Pediatric Physical and Occupational Therapy
 Serial Casting
What is serial casting?
Serial casting is a non-invasive, non-surgical procedure for lower extremity tightness in the ankles. The goals for this procedure include increasing muscle length, improving ankle and foot alignment for increased comfort with the use of orthotics, and aid in enhancing motor control through additional therapy.
The ankle joint is stretched by a physical therapist, then casted, and
after five to seven days, the cast is removed. The joint is then stretched again and
a new cast is applied. This process continues until full range of motion has been achieved or after three to four cast changes.
Who can benefit from serial casting?
Patients who can benefit from serial casting include those with decreased ankle range of motion and impaired gait due to neurological or muscoskeletal diseases, such as cerebral palsy, a traumatic brain injury, idopathic toe-walking or stroke.
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