Solid-Ankle AFO's

DIAGNOSIS: Cerebral palsy and diplegia

RX: Bilateral solid-ankle AFO's

HISTORY: 14-year-old female has no known allergies, and is not taking any medication. She has not had surgery and receives PT at school. She currently has bilateral AFO-SA's with compcore reinforcement at the ankles, and ambulates using a forearm-supported walker.

ASSESSMENT: Presents with fairly neutral feet bilaterally. Her heels rest in neutral and her forfeet are adducted; however, upon weightbearing she pronates mildly with her heels in valgus and her forfeet to neutral. ROM at her ankle mordus is to 90 degrees with her knees flexed. She exhibits mild tone and no clonus, Bilaterally she internally rotates greater on thre right than on the left. Casted her today for bilateral AFO's.

ORTHOTIC GOAL: Maintenance of patient's foot alignment in a neutral position and to prevent him from falling into pronation attempting to relieve left knee and bilateral ankle pain.

PLAN: Fabricate bilateral AFO's SA with compcore reinforce.