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Support AM-KOL-01

Orteza AM-KOL-01


Dropped head syndrome

Dropped Head Syndrome, also known as Floppy Head Syndrome and Head Ptosis,  is characterized by severe weakness of the muscles of the back of the neck. This causes  the chin to rest on the chest in standing or sitting. The other disease, but with similar symptoms, is  isolated neck extensor myopathy (INEM).

The reasons of Dropped Head Syndrome are mainly neurological and are caused by a specific generalized neuromuscular diagnosis such as amyotrophic lateral sclerosis (ALS) also known as Lou Gehrig’s disease. In 1981-2000, electrophysiological and clinic tests showed that 1,3% of 683 patients with SLA suffers from Dropped Head Syndrome.
What’s more, floppy head occurs also in Parkinson’s disease, myasthenia gravis, polymyositis, genetic myopathies or cancer.

Dropped head occurs in a lot of diseases and reduces daily quality of life. The symptoms of the condition are usually painless. Because of the weakness of the extensors of the neck, the chin rests on the chest. Lifting or raising the head in sitting or standing is impossible. The floppy head causes cervical hyperlordosis and over stretching or pinching of the spinal cord. When this happens, the patient can feel weakness and numbness of the arms or entire body. Dropped head syndrome can also cause physiological difficulty such as swallowing, speaking and breathing.

The surgery treatment isn’t recommended, because of the risk of scar adhesions and other side effects in the spine area. The most common treatment option is rehabilitation. The best solution for non-surgical but supportive treatment is our support system for head control AM-KOL-01. This corrects the chin-on-chest deformity and improves the forward gaze and activities of daily living.

Product’s description

Our Dropped Head Syndrome Support System for Head Control AM-KOL-01 helps the weak muscles and allows the patient to keep his head in a more upright as well as comfortable posture. The patient can breathe, speak and swallow better. It improves his forward gaze what reduces the risk of injury from fall. What’s more, is limits the neck lordosis what reduces uncomfortable pain and numbness.
Our head dropped support improves the body posture and daily comfort.

It’s made of soft orthopaedic rubber. The support lays on the forehead and goes down under armpits to chest. This innovative construction maintains the head in upright position without any patient’s effort.
The compensation range is adjusted by belt’s length adjustment. The forehead part of the support is equipped with silicone inserts preventing against the movine and slipping the brace down.


Our floppy head support was created under the Reh4Mat rule called MiniMax (minimum device, maximum effect). This is almost invisible under the clothing and cap and increases the patient’s socialization.

Because of adjustment, the dropped head syndrome support system is universal size.

AirRubber III has unidirectional elasticity. It can be stretched, increasing the length, not width, what improves compression. Between the braids air flows freely and skin can breathe. In addition in high compression, these rubber braids provide a gentle massage for skin. Our orthopedic rubber is very friendly for skin.

Purpose of use

- Dropped Head Syndrome (Flopped Head Syndrome, Head Ptosis)
- Isolated neck extensor myopathy (INEM)


1. Parkinson J. An essay on the shaking palsy. Sherwood, Whittingham and Rowland, London 1817.
2. Gowers WR. A manual of diseases of the nervous system. 2nd edition. Blakiston, Son & Co. Philadelphia 1893.
3. Gerlier F. Une Épidémie de vertige paralysant. Rev Med Suisse Romande 188;7:5-29.
4. Miura K. Űber Kubisagari, eine in den nördlichen Provizen Japan endemische Krankheit (Gerlier’ssche Krankenheit, vertige paralysant, vertige ptortque). Mittheit Med Fac Kaiserl-Japan Univ Tokio 1887; 3: 259-319.
5. Katz AL, Pate D. Floppy head syndrome. Arthritis Rheum 1980; 23 (1): 131-132.
6. Nakao N, Sahashi K, Takahashi M, et al. Clinical and neuropathological features of a neurodegenerative disorder in the central nervous system with progressive head drooping (Kubisagari). Acta Neuropathol 1995; 90 (2): 208-212.
7. Gourie-Devi M, Nalini A, Sandhya S. Early or late appearance of “dropped head syndrome” in amyotrophic lateral sclerosis. J Neurol Neurosurg Psychiatry 2003; 74 (5): 683-686.
8. Uemura M, Kosaka T, Shimohata T, et al. Dropped head syndrome in amyotrophic lateral sclerosis. Amyotroph Lateral Scler 2012;
9. Czell D, Weber M. The head-up-orthosis – a good solution for ambulant patients with Dropped-headsyndrome.
Praxis (Bern 1994) 2012; 101 (23): 1499-1502.


The product is not offered for sell in the territory of United States of America


Code AM-KOL-01

CEMedical products class 1 – conforming the directive of the Board (93/42/EWG) concerning medical products. Producer of orthopedic and medical products, firma REH4MAT issued appropriate EC declaration of conformity.