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Serial Casting for the Management of Ankle Contracture in Duchenne Muscular Dystrophy

Glanzman, Allan M. PT, DPT, PCS; Flickinger, Jean M. PT, MPT, PCS; Dholakia, Kripa H. PT, MS, CSCS, PCS; Bönnemann, Carsten G. MD; Finkel, Richard S. MD

doi: 10.1097/PEP.0b013e318227c4e3
Research Article

Purpose: To evaluate the effect of serial casting in boys with Duchenne muscular dystrophy.

Methods: Chart review of 9 patients with Duchenne muscular dystrophy, mean age 8.9 (±2.1) years.

Results: Initial dorsiflexion −6.2° and −5.2° right and left, respectively. The mean improvement was 12° and 11.6° on the right and left (knee extended) and 7.7° and 8.7° on the right and left (knee flexed) or 2.7° and 3.9° per cast, respectively. Times to run 10 m, climb 4 steps, and get off the floor were unchanged. Correlations between range-of-motion change/cast and age were r = −0.86 right and r = −0.84 left. Three patients had delayed onset foot pain; one child had redness with symptom resolution in all cases.

Conclusions: Improvement in range of motion with the application of serial casting was found with no loss of function or speed despite the period of immobilization.

In this retrospective chart review, improvement in range of motion with the application of serial casting was found with no loss of function or speed despite the period of immobilization.

Department of Physical Therapy, The Children's Hospital of Philadelphia (Drs Glanzman, Bönnemann, and Finkel, and Ms Flickinger and Dholakia), and Division of Neurology, University of Pennsylvania School of Medicine (Drs Bönnemann and Finkel), Philadelphia, Pennsylvania.

Correspondence: Allan M. Glanzman, PT, DPT, PCS, Department of Physical Therapy, The Children's Hospital of Philadelphia, 34th and Civic Center Blvd, Philadelphia, PA 19104 (glanzmana@email.chop.edu).

The authors declare no conflicts of interest.

© 2011 Lippincott Williams & Wilkins, Inc.