Since its launch in 1992, the serial casting program has helped hundreds of children gain independence with standing and walking. The program is a collaboration between the physical therapy and orthotics teams.
During serial casting, joints that are limited in range of motion are immobilized with a well-padded plaster and fiberglass cast. The casts are applied and removed on a weekly basis. With each series of casts, the affected joint or joints are gradually set in a more correct alignment until the desired range of motion is achieved. The casts provide a stable base of support while realigning joints, which allows us to strengthen muscles and teach children how to correct their center of weight for a more effective walking pattern.
When a child walks on their toes, our team’s goal is to make the ankle muscle grow longer through positioning and activity. We never stretch a child’s muscle because we believe our patients should be able to participate in serial casting comfortably. It should not be a painful process. Our program is also built to help children correct center of mass alignment issues, which often are contributing factors to walking with their weight balanced over their toes.
Our program has been successful for many of our patients. Our goal is to achieve long-term correction of range of motion, improvement in walking and to delay or prevent future surgery.