Casting

immbilization

aid to healing and return to functional level by reducing or eliminating motion

why would you need immobilization

severe sprain
fracture
correction of contractures (clubfoot)
placement of joint in specific position
scoliosis
dislocation

how long does it take soft tissue to heal

3-6 weeks

how long does it take soft tissue to heal in WB structures

4-6 weeks

how long does it take dislocation/subluxation to heal

3-4 weeks, possibly up to 6

how long does it take fractures to heal

6 weeks, possibly 8 weeks

how long does it take fractures to heal in children

4 weeks

how long does it take ligamentous injuries to heal

5 months

what percent less strength will ligamentous injuries be at after 5 months

20% less strength

hip spica immobilizes

lower trunk and one/both lower extremities

shoulder spice immobilizes

upper torso and upper extremity in abduction

minerva

cast that extends upward along the side and in back of the head and neck

complications of casting

covers infections
tight application
loose application
effects of immobilization on surrounding structures
padding on bony prominences to prevent skin breakdown

what type of exercise technique could the pt use if allowed

isometric