Sub Category

Serial Casting

 

Serial casting 

Serial casting is a procedure that helps children and adults improve their range of movement.

The procedure is the application of a fiberglass cast with padding to hold a part of the body in a position that will stretch a tight muscle. The cast is applied weekly and will stay on for 5-10 days maintaining the muscle in a stretched position. Sequential casts are done for up to three to six weeks to progressively stretch the joint and increase range of motion.

 In AHS,we provide serial casting services in a specified unit, through a professional team.

Patient is evaluated by a physical or occupational therapist prior to the procedure. Trained therapists will apply the cast with proper padding to prevent skin irritation. The extremity will be casted in proper alignment at one or more targeted joints in the maximal available range of motion. Instruction about care of the cast and precautions will be reviewed with the family/caregiver and patient.

 Expected Benefit and Target Population:

The serial casting program at AHS can be done for any patient with muscle tightness and limited range of motion, but the most prevalent diagnoses are:

-Cerebral Palsy                                            - Spina Bifida                                              

-Brain Injury                                                 - Spinal Cord Injury

-Congenital Abnormalities                           -  Muscular Dystrophy

-Idiopathic Toe Walking                                -  Peripheral Neuropathy

-Brachial Plexus                                          -  Arthrogryposis

And it’s done to reduce the muscle tightness and limited range of motion of a joint, helps correct joint alignment, help prevent deformity, and is often used in conjunction with Botox intervention to gain muscle length and reduce tone.

AHS Serial Cast Team:

We have a specialized team of 10 physical and occupational therapists with experience from 3-11 years, headed by a therapist with 11 years’ experience

Refrances:

Physical Therapy: “Serial casting for the management of spasticity in the head-injured adult.”

Archives of Physical Medicine and Rehabilitation: “Effectiveness of serial casting in patients with severe cerebral spasticity: a comparison study.”

 

 

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