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Evaluation of Serial Casting for Boys with Duchenne Muscular Dystrophy: A Case Report
Authors:Kate Carroll  Katy de Valle  Andrew Kornberg  Monique Ryan  Rachel Kennedy
Affiliation:1. The Royal Children's Hospital, Melbourne, Australia;2. Murdoch Children's Research Institute, Melbourne, Australia;3. Department of Paediatrics, The University of Melbourne, Melbourne, Australia
Abstract:Aim: To report the effects of below-knee serial casting in two boys with Duchenne muscular dystrophy who presented with well-preserved strength and calf shortening. Methods: Bilateral below-knee serial casts were applied over two weeks with follow-up of daily stretching and wearing of customized night splints. Outcome measures were performed at baseline, 1, 3, 6, and 12 months post-casting. These included measures of calf length, leg strength, motor function, endurance, and spatio-temporal gait parameters. Results: Both boys completed serial casting with gains in muscle length. No adverse effects on strength or motor function were observed over a 12-month follow-up period.
Keywords:Duchenne muscular dystrophy  calf muscle shortening  serial casting  gait  motor function
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