Case Study:
I have been following a 69 yo client for some months. First in a rehab
setting, she come post CVA and did well. At discharge she was ambulating
assistance of a straight cane and intermediate trim AFO. (ankle range at dc
was 10 passive)
Her family decided to temp place her in a Manor care facility for more rehab
and to get her to the supervision level. Unfortunately, she was managed
poorly. Her tone increased and she lost range, became contracted and non
ambulatory.
She was eventually readmitted to rehab with the goal of regaining mobility.
On eval she presented with dorsiflexion range -48 degrees. A phenol nerve
block was performed and a casting course was initiated.
She has since gone home with family and I am continuing the casts on an out
patient basis. Presently ankle dorsiflexion is 5 degrees and she is
ambulating again with supervision.
I do not want this patient to loose range/function. I am looking for any help
regarding bracing options?
Many thanks,
Scott Bleakley MSPT
