Pediatric Casting: Applications for Fiberglass Casting

Presented by Mary Faussett, Trudy Boulter, and Kerry Mikolaj

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Video Runtime: 53 Minutes, Learning Assessments: 29 Minutes

In this course, occupational and physical therapists will learn about the products and process for using fiberglass casting in a variety of pediatric diagnoses for both the upper and lower extremities. You will learn about properties and pros/cons of fiberglass cast tape, as well as the benefits of casting for central nervous system tone and tissue elongation. You will see a step-by-step casting process for upper extremity casting and a live demonstration of lower extremity casting.

Meet your instructors

Mary Faussett

Mary “Peggy” Faussett is an occupational therapist and certified hand therapist. She graduated with a master’s in occupational therapy in 2001 from Chatham University. She became a certified hand therapist in 2012. Peggy currently works at Children’s Hospital Colorado as the program coordinator for the pediatric hand therapy…

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Trudy Boulter

Trudy Boulter is an occupational therapist, certified hand therapist (CHT), and certified burn therapist (BT-C). Trudy works on the burn team at Children’s Hospital Colorado. She provides clinical care for burn patients in the acute inpatient, rehabilitative, outpatient, and aftercare settings. She feels so lucky to work on a…

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Kerry Mikolaj

Kerry Mikolaj is a pediatric physical therapist. She graduated in 2005 with her Doctorate of Physical Therapy from Regis University. Kerry works on the burn team at the Children's Hospital Colorado Burn Center. She has treated a variety of diagnoses in patients ranging from infants to young adults. Kerry is passionate about…

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Chapters & learning objectives

1. Why This Technique? Pros and Cons

This chapter will cover the rigid and stable properties of fiberglass cast tape. It will teach the pros and cons of choosing fiberglass cast tape for your patient, including the necessity of utilizing a cast saw for the removal of a fiberglass cast and the importance of training to use the cast saw.

2. Differential Diagnosis: Who Should Be Casted?

This chapter discusses the uses of fiberglass cast tape for serial casting, for increasing range of motion, for tone management, and for positioning when rigid immobilization is needed. It will describe pediatric diagnoses that may benefit from fiberglass casting, as well as the benefits that fiberglass cast may provide.

3. Step-by-Step Guide for Use of Fiberglass Casting

This chapter will discuss the importance of discussing casting with your pediatric patient in child-friendly language and tips for a successful casting session. You will learn the step-by-step process of casting an upper extremity elbow and wrist cast. You will also see a few creative tips for using this casting technique.

4. Demonstration: Lower Extremity Cast Application and Removal

This chapter takes you through a live demonstration of the application of a lower extremity fiberglass walking cast. You will see the step-by-step process from beginning to end, including how to safely remove a cast using the cast saw.