Orthotic technique for dystonia musculorum deformans
Hurvitz, E.A.; Ellenberg, M.R.; Lupo, R.; Honet, J.C.; Sjogren, J.L.; Iannace, L.
Archives of Physical Medicine and Rehabilitation 69(10): 892-894
1988
ISSN/ISBN: 0003-9993 PMID: 3178457 Document Number: 313121
Tone reducing, inhibitive casting, and orthoses have been effectively used in patients with cerebral palsy and head injury to improve gait patterns and decrease tone. We present a patient with dystonia musculorum deformans who had severe inversion and supination of his left foot with weight bearing. He did poorly with metal double-upright ankle-foot orthoses with lateral T-strap. A tone-reducing ankle-foot orthosis (TRAFO) was successful in decreasing problems with abrasions and allowing him to walk without assistive devices.