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Upper Limb Casting Application Post-Botulinum Toxin Injection for Elbow Spasticity: A Guided Casting Protocol
Kate Wortley1, Stefano Carda, Carl Ganzert
1From the Canadian Advances in Neuro-Orthopedics for Spasticity Congress, Study Location, New Westminster Rehabilitation Medicine, New Westminster, Canada (KW, SC, CG, RR); Division of Developmental Pediatrics, University of Alberta (KW), Alberta, Canada; Service of Neuropsychology & Neurorehabilitation, Lausanne University Hospital (CHUV), Lausanne, Switzerland (SC); Hodgson Orthopedic Group, Coquitlam, Canada (CG); Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, Canada (JF); Toronto Rehab Institute, University Health Network, Toronto, Canada (JF); and Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, Canada (RR).
Abstract:
Casting is an effective adjunctive treatment, which increases the effects of botulinum toxin on patients with spasticity. The evidence for casting as an adjunctive therapy post-botulinum toxin has been well documented in the literature. However, standardized casting protocols are lacking, with no published descriptions of upper limb casting application post-botulinum toxin injection for spasticity. In this article, we will describe our experience regarding the application of upper limb casting as an adjunctive therapy for elbow spasticity, detailing indications, contraindications, and description of our protocol (materials required and technique).
