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Designed with an extended hook and loop closure to ensure a proper fit. Medium density foam with contour design for restricted flexion. This softm foam cervical collar is covered with a 100% Black cotton. This collar, when properly positioned under the jaw.Partially unloads the cervical spine by supporting a portion of the weight of the head. It also helps keep the neck warm and serves as a reminder to limit head and neck motion.Also, a strap made of natural cotton, that allows better breathability and absorb moisture. Cotton fabric gives the product durability, longer retains the original look and most importantly - convenient in daily wear.To measure, keep head in neutral position and measure from tip of mandible to sternal notch.