Providence® Orthosis Casting Procedure
Below are the casting instructions for the Providence® Nocturnal Scoliosis brace for orthotists.
Two Piece Plaster Only Casting
![Providence® Orthosis plaster casting - Step 1](http://spinaltech.com/uploaded/imager/mainfileupload/38402/1.Prov_Casting_pl_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 1.
• Apply tight tube stockinette
• Mark ASIS, Costal Margin, Illiac Crest, Trochanters, Sternal notch with indelible marker
• Take measurements according to ST Scoliosis Form
![Providence® Orthosis plaster casting - Step 2](http://spinaltech.com/uploaded/imager/mainfileupload/38403/2.Prov_Casting_pl_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 2.
• Use 4 ply plaster splints vertically
• Cover all boney landmarks
• Extend past midline laterally
![Providence® Orthosis plaster casting - Step 3](http://spinaltech.com/uploaded/imager/mainfileupload/38404/3.Prov_Casting_pl_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 3.
• Lock splints together with plaster roll applied horizontally
![Providence® Orthosis plaster casting - Step 4](http://spinaltech.com/uploaded/imager/mainfileupload/38405/4.Prov_Casting_pl_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 4.
• Massage plaster until smooth
• Mold in slightly above iliac crest and below 12th rib - (waist)