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Cases J. 2009 Nov 10;2:188. doi: 10.1186/1757-1626-2-188.

Dynamic splinting home therapy for toe walking: a case report.

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Methodist Hospital, Park Nicollet Rehabilitation Services Park Nicollet Blvd, St Louis Park, MN 55416, USA.
University of Phoenix, Axia College, E. Elwood St., Phoenix, AZ 85034, USA.
Dynasplint Systems, Clinical Research, Ritchie Highway, Severna Park MD 21146, USA.
Contributed equally


Serial casting is frequently prescribed for toe-walking but that does not allow continued physical therapy (PT). This report described a child and family who chose dynamic splinting (DS) with concurrent PT for treatment. The patient presented with right hemiparesis; below average motor skills and a gait pattern of toe contact (without ankle foot orthosis). Four months of PT plus 6 hours/night of DS as home therapy, the patient's passive dorsiflexion increased 14 degrees and she gained the ability to walk in "flat foot" contact without the Ankle Foot Orthosis. This concurrent treatment achieved improved gait pattern and strength training not possible with casting.

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