Objective: The soft cervical collar has been prescribed for whiplash injury but has been shown to be clinically ineffective. As some authors report superior results for managing whiplash injury with a cervical brace, we were interested in comparing the mechanical effectiveness of the soft collar with a rigid cervical brace. Therefore, the purpose of this study was to measure ranges of motion in subjects without neck pain using a soft cervical collar and a rigid brace compared with no orthosis.
Methods: Fifty healthy subjects (no neck or shoulder pain) aged 22 to 67 years were recruited for this study. Neck movement was measured using a cervical range of motion goniometer. Active flexion, extension, right and left lateral flexion, and right and left rotation were assessed in each subject under 3 conditions: no collar, a soft collar, and a rigid cervical brace.
Results: The soft collar and rigid brace reduced neck movement compared with no brace or collar, but the cervical brace was more effective at reducing motion. The soft collar reduced movement on average by 17.4%; and the cervical brace, by 62.9%. The effect of the orthoses was not affected by age, although older subjects had stiffer necks.
Conclusion: Based on the data of the 50 subjects presented in this study, the soft cervical collar did not adequately immobilize the cervical spine.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jmpt.2010.12.007 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Postoperative Rigid Cervical Collar Causing a Marginal Mandibular Branch of Facial Nerve Palsy: A Case Report.
JBJS Case Connect
October 2024
Department of Spine Surgery, Hospital for Special Surgery, New York, New York.
Case: We present a marginal mandibular branch of the facial nerve palsy that occurred in a 55-year-old woman from external compression of a rigid cervical collar. This nerve palsy occurred after less than 24 hours of collar utilization and was treated conservatively with delayed recovery.
Conclusion: A marginal mandibular branch of the facial nerve palsy is a rare complication of cervical collar usage with only 1 other documented case in the literature.
Mechanical Strength of Additive Manufactured and Standard Polymeric Components Joined Through Structural Adhesives.
Polymers (Basel)
October 2024
Department of Science and Methods for Engineering, University of Modena and Reggio Emilia, Via G. Amendola 2-Pad. Buccola, 42122 Reggio Emilia, Italy.
The main aim of this work is to evaluate the mechanical properties of additive manufactured polymeric parts joined with standard plastic parts through structural adhesives. The primary advantage of this technique is its ability to significantly increase the size of the final assembly by using additive manufacturing (AM) for complex joints and inexpensive, reliable extruded plastic parts for load-bearing components. This hybrid assembly combines the flexibility and shape adaptability of AM with the structural strength and cost-effectiveness of extruded polymer parts, resulting in a final design that performs comparably to the base material.
View Article and Find Full Text PDFComparison of Glisson traction, soft or rigid cervical collars for the treatment of acute atlantoaxial rotatory subluxation in children: a retrospective study.
Sci Rep
October 2024
Department of Orthopaedic Surgery, Henan Children's Hospital, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Children's Hospital, Zhengzhou, Henan, China.
Article Synopsis
- The study analyzed the effectiveness of three conservative therapies—Glisson traction, soft cervical collar, and rigid cervical collar—in treating children with acute atlantoaxial rotatory subluxation over a 5-year period.
- Success rates at the end of treatment were high across all groups: Glisson traction (94.59%), soft collar (83.64%), and rigid collar (92.31%), with no significant differences among them.
- Overall scores for clinical outcomes were similar, with no significant variations, suggesting that while all therapies are effective, cervical collars are preferred for outpatient use and rigid collars may offer better immobilization.
Odontoid fractures in the pediatric population: a systematic review and management algorithm.
J Child Orthop
October 2024
Department of Orthopedic Surgery, Boston Children's Hospital, Boston MA, USA.
Purpose: The management of odontoid fractures in adult patients has been widely described. However, there is sparse literature about this injury in the pediatric population. This study aimed to review published literature regarding the management and outcomes of pediatric odontoid fractures to develop a stepwise treatment algorithm.
View Article and Find Full Text PDF[Transport of severely injured trauma patients in an ambulance with and without a rigid neck orthosis: comparative biomechanical measurements].
Anaesthesiologie
October 2024
Abteilung für Krankenhaushygiene und Infektiologie, Universitätsklinikum Regensburg, Regensburg, Deutschland.
Article Synopsis
- The significance of prehospital cervical spine immobilization in trauma patients is debated, especially due to potential negative effects like increased intracranial pressure, necessitating further research on the long-term use of rigid orthoses.
- A study was conducted comparing cervical spine mobility when using a vacuum mattress with and without a rigid orthosis during simulated emergency transport in an ambulance.
- Results showed statistically significant differences in biomechanical parameters, indicating that the use of a rigid orthosis may impact cervical spine movement during transport, but further investigation is needed to draw firm conclusions.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!