Update: After I initially wrote this review in 2018, Velpeau has now introduced more height choices. Now the old Classic version is called the 'Comfort' version, and the old Plus version is now called the 'Enhanced' version. I'm here to try buying the Enhanced version to see if it works as a collar for sleeping when sitting up on a plane or car ride. I use the comfort version every night in bed for reducing sleep apnea and it is perfect for that, but it is not quite stiff enough to use as an airplane pillow, thus I will try the Enhanced.Original review: Be careful, there are several different models of Velpeau neck collars, there are two on this page (the Plus and the Classic) and a different Velpeau model (also blue) sold on a different Revain page. I bought the blue VP0201 Classic. If you wanted a harder brace (e.g. to prevent movement), I think you would buy the the Plus (brown). The blue VP0201 Classic has medium support, it is cushiony but somewhat firm. I have tried several types of neck collars and some were a lot softer and some much firmer and all have different uses so it is important to know what you are ordering and what you need.I love that there are different circumference sizes to choose from, and you should measure your neck to choose which one will fit. Unfortunately, there are not different heights, I wish Velpeau would offer that. Based on the reviews for this collar and other collars that I looked at, people with the same neck circumference have a great variety of neck heights. Some say the collar is way too high, others say it is too short. If you don't get the proper height collar, it is just not going to work for you at all.I wear this while sleeping to help reduce sleep apnea episodes and it also seems to help reduce acid reflux during sleep. (If I'm having reflux, I have to really tighten up the collar to push on neck.) Even though I wear a full-face CPAP mask, without a cervical neck collar, my mouth opens and I think my tongue position causes apnea episodes. I am not comfortable wearing a chin strap (or taping my mouth as some people do) and this works much better for me. If I forget to wear my collar on a specific night, my CPAP machine statistics shows I have about 4-5 times more apnea or hypopnea episodes.The shape of this collar works a lot better than most cervical collars I've tried since my chin doesn't drop behind it. This collar is very well designed anatomically, the manufacturer simply needs to make more heights available to fit more people.
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