What is the trench collar for newborns prescribed? How to choose the right trench collar for newborns. Description of the Shants collar for a child

16.09.2023

An orthopedic neck collar for children can often be useful for prevention and treatment from birth. In children, the musculoskeletal system has a very fragile structure, and the most traumatic is the cervical region. In the article, we will look at the cases in which orthopedic neck accessories are used for children, get acquainted with their types, discuss how to choose, take measurements, find out what complications may arise during use, and get acquainted with the rules of wearing and care.

The cases of need to use orthoses are very diverse:

difficult childbirth (damage to the cervical spine);
increased excitability;
sprain, weakness and underdeveloped muscles (torticollis, Klippel-Feil syndrome - short neck);
congenital curvature of the vertebrae (scoliosis in the cervical spine);
sports injuries (somersaults, diving and much more);
household injuries with dislocations, subluxations, cracks, displacement of vertebrae as a result of an accident;
severe paralysis, paresis;
pathological processes (hernias);
postoperative period.

Indications for use:

fixing the correct position by limiting head movements;
reducing pressure on the vertebrae;
eliminating overstrain of muscles and ligaments, evenly distributing the load, relieving pain (for performing exercises);
normalization of full blood flow.

If the cervical spine is damaged, it is necessary to limit mobility in order to quickly restore impaired spinal functions and reduce the load on the muscles and vertebrae.

Types of collars and their properties

Orthopedic devices are hard and soft

Soft types

Soft or cervical collars are flexible, made of polyurethane foam, foam rubber, hypoallergenic, covered with soft fabric. There is a small notch made under the chin, which limits movement, prevents you from lowering your head too much and turning it to the side, and is secured with Velcro. Soft splints have a warming effect and a slight micro-massage.

Their main task is to evenly distribute the load in the cervical spine in order to relax, relieve tension and pain.

Convenient to use for long-term activities in a sitting position (lessons, computer, for adults during hard work, long trips while driving).
For injuries with muscle strain and minor displacement of the vertebrae.
Infants and infants are prescribed only mild types.

Hard types

Rigid structures made of thermoplastic polyethylene foam, made of soft plastic. They have submandibular and posterior supports for complete fixation of the cervical spine. Causes slight discomfort.

The main task is to fix the cervical spine in the correct position.

Used after cervical spine surgery,
after fractures, dislocations;
with torticollis, cervical scoliosis.

size table

Age	Height in cm	Length in cm
Premature (up to 28 days)	2,7	28
Newborn (1 month)	3,7	32
Infant (up to 1 year)	4	33
Children's short	5,5; 6,5; 7,5	36
Children's long	5,5; 6,5; 7,5	42
Adult	7,5; 9; 10; 11	53

Orthopedic neck collar for children, general recommendations

How to choose

The doctor recommends how to choose the right orthosis for a child, in accordance with individual sizes. Dimensions are determined by the length and girth of the neck.

How to make two measurements?

Height: keep your head straight, measured from the collarbone to the chin.
Volume: neck circumference.

To ensure that all the measurements are correct, we determine how the product “fits.”

In front, the upper edge touches the lower jaw, and the lower edge rests on the chest, resting on both collarbones;
At the back, the upper edge supports the base of the skull, the lower edge covers the seventh cervical vertebra.
The head looks straight, it cannot be tilted, tilted back, or turned to the sides.
It is tightened so that an adult’s finger fits between the neck and collar.

Taking into account all the points, only in this case the collar is chosen correctly.

How much to wear

Place on clean, dry skin, preferably after a light massage.

How long to wear the product during treatment is determined by indications only by the doctor.

Wearing rules

Rigid type structures are used from a few minutes to 24 hours in a row.
It is recommended to wear the Shants splint for three hours, followed by a half-hour or hour break.
The duration of wearing the product is gradually increased, in accordance with the doctor’s recommendations.
As you recover, it is also reduced gradually.

