Serial Casting Flashcards
Subsequent cast can be worn for ____
5-7 days
how long is the initial cast worn?
24 hours
contras for casting
Unhealed fractures
Poor skin condition
Bony block end feel
Fluctuating edema
Reduced sensation
Agitation
Impaired circulation
Acute inflammation
indication for casting
Correct deformity
Lengthen muscles
Reduce spasticity
Prevent loss of joint ROM
diagnoses appropriate for casting
Brain injury
SCI
MS
post brachial plexus injury
(pts at risk for soft tissue contracture due to increased tone or decreased mobility)
goals for casting
Increase PROM (submaximal range)
Decrease tone/spasticity
Improve positioning
Improve hygiene
Increase function of extremity
Block an unwanted movement
casting for PROM increases is most effective within the first ____months
6
inhibitory vs. serial casting
inhibitory - spasticity* & contracture
serial - prevent contracture
____ hours of stretching is necessary to affect sarcomeres
6
T/F: casting can prevent pathological/primitive reflexes
T
cast that is cut in half and used as a split; allows “wiggle” room so has decreased control
bivalve cast
cast used if trying to get max stretch on gastroc
ankle knee combo
pre-casting assessment
tone
PROM/AROM
skin integrity
functional mobility
behavior/agitation
when to discontinue cast
PROM goal achieved
no longer gaining PROM (plateau)
skin break down
pt not tolerating
