{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T05:21:43Z","timestamp":1781932903911,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,2,22]],"date-time":"2019-02-22T00:00:00Z","timestamp":1550793600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Dropped head syndrome is a potential late neurologic complication of radiation therapy in survivors of Hodgkin lymphoma. There is limited evidence for conservative management of this condition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To discover patient utilization patterns of the commonly prescribed Headmaster Collar (cervical) in Hodgkin lymphoma survivors with radiation\u2010induced dropped head syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Questionnaire\u2010based retrospective observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Single\u2010site academic cancer center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>Twenty\u2010six Hodgkin lymphoma survivors treated with radiation therapy involving the mantle who were prescribed a Headmaster Collar for dropped head syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods or Interventions<\/jats:title><jats:p>Patients were interviewed by phone with a structured set of questions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>Compliance, patterns of use, individual modifications, and side effects of collar use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Although 58% of patients who were prescribed a Headmaster Collar eventually discontinued its use, 62% of all patients used the collar for more than 6 months. The majority of users wore the collar for up to 3 hours per day, usually for static seated activities. Thirty\u2010eight percent of patients made personal modifications to their collar, most commonly the addition of extra padding. All but one patient had complaints about the collar, most commonly discomfort, rigidity, and confinement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The Headmaster Collar (cervical) is often utilized for a few hours a day, for longer than 6 months, to help with static seated activities. Insights from this study might help to improve future orthotic designs with better long\u2010term compliance rates for the treatment of radiation\u2010induced dropped head syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>IV<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12010","type":"journal-article","created":{"date-parts":[[2019,2,26]],"date-time":"2019-02-26T01:56:54Z","timestamp":1551146214000},"page":"939-943","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The Role of the Headmaster Collar (Cervical) for Dropped Head Syndrome in Hodgkin Lymphoma Survivors"],"prefix":"10.1002","volume":"11","author":[{"given":"Arum","family":"Kim","sequence":"first","affiliation":[{"name":"Clinical Instructor of Hematology\u2010Oncology, Geriatric\u2010Palliative Medicine, and Rehabilitation Medicine New York University School of Medicine, New York University Langone Medical Center, New York University Perlmutter Cancer Center, Rusk Institute of Rehabilitation Medicine  160 East 34th Street, New York NY 10016"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D.","family":"Stubblefield","sequence":"additional","affiliation":[{"name":"Medical Director of Cancer Rehabilitation, Kessler Institute for Rehabilitation National Medical Director, ReVital Cancer Rehabilitation, 1199 Pleasant Valley Way  West Orange NJ 07052"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2014-05-579193"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6602974"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","unstructured":"Morgan GW Freeman AP McLean RG Jarvie BH Giles RW.Late cardiac thyroid and pulmonary sequelae of mantle radiotherapy for Hodgkin's disease.Int J Radiat Oncol Biol Phys. 1985;11(11):1925\u20101931.","DOI":"10.1016\/0360-3016(85)90273-1"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20623"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2010.11.064"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.74.5.683"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1267104"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e31815b6712"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rpor.2013.07.007"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","unstructured":"Petheram TG Hourigan PG Emran IM Weatherley CR. 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