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Pediatric Casting: Applications for Fiberglass Casting

presented by Trudy Boulter, OTR/L, CHT, BT-C, Mary Faussett, MOTR/L, CHT, and Kerry Mikolaj, PT, DPT

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Disclosure Statement:

Financial: Mary "Peggy" Faussett, Trudy Boulter, and Kerry Mikolaj receive compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Mary "Peggy" Faussett, Trudy Boulter, and Kerry Mikolaj have no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 53 Minutes, Learning Assessments: 29 Minutes

In this course, occupational and physical therapists will learn about the products and process for using fiberglass casting in a variety of pediatric diagnoses for both the upper and lower extremities. You will learn about properties and pros/cons of fiberglass cast tape, as well as the benefits of casting for central nervous system tone and tissue elongation. You will see a step-by-step casting process for upper extremity casting and a live demonstration of lower extremity casting.

Meet Your Instructors

Trudy Boulter, OTR/L, CHT, BT-C

Trudy Boulter is an occupational therapist, certified hand therapist (CHT), and certified burn therapist (BT-C). Trudy works on the burn team at Children's Hospital Colorado. She provides clinical care for burn patients in the acute inpatient, rehabilitative, outpatient, and aftercare settings. She feels so lucky to work on a dynamic, passionate team that embraces all…

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Mary Faussett, MOTR/L, CHT

Mary "Peggy" Faussett is an occupational therapist and certified hand therapist. She graduated with a master's in occupational therapy in 2001 from Chatham University. She became a certified hand therapist in 2012. Peggy currently works at Children's Hospital Colorado as the program coordinator for the pediatric hand therapy program. She enjoys treating children of all…

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Kerry Mikolaj, PT, DPT

Kerry Mikolaj is a pediatric physical therapist. She graduated in 2005 with her Doctorate of Physical Therapy from Regis University. Kerry works on the burn team at the Children's Hospital Colorado Burn Center. She has treated a variety of diagnoses in patients ranging from infants to young adults. Kerry is passionate about working with young…

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Chapters & Learning Objectives

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1. Why This Technique? Pros and Cons

This chapter will cover the rigid and stable properties of fiberglass cast tape. It will teach the pros and cons of choosing fiberglass cast tape for your patient, including the necessity of utilizing a cast saw for the removal of a fiberglass cast and the importance of training to use the cast saw.

2. Differential Diagnosis: Who Should Be Casted?

This chapter discusses the uses of fiberglass cast tape for serial casting, for increasing range of motion, for tone management, and for positioning when rigid immobilization is needed. It will describe pediatric diagnoses that may benefit from fiberglass casting, as well as the benefits that fiberglass cast may provide.

3. Step-by-Step Guide for Use of Fiberglass Casting

This chapter will discuss the importance of discussing casting with your pediatric patient in child-friendly language and tips for a successful casting session. You will learn the step-by-step process of casting an upper extremity elbow and wrist cast. You will also see a few creative tips for using this casting technique.

4. Demonstration: Lower Extremity Cast Application and Removal

This chapter takes you through a live demonstration of the application of a lower extremity fiberglass walking cast. You will see the step-by-step process from beginning to end, including how to safely remove a cast using the cast saw.

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