Re: what is dorsiflexion???

[Guest guest]

dear amy

after correction in casts it is necessary to maintain the foot in

full outward rotation (external rotation) and some dorsiflexion (

i.e. the foot faces slightly upwards from ground level).

this can be achieved inside a DB splint whcih has its bar bent with

apex of bend facing downwards (just like a warm smile on a bay's

lips ar a crescent moon). the downward bend will have the shoes

sitting in a lifted position. this will hold the feet in

dorsiflexion.

also, the baby will learn to kick his foot inside the splint after

an initial tussle with adjustment for 2 or 3 days. the act of

kicking means the forefoot hits on the floor of the shoe and lifts

up which is nothing but dorsiflexion. so the db splint actually

is " manipulating the foot " just like ur doctor did in the last

casts. it is a dynamic splint.

this dynamism requires the downward bend. a straight splint may not

do so good.

finally dont forget to peep thru the hole in the back of the shoe to

see and confirm that the hell is in close contact with the shoe sole.

regards

murali.

>

> Amy,

>

> My son has the DBB ( gold bar) and we have always had a bend in the

> middle. When we switched to Dr. H and Dr. Lamm they gave us a

script

> for a new bar and on the script it said the bar should be bent 5

> degrees. We had also been told to bend our old bar to 8 degrees.

Not

> sure if this helped.

>

> Re: what is dorsiflexion???

>

> What kind of bar are you using? I think having it bent to point

the

> toes up 10 degrees is important. Seems some bars are bent, some

are

> not, and others are bent but you can hardly even tell it (like the

> bar).

> s.

> what is dorsiflexion???

>

>

> Hello all, my son Noah has been in his DBB bar a week today. I

have

> been reading that some bars are bent at the ends. His is

straight as

> could be. Is that good are bad?? His feet were fully corrected

at

> Arkansas Children's Hospital. Had the tenotomy done and

everything.

> His next check up is not till Feb. Does the bar have to be bent

like

> I

> am seeing in the pics???? Just wondering.

>

> Amy and Noah 3 1/2 months.

>

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