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Selective Dorsal Rhizotomy is a surgical procedure which aims to help individuals with cerebral palsy who have severe spasticity in their lower limbs. The surgery involves cutting selected nerves (those which control muscle rigidity) in the lower spine and is consequently irreversible. Following surgery individuals are required to follow an intensive rehabilitation programme, as part of this it is often recommended that splints or orthoses are worn to support the feet and ankles. This helps to build strength in the feet and ankles which often have weakness (which was disguised by the spasticity) following the surgery.
The recommended SDR splints are the Cascade DAFO Turbo. This splint blocks both plantar and dorsiflexion movements of the foot consequently providing a high level of control and support. The Cascade DAFO Turbo is a two part splint with a flexible liner splint which provides control of the foot alignment and position, this is then covered with a rigid outer splint which blocks movement at the ankle and provides strength and stability. The combination of the two shells provides a space for the foot and ankle to be placed into the appropriate position with high levels of control to prevent migration.
All Cascade DAFO Turbo splints custom made and can therefore have a number of additions and adaptations made to ensure they fit perfectly. Additions available include extra cushioning, different colours and patterns and different strap fixings to make putting them on and off as simple as possible.
If you are unsure whether yourself or your child would be suitable for Cascade DAFO Turbo splints please contact us to discuss.
The process to receive SDR splints would be:
Following completion of the SDR surgery you will be advised about the requirement of splints and rehabilitation. Our experienced orthotists will complete an assessment looking at a variety of associated elements including the range of motion available at the joints and the current walking pattern. Following this the orthotist will take a series of measurements and will take a cast of the lower leg, ankle and foot. This information will then be used to create the custom made SDR splint. Once manufacturing has been completed you will be required to return for a fitting, your orthotist will then be able to check the fit is perfect, make any changes if required and will provide instructions on wearing the device.