My son suffered a cervical vertebra injury with nerve damage, he does not have the 7th cervical vertebra, a construction was installed. The doctor didn't start the surgery until I had purchased a hard collar and it was worn in the operating room. For almost three months they were not allowed to take it off, then for two months they wore Shantz’s soft collar and gradually lost the habit. But this is our case, it is very complicated.

How to care

Caring for orthopedic products is simple.

Soft, hand wash with powder, rub dirty areas with a brush, do not wring out, dry flat, first wrap in a towel to remove moisture.
Wipe hard with soapy water, also use a brush.

Complications when wearing a collar

To avoid complete muscle atrophy in a child, you should regularly do a light massage in the form of stroking and rubbing. Regular visits to the doctor are necessary to monitor the condition. Also, special gymnastics is recommended for the neck muscles to avoid atrophy.
When using for a long time, take care of your child’s delicate skin to avoid irritation and abrasions.
Wash the product and wipe the skin more often.

Even healthy children sometimes need to unload their muscles; an orthopedic orthosis will help with this.

Despite the fact that after an injury he is now in a wheelchair, he has not lost himself, translates songs and pleases his fans.

Listen to this awesome cover performed by my son.

I’ll end the article here, if the material was useful, leave a comment.

Sustaining a cervical spine injury requires conservative treatment. The Shants collar for infants and newborns is indicated already at 1 month after birth. Depending on the material and size, the cost of the structure starts from 100 rubles.

What is a Shants collar

The design is a fixator, the task of which is to reduce the load on the cervical spine. The device provides optimal conditions for the restoration of damaged tissue. The soft frame prevents excessive neck rotation and flexion. Regular use of the Shants collar for newborns normalizes muscle tone and improves blood flow in the injured area.

Indications for use

A neck brace is indicated for children for permanent use, but only after a doctor’s prescription. This design is contraindicated for a healthy baby. This feature is associated with the absence of the need to unload the cervical spine. The use of an orthopedic collar will result in muscle atrophy. The tire has the following indications for use:

short neck syndrome;
hyperexcitability of the nervous system;
with torticollis in a newborn;
the presence of neurological symptoms after injury;
depression of the central nervous system;
motor disorders.

The lack of timely administration of the Shants collar for infants creates unfavorable conditions for development. Blood flow in the cervical spine is gradually impaired.

Attention! The first symptoms of dysfunction are restless sleep and weakened muscle tone.

Changes become the main reason for the defective development of the nervous system.

Shants collar with Velcro for fixing the cervical spine in newborns.

Types of orthopedic splints

When problems appear in the cervical spine, the child is in most cases prescribed a neck brace. Several types of collars have been developed. Parents of the baby should know why a certain type of tire is needed in order to purchase it on time and use it regularly. The following types of Shants collars are used on the neck:

soft;
semi-rigid;
hard.

When selecting, preference is given to the material that will contribute to the best therapeutic effect depending on the problem.

Soft collar

After a mild injury and with cervical myositis, a cervical bandage made of soft material is indicated. The foam splint is porous and elastic to ensure comfortable wearing. Externally, it is a wide strip, in which there is a recess designed for a comfortable position of the chin. The Shants collar is securely fixed using Velcro.

The orthopedic children's design allows the child to tilt the head to a limited extent, strengthens the vertebrae and prevents the formation of osteochondrosis.

Semi-rigid collar

The design of the presented type of tire does not differ from a soft tire. For this reason, it is important to know what the Schanz semi-rigid collar is for. The product provides a tight fit to the neck and limits rotation in the cervical spine. The dense material has metal inserts.

In addition! After receiving a severe spinal injury in the cervical region, the period of wearing a semi-rigid bandage is up to 1 year.

When worn every day, infants experience discomfort due to the manufacturing features. The fixator provides good traction and is often prescribed for cervical hernia in both children and adults. Parents are always interested in how long to wear a collar made of semi-rigid material. The duration of treatment usually does not exceed 1 month.

Shants hard collar for children.

Hard collar

The metal structure is intended for severe damage. The main indication is a fracture in the cervical spine. The bandage immovably fixes the spine of a month-old baby in a certain position. Complete immobilization creates conditions for the restoration of damaged tissue.

