tomography scans were obtained at 6 months postoperatively to evaluate the union rates of the hinge side. The Japanese Orthopedic Association (JOA) score was used to compare the clinical outcomes before and after surgery. Results. Computed tomography scan data was available on 68 levels in 14 patients. There were no premature closures of the hinge or miniplate dislodgements. The union rate on the hinge side was 70.5% (48/68). The mean JOA score increased significantly from 7.0 before surgery to 10.2, 12.2, and 13.0 after surgery at 1, 3, and 6 months, respectively. Conclusion. Open-door laminoplasty using maxillofacial titanium miniplates can provide union rates comparable to other techniques. It can maintain canal expansion without failures, dislodgements, and premature closures.

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“…This lack of support can result in health professionals prescribing strong orthoses: these orthoses are developed for trauma scenarios and almost completely restrict head movement, pushing the jaw upwards. Strong orthoses have been reported to be extremely uncomfortable and have a negative effect on quality of life (Whitcroft et al 2011).…”

Section: Introductionmentioning

confidence: 99%

A comfort assessment of existing cervical orthoses

et al. 2017

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Purpose: identify location and intensity of discomfort experienced by healthy participants wearing cervical orthoses.Method: convenience sample of 34 healthy participants wore Stro II, Philadelphia, Headmaster, and AspenVista ® cervical orthoses for four-hour periods. Participants reported discomfort level (scale 0-6) and location.Results: participants reported mean discomfort for all orthoses over the four-hour test between 'a little discomfort' and 'very uncomfortable' (mean discomfort score=1.64, SD=1.50). Seven participants prematurely stopped tests due to pain and six reported maximum discomfort scores. Significant linear increase in discomfort with duration of wear was found for all orthoses. Significantly less discomfort was reported with Stro II than Headmaster and Philadelphia. Age correlated with greater perceived discomfort. Orthoses differed in the location discomfort was experienced. Conclusion: existing cervical orthoses cause discomfort influenced by designand duration of wear with orthoses' design the more significant factor. This work informed the design of a new orthosis and future orthoses developments.Keywords: comfort assessment; neck collar; neck support; Motor Neurone Disease; amyotrophic lateral sclerosis; neck weakness; assistive technology;Head-up; Headup Practitioner SummaryThe purpose of this study was to gain knowledge about discomfort caused by wearing existing neck orthoses in order to inform the design and development of a new neck orthosis. This study gathers empirical data from a surrogate population and concludes that orthosis design is more influential than the duration of wear.4

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A Comparison of Neck Movement in the Soft Cervical Collar and Rigid Cervical Brace in Healthy Subjects

Cited by 29 publications

References 21 publications

The Effect of Soft and Rigid Cervical Collars on Head and Neck Immobilization in Healthy Subjects

The Effect of Soft and Rigid Cervical Collars on Head and Neck Immobilization in Healthy Subjects

Union Rate on Hinge Side after Open-Door Laminoplasty Using Maxillofacial Titanium Miniplate

A comfort assessment of existing cervical orthoses

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