Related Experiment Video
Updated: Aug 29, 2025
08:25
Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
2.8K
Adherence to serial casting protocols for idiopathic toe walking: A quality improvement initiative
Karina A Zapata1, Megan E Trevino1, Fabiola I Reyes2
1Therapy Services, Scottish Rite for Children, Dallas, TX, USA.
Journal of Pediatric Rehabilitation Medicine
|September 12, 2022
Summary
Education on serial casting protocols for idiopathic toe walking (ITW) improved adherence and patient outcomes. Serial casting effectively enhances ankle dorsiflexion passive range of motion (PROM) and supports orthotic use.
Area of Science:
- Pediatric Orthopedics
- Biomechanical Engineering
Background:
- Idiopathic toe walking (ITW) is a common pediatric condition.
- Serial casting is a primary treatment for ITW, aiming to improve ankle dorsiflexion.
- Adherence to serial casting protocols can impact treatment efficacy.
Purpose of the Study:
- To evaluate adherence to serial casting protocols for ITW.
- To identify factors influencing adherence.
- To assess treatment outcomes following protocol education.
Main Methods:
- A study involving 60 children with ITW undergoing serial casting.
- Assessment of adherence to protocols including weekly casting for 4-6 weeks.
- Measurement of ankle dorsiflexion passive range of motion (PROM) with knees extended (KE), Foot Posture Index (FPI-6), and Single Leg Stance (SLS) at baseline and post-education.
Main Results:
- Serial casting averaged 4.8 weeks.
- Ankle dorsiflexion PROM with KE improved significantly from -10.7° pre-cast to +6.5° post-cast.
- Adherence to FPI-6 and SLS assessments improved post-education.
Conclusions:
- Staff education on serial casting protocols enhances adherence and patient outcomes.
- Serial casting is beneficial for ITW patients with limited ankle dorsiflexion, improving PROM and facilitating orthotic use.
