title: Orthotic technique for dystonia musculorum deformans.
abstract: 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.
authors.affiliation: Department of Rehabilitation Medicine, Sinai Hospital of Detroit, MI 48235-2899.
authors.forename: E A
authors.initials: EA
authors.lastname: Hurvitz
authors.forename: M R
authors.initials: MR
authors.lastname: Ellenberg
authors.forename: R
authors.initials: R
authors.lastname: Lupo
authors.forename: J C
authors.initials: JC
authors.lastname: Honet
authors.forename: J L
authors.initials: JL
authors.lastname: Sjogren
authors.forename: L
authors.initials: L
authors.lastname: Iannace
mesh_terms: D000328:Adult; D000842:Ankle; D004422:Dystonia Musculorum Deformans / Q000628:therapy*; D005528:Foot; D006801:Humans; D008297:Male; D009989:Orthotic Devices