With continued demand to reduce spasticity and increase range of motion in the neurologically impaired patient for improved functional use of the upper 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 an elbow cast. This course uses instructional video to demonstrate the casting procedure and concludes with client and caregiver education material. This is the second course in a three course series. Be sure to also watch:
Inhibitory Casting and Decision Making
Lower Extremity Inhibitory Casting (Fabrication)
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.
Inhibitory casting is used in conjunction with traditional therapy to assist in managing spasticity and improving functional performance. In this chapter Stacy Williams will discuss the general principles of casting and commonly fabricated casts available. A review of the clinical decision making process for how to determine which cast, if any, will be most effective for your patient will be discussed.
In this chapter, an overview of the precautions and potential contraindications for inhibitory casting, as well as the materials needed to fabricate a cast, are provided. Patient videos show the fabrication process and the appropriate steps to follow for applying a cast. Cast care instructions for both the clinical staff (therapy, nursing, etc.), patients, and families are provided.
The steps involved in the removal of a short cast are shown through patient videos. The materials needed and key things to remember when removing a cast are discussed.
This chapter demonstrates what materials are needed and how to bivalve a cast so it can be used effectively as a splint. Home programs and wearing schedules are discussed.