Inflatable tire

For mild diseases in the cervical spine, it is recommended to use the modern line of Shants collars - this is an inflatable model. It is convenient to wear, care and put on. When choosing a splint, infants do not experience any unpleasant sensations in the neck area after fixation.

The principle of operation is to pump air using a rubber bulb. The product provides gradual extension of the spine and increases the space between the articular surfaces.

Shants inflatable tire for newborns.

Sleeping and bathing with a Shants collar

Many parents are concerned about the problem of whether a child can sleep with a rigid neck brace and how long it will be necessary to wear it. It takes a long time to put the collar on and not take it off. Depending on the indications, the duration of treatment is 1 month. In some situations, it is possible to remove the structure while swimming for a few minutes. Sleeping with a splint applied is allowed, but the head should not be in a bent position in the cervical region.

Selection rules

According to the instructions for use, you need to select a collar for children under one year old according to size. At this age, they differ not only in height and weight, but also in neck length. Standard sizes for children. They are determined by measuring the distance between the lower jaw and the middle part of the collarbone.

The child's size must match the measurements taken. A neck brace for a newborn varies between 3-5 cm. If the parameter is larger or smaller than an orthopedic splint, then reliable fixation will not occur.

Putting on the retainer

The duration of treatment and its safety will depend on how to put the splint on the baby. The doctor must first familiarize parents with all the rules for use. To avoid problems after purchasing a Shants collar, you need to watch how to put it on in the video.

In case of slight damage to the cervical spine, it is enough to use the following instructions on how to select a bandage for your child and secure it:

Place the child on a hard surface without a pillow (couch, sofa).
Attach the purchased retainer to the baby’s neck.
The recess intended for the chin should be located under it.
The clasp of the bandage on the cervical spine is at the back.

Even knowing how to put it on, at the end they check the correctness of the listed points. There should be a free area of 1.5 cm between the collar and neck. If it is tightly secured, headaches, dizziness or difficulty breathing may occur.

Product care

Following the instructions on how to wear the collar correctly will ensure its long service life. Additionally, the orthopedic product requires proper care. Depending on the severity, sometimes the time frame extends up to a year. The following applies:

The surface of the collar is wiped daily with antibacterial wipes. After complete drying, it is allowed to be worn.
Machine wash prohibited. Only manual application using cool water is allowed.
Drying the tire is carried out in a straightened form, excluding exposure to sunlight and any heat sources.

Contraindications for use

The orthopedic product, despite the need for use in many injuries of the cervical spine, has a number of limitations. These include:

irritation, peeling on the skin of the neck where the collar is fixed;
severe instability that requires complete immobilization of the cervical spine.

If any of the above points are present, the wearing period is shortened or it is not used at all.

Product cost

The material that provides easy maintenance, the long service life of the product and the manufacturer determine how much the structure will cost.

Comparative table of Shants collars for children.

Sometimes childbirth occurs with complications, as a result of which children may experience various pathologies, in particular, torticollis. Such a defect can cause various health problems. Painful sensations when tilting the head are far from the only manifestation of pathology.

Without treatment, facial deformation is possible. In this case, the baby will remain disabled for life. The Shants collar for newborns is the ideal solution to the problem. Thanks to this device, you will be able to eliminate congenital pathology in a child.

The Shants collar for infants helps to fix and stabilize the vertebrae of the neck, unload the neck muscles and ligaments, improve the functioning of the neuromuscular system, improve blood supply to the brain, as well as normalize the basic functions of the affected cervical spine.

Description of the Shants collar for a child

The Shants children's collar is a fixator for the cervical spine, helping to eliminate the load on the neck and normalize the functioning of this area. There is a collar for both children and.

The Shants collar for a child plays a huge role in improving the functioning of the neck and normalizing blood flow to the brain. The product provides favorable conditions for further proper development.

The orthopedic collar is made of foam rubber and equipped with Velcro on both sides, thanks to which you can adjust the volume of the device. Outwardly, it is similar to a collar. A specialist is responsible for prescribing the splint, since muscle atrophy develops if chosen and used incorrectly. In this case, due to weak muscles, by two months the baby will not be able to hold his head. You can wear the collar for up to a year.

Indications for use of the device

The product is multifunctional and suitable for children of all ages. It is recommended to wear a collar if you have:

movement disorders;
hyperexcitability;
complications of the central nervous system during pathological childbirth or pregnancy;
torticollis;
short neck syndrome.

Only a doctor can choose the right collar. When selecting, the age, height and weight of the child should be taken into account. It is preferable to buy the product in specialized stores. An incorrectly selected device can harm the baby.

A correctly chosen collar helps to correct the neck, has a dry heat effect, micromassage and slight stretching properties.

Shants collar: varieties

There are retainers for adults and for children. Osteochondrosis of the cervical spine, migraines, subluxations of the upper vertebrae are the main indications for wearing a collar for adults. He can be:

soft;
with rigid fixation;
medium hard.

The choice of a retainer for a small child must be approached responsibly. Before purchasing a splint, measure the distance between the lower jaw and the angle of its middle part. For newborns, the ideal height is three to five centimeters.

A collar that is too short will pull to the side, and a collar that is too long will not serve its purpose. And, as a result, the treatment will be ineffective, on the contrary, it will bring even more problems.

The instructions for putting on the device are simple. Ideally, a doctor should teach you this.

Install the clamp so that the cutout is clearly under the baby's chin.
The tire is fastened at the back (using Velcro).
After putting it on, check that the fastener is installed correctly. The distance between the tire and the skin should be one centimeter.
The length of time the child needs to wear the collar is determined by the doctor. This could be half an hour, a day or even a year.

The device should not interfere or cause discomfort. It is more correct to wear it after therapeutic exercises. In addition, do not forget to keep it clean. Before putting on the Shants collar, be sure to treat your child's skin.

If irritation, rash and redness appear, the retainer is removed and not put on until the symptoms disappear. Because of this, therapy may be delayed. But this rarely happens. As a rule, it is recommended to wear the product for no more than two months.

The orthopedic product can only be removed while swimming. After a course of therapy, you should not rush to remove the collar. Let your child wear it for several hours over two to three days. This way you will be able to consolidate the result.

You should not use homemade devices, as this will only harm the child and injure fragile vertebrae. In such devices it is almost impossible to calculate the force of impact, which can cause damage to the spinal cord.

Since the device is constantly in close contact with the skin, sometimes you have to use it for up to a year. In order for it to serve you for a long time, you need to properly care for it. Otherwise, it may cause irritation or simply become unusable.

Maintenance must be regular.
The device can only be washed by hand and only in cold water.
Drying the collar on a radiator or other heat source is prohibited.
The product should be dried flat.

Following the above tips will help extend the life of the product.

Shants collar price

Approximate tire prices:

collar with semi-rigid fixation for an adult - 220 rubles;
collar for children up to one year 5N6-53 - 300 rubles;
device with rigid fixation - 990 rubles;
orthopedic splint for children OV-003, OV-004 - 250 rubles;
orthopedic neck bandage A310 - 200 rubles;
neck brace for newborns F300 -200 rubles;
neck brace with high back part ORTEX 015 -1400 rubles.

The Shants collar for newborns, the cost of which will depend on the manufacturer, material, size, is an effective remedy that helps cure pathologies, in particular torticollis.

Despite the difficulties in caring for a baby when using a bandage, the positive therapeutic effect significantly prevails. Most parents do not follow the recommendations for using a therapeutic collar, or, even worse, refuse to wear it, limiting the baby to massage procedures only.

Improper treatment of cervical diseases can subsequently cause the development of serious complications - chronic, further progression of torticollis, etc.

Self-medication and the use of homemade devices are strictly not recommended. Remember: only a qualified specialist can select the correct device.

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During difficult, protracted labor there are complications.

Moreover, in frequent cases it is observed injury to the cervical spine of a newborn during the delivery process.

In such cases, the neonatologist prescribes an orthopedic collar called the “Schants collar” to the newly born baby.

It is prescribed when it is necessary to limit movement in the neck area for a certain period of time, fixing it in a favorable physiological position.

What does Shants' collar look like?

The device is a fixator for the cervical spine, which relieves stress on the neck and performs a restorative function for this part of the body.

Used for adults and children, including newborns.

It plays a big role in normalizing the cervical spine, helping to improve blood flow to the brain, and providing favorable conditions for the further normal development of the baby.

The orthopedic collar is a circle of foam rubber with Velcro at the ends.

The latter allow you to adjust the volume of the tire. It is soft and wavy in shape.

Looks like a collar.

Only a doctor prescribes a splint. If used incorrectly and not as directed, it can lead to unwanted muscle tissue atrophy.

As a result, by the age of 2 months, the child will not be able to hold his head up due to weak muscles.

Despite the fact that the collar is called “for newborns”, wear it for up to six months, and sometimes up to a year.

When can a doctor prescribe the use of a collar?

For newborns, the Shants collar is used for the following serious health problems:

movement disorders;
depression of the central nervous system;
complications of the central nervous system in the pathology of childbirth and pregnancy;
short neck syndrome;
torticollis;
hyperexcitability.

The Shants collar is selected taking into account the age, weight and size of the child.

It is best to contact a specialized orthopedic store, where there is a wide selection of this device and consultants will be able to select the necessary collar, taking into account all the characteristics of the child.

An incorrectly selected collar or its incorrect position will not give the desired effect and will only harm a small child.

Types of orthopedic collars

Shants collars are available for adults and children. Adults are recommended to wear it for cervical osteochondrosis, frequent headaches, and subluxations of the upper vertebrae.

They are worn the same way, despite the fact that they are different in appearance and size.

There are the following types of Shants collars:

orthopedic collar with rigid fixation;
orthopedic collar of medium hardness;
soft orthopedic collar.

It is made from medical foam rubber or porous synthetic material. Has elastic-elastic properties. The top is covered with fabric and sometimes comes with a protective cover.

TO Contraindications to wearing a Shants collar include severe unstable condition in the cervical spine and various dermatological diseases.

How to choose a tire size for newborns?

For babies, the collar should be selected according to size.

After all, babies differ in weight, and everyone’s neck length is different.

Before buying such a tire, you should definitely measure the distance between the angle of the middle part of the clavicle and the lower jaw.

For a newborn, the collar height should be 3-5 centimeters.

A tire that is too short can constantly stray to the side, and a tire that is too long will not be able to fulfill all its direct responsibilities.

The therapy will be ineffective, since it will not solve problems with the cervical spine, but will only add to them.

Therefore, the choice of an orthopedic collar should be approached responsibly.

How to put on a Shants collar correctly: brief instructions

The process of putting on a medical collar and how to wear it should be shown by a doctor. If this is not possible, the following points will help to properly put the splint on the child:

The splint should be installed with a cutout on top under the chin;
the clasp fastens at the back;
Be sure to check that the collar is installed correctly: the distance between it and the skin should be 1-1.5 cm wide.

First, the collar is applied to the neck so that the convex part of it is located directly under the child’s chin. The splint is then wrapped around the neck and secured with Velcro.

The time that the collar is worn should be determined by the doctor, that is, as much as he prescribed, that’s how much you need to wear.

It could be from 10 minutes to 24 hours or from a week to six months.

It should not disturb or disturb the baby. It is best to put on a collar after physical therapy or after a massage - the positive effect will only increase.

It should always be clean, and the child’s skin should be treated and not irritated.

If the child's skin is red and irritated, the collar is removed and not put on until the skin calms down. As a result, treatment may be delayed for an unforeseen period.

Most often, such a collar is put on immediately after birth and worn for 1 month.

You should wear it constantly, taking it off only when swimming. After the period of use of the collar has expired, children are recommended to wear it for several more days, 2-4 hours a day, to consolidate the results.

Features of caring for a Shants collar for children

This device requires constant maintenance, it should always be kept clean. Wash the collar by hand and dry it flat and away from a heat source.

Washing in washing machines is prohibited; drying in dryers is also prohibited.