Prescription: UCB inserts. Diagnosis: Down's Syndrome
History: This is an eight year old white female (patient A) with Down's Syndrome who has a surgical history of having heart surgery in the past. She takes Catapril and Lanoxin. She has no allergies at this time. She has worn UCB-FO's in the past.
Assessment: This is a child who stands with pronated mid-feet, abducted fore-feet, and valgus heels. The feet do correct to a neutral position.
Plan: Fabricate bilateral UCB-FO's.
We attempted to fit patient A today with her bilateral UCB-FO's. These were fabricated out of 3/16" polypropylene and are far too heavy duty for someone of Amy's size. Additionally, the forefoot was wide on these orthoses. We will remanufacture these for her and supply them to her tomorrow.
Patient A returned to our office today for the fitting of her UCB-FO's. These looked much better today. They were fabricated from 1/8" polypropylene and fit quite nicely. These were trimmed and finished and Amy ambulated very comfortably in them. Everything appeares to be satisfactory in these orthoses at the present time. Patient A worn them out of the office.
