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Inhibitory Casting Theory and Decision Making

presented by Stacy Williams & Vicente Cavalida

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With the continued demand to manage spasticity to improve functional outcomes/performance and maximize independence, clinicians need up-to-date information on options for spasticity reduction and increasing range of motion. Starting with an overview of casting theory, this course provides clinicians with rationale behind inhibitory casting and evidence supporting its use. Case studies will be presented to provide examples of casting options and rationalization. Instructors will discuss the potential benefits, precautions and contraindications of inhibitory casting as well as materials needed. The course concludes with an in-depth discussion of the general principles of casting. This is the first in a three course series. Be sure to also watch:

Upper Extremity Inhibitory Casting (Fabrication)
Lower Extremity Inhibitory Casting (Fabrication)

Meet Your Instructors

  • Stacy Williams, OT, C/NDT

    Stacy Williams graduated from the University of Florida with a Bachelors of Health Science in Occupational Therapy in 1997. She serves as the Occupational Therapy Manager at HealthSouth Sunrise Rehabilitation Hospital. Stacy is NDT Certified and has worked with the traumatic and non-traumatic brain injury and stroke populations for over eighteen years. She is Co-Chair of Stroke and Brain Injury Programs of Excellence at HealthSouth and has served as a guest lecturer for Barry University. Stacy is a national instructor for HemiMove (Neuro Handling), and teaches Vision and Cognition courses for HealthSouth.

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  • Vicente Cavalida, PT, C/NDT

    Vicente L. Cavalida graduated from Cebu Doctors’ College, Cebu City, Philippines with a Bachelor of Science in Physical Therapy in 1987 and earned a Bachelors of Science in Biology in 1983 from the University of San Carlos, Cebu City, Philippines. He received his license to practice in the United States from the University of the State of New York in 1989. Vinnie received his NDT certified in 1997 and has been working in the brain injury program at HealthSouth Sunrise Rehabilitation Hospital since 1990. Vinnie is currently serving as the Chairperson of the Brain Injury Program and is also the Co-Chair of the Brain Injury Program of Excellence. He had been a national instructor for HemiMove (Neuro Handling), courses for the HealthSouth Clinical Excellence University since 2002.

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Chapters & Learning Objectives

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  1. The Physiological Theory and Terminology Behind Inhibitory Casting

    1. The Physiological Theory and Terminology Behind Inhibitory Casting

    Spasticity affects more than an estimated 10 million people worldwide, limiting their ability to fully engage in their life roles and maximize their quality of life. In this chapter we will introduce the terminology and theory behind inhibitory casting and how casting can assist with physiological changes in the spastic muscle.

  2. Evidence-Based Medicine

    2. Evidence-Based Medicine

    Inhibitory casting has been used for over 40 years to assist with decreasing spasticity. In this chapter we examine current research and use case studies to illustrate situations in which inhibitory casting was used effectively.

  3. Advantages, Disadvantages, Goals, and Clinical Decision Making Process for Inhibitory Casting

    3. Advantages, Disadvantages, Goals, and Clinical Decision Making Process for Inhibitory Casting

    Therapists need to make decisions about how to most effectively treat their patients on a daily basis. In this chapter we will dissect this decision making process for utilizing inhibitory casting as a treatment modality, discuss the casting options, and the advantages and disadvantages of inhibitory casting.

  4. Precautions, Contraindications, and Principles of Inhibitory Casting

    4. Precautions, Contraindications, and Principles of Inhibitory Casting

    Inhibitory casting has been recommended… now what? In this chapter we will discuss the general principles of inhibitory casting and the materials needed to fabricate a cast.