Dynamic splinting home therapy for toe walking: a case report

Serial casting is frequently prescribed for toe-walking but that does not allow continued physical therapy (PT). This report described a child and family who chose dynamic splinting (DS) with concurrent PT for treatment. The patient presented with right hemiparesis; below average motor skills and a...

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Bibliographic Details
Published in:Cases journal 2009-11, Vol.2 (1), p.188-188, Article 188
Main Authors: Lundequam, Pamela, Willis, F Buck
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Case studies
Foot diseases
Health aspects
Motor ability
Physical therapy
Splints (Surgery)
Therapeutics, Physiological
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Summary:Serial casting is frequently prescribed for toe-walking but that does not allow continued physical therapy (PT). This report described a child and family who chose dynamic splinting (DS) with concurrent PT for treatment. The patient presented with right hemiparesis; below average motor skills and a gait pattern of toe contact (without ankle foot orthosis). Four months of PT plus 6 hours/night of DS as home therapy, the patient's passive dorsiflexion increased 14 degrees and she gained the ability to walk in "flat foot" contact without the Ankle Foot Orthosis. This concurrent treatment achieved improved gait pattern and strength training not possible with casting.
ISSN:1757-1626
1757-1626
DOI:10.1186/1757-1626-2-188