Static Encephalopathy

This 7-year-old female has no allergies. She is currently taking Depakote and has had no surgeries. She receives physical therapy at school and hipo therapy in town. She is an active ambulator with minimum assistance. She currently has bilateral SAFOs, which she has outgrown. Her toes are over the end and they are too narrow in the forefoot. I heated and relieved these areas today so the she is able to wear these until her new braces are fabricated.

The patient presents with pronated feet bilaterally. Her heels are in valgus, and her forefeet are abducted. She is correctable to neutral bilaterally. Range of motion at her ankles is to 90 degree with knees straight. She has moderate tone with athetosis and no clonus. Her knees and hips are normal. Upon observing her gait, the patient walks externally rotated from the hips bilaterally. Her feet are pronated and she is in a slightly crouched gait. I cast her today for bilateral SAFOs.