Pediatric Physical Therapy

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Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e318227c4e3
Research Article

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

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Abstract

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.

© 2011 Lippincott Williams & Wilkins, Inc.

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