Serial Casting Procedure

Serial Casting Cerebral Palsy
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Serial Casting Procedure 2017
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The Strayer procedure, also known as gastrocnemius recession, is a treatment option for people who have gastrocnemius equinus contracture. The name equinus contracture is take from the position of horses' ankles, which are pointed down. A gastrocnemius equinus contracture is a medical disorder that causes tension in the calf muscle. To correct this condition, doctors must perform a Strayer gastrocnemius procedure.

Serial Casting Cerebral Palsy

(OT) or physical therapist (PT) to bill for serial casting using general casting and casting supply codes. Serial casting is the process of repeated application of casts at a joint for the purpose of increasing range of motion. Refer to the Physical Therapy Procedure Codes topic (topic #2792) and the. Serial casting fact sheet Congratulations! You and your child are starting out on a process that will give your child more flexibility, greater strength, and a more efficient walking pattern. But, there are some problems that can go along with wearing casts. Here are answers to some questions parents commonly ask. How does casting work? Serial casting is a noninvasive procedure that helps children improve their range of motion so they can perform daily activities with less difficulty. A well-padded cast, used to immobilize a joint that is lacking full range of motion, will be applied and removed on a weekly basis. Serial casting is a procedure that helps children and adults improve their range of movement. The cast is applied weekly and will stay on for 5-10 days maintaining the muscle in a stretched position. Sequential casts are done for up to three to six weeks to progressively stretch the joint and increase range of motion. –Serial casting was shown to be an effective treatment strategy for improving passive ROM, but not clear as to reducing muscle tone. –Takeaway: serial casting needs to be an adjunct therapy with this population - it is not a stand alone treatment. “Serial Casting” is a series of casts that are applied approximately one to two weeks apart to create a continuous stretch to the extremity and gradually increase the range of motion. This is usually done for improving motion in the.

Significance

Gastrocnemius contractures are thought to happen from hereditary, aging and medical conditions. A gastrocnemius equinus contracture is not being able to move the ankle joint beyond a neutral position while the knee is straight. Many people automatically compensate for a contracture by maintaining movement through the joints before the ankle. In some cases, regular stretching of the calf can treat and diminish these symptoms naturally.

Procedures

The Strayer procedure involves releasing the gastrocnemius tendon to lengthen the calf muscle. The surgeon cuts an opening on the back part of the lower leg and the gastrocnemius tendon is uncovered. The tendon is released and sutured to the tissue lying under the stretched location.

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Recovery

After the Strayer procedure, a patient normally will need two to six weeks to recuperate. The patient will have to wear a brace or cast for about two weeks. In the beginning, there will be much pain in the calf, but then the pain will decrease. The calf has to be strengthened after the pain has decreased. Individuals generally can walk in six to eight weeks. A patient may need a year to regain 95 percent of the original calf strength.

Considerations

After a Strayer procedure, a patient may experience skin bonding, injury to the sural nerve, scarring and calf weakness. The skin incision may develop links to the tissue lying over the calf muscle.This will cause bonding of the skin whenever the calf muscles move. But early in the post-operative stage, deep muscle massaging can break those bonds. The sural nerve is capable of being directly wounded because its position is near the site of the operation.

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Improvements

Correctly pinpointing and protecting the sural nerve is an important component of the procedure. Awareness of the important structures connected with the Strayer procedure should allow surgeons to reduce the amount of sural nerve damages and improve the appearance of the surgical incision by decreasing the length.