casting with spasticity update
Bob Genaze C.P.O.
Description
Collection
Title:
casting with spasticity update
Creator:
Bob Genaze C.P.O.
Text:
Thankyou !!!
I would like to thank all the people who responded to my problem about
casting a patient with spasticity. The suggestions were very numerous. I will
list some of the ones that came up more than once.
1) Don't do it because even if you can get a cast the patient will never
tolerate the K.A.F.O's.
2) Go with something temporary such as KAFO's from measurements. If this
fails there is not a huge loss in time or $.
3) Have the doctor prescribe a drug that will temporarily put him out , or
reduce the spasticity long enough to cast him.
4) Reduce the spasticity during casting by casting in a supine position,
with the hip and knee bent to 90 deg. The foot/ankle should also be at 90.
5) do a 2 part cast by doing the AFO part first , and then the thigh
section.
6)Time the casting with some dental work when the patient will be under a
local.
7)Tell the doctor that you can't do anything until the spasticity is under
control.
I hope some of this helps others that may find themselves in this
situation.
Thanks again,
Bob Genaze cpo
I would like to thank all the people who responded to my problem about
casting a patient with spasticity. The suggestions were very numerous. I will
list some of the ones that came up more than once.
1) Don't do it because even if you can get a cast the patient will never
tolerate the K.A.F.O's.
2) Go with something temporary such as KAFO's from measurements. If this
fails there is not a huge loss in time or $.
3) Have the doctor prescribe a drug that will temporarily put him out , or
reduce the spasticity long enough to cast him.
4) Reduce the spasticity during casting by casting in a supine position,
with the hip and knee bent to 90 deg. The foot/ankle should also be at 90.
5) do a 2 part cast by doing the AFO part first , and then the thigh
section.
6)Time the casting with some dental work when the patient will be under a
local.
7)Tell the doctor that you can't do anything until the spasticity is under
control.
I hope some of this helps others that may find themselves in this
situation.
Thanks again,
Bob Genaze cpo
Citation
Bob Genaze C.P.O., “casting with spasticity update,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/221369.
