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Lower Extremity Inhibitory Casting (Fabrication)

presented by Vicente Cavalida

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With continued demand to reduce spasticity and increase range of motion in the neurologically impaired patient for improved functional use of the lower extremity, clinicians need up-to-date information on how to effectively implement a casting program. Starting with an overview of general principles of casting, this course educates clinicians on how to fabricate, remove and bivalve a short and long leg cast. This course uses instructional video to demonstrate the casting procedure and concludes with client and caregiver educational material. This is the final course in a three course series. Be sure to also watch:

Inhibitory Casting and Decision Making
Upper Extremity Inhibitory Casting (Fabrication)

Meet Your Instructor

  • 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. Introduction of Inhibitory Casting

    1. Introduction of Inhibitory Casting

    The third course in the inhibitory casting series starts with a basic discussion of the general principles of lower extremity inhibitory casting. Vicente Cavalida reviews the types of casts available to manage lower extremity spasticity and contractures to improve functional performance.

  2. Fabrication of Short Leg Inhibitory Cast

    2. Fabrication of Short Leg Inhibitory Cast

    It’s important to understand the basic precautions and potential contraindications for inhibitory casting. Once a therapist has determined it’s appropriate to proceed with casting, a thorough knowledge of the materials needed to fabricate a cast, as well as the steps to fabricate a short leg cast, are essential for a properly fitted cast.

  3. Lower Extremity Short Leg Cast Removal

    3. Lower Extremity Short Leg Cast Removal

    Learn the process of when and how to remove lower extremity short leg casts. The necessary materials for the procedure are reviewed.

  4. Bivalve Short Leg Cast

    4. Bivalve Short Leg Cast

    Sometimes a patient needs to continue wearing the cast after it has been removed. In this chapter, Vicente Cavalida will review the materials needed for bivalving a cast and explain the steps involved to bivalve a short leg cast.