I read some confusing reviews before purchasing and decided to help future buyers. This is my 5 year old wearing this neck brace. He wears a size 4, weighs 36 pounds and is 41 inches tall. He's a little guy. Youth one size fits him perfectly. Wearing a medium-sized youth helmet, he has freedom of movement and can move his head without getting in the way of a neck brace. Highly recommended.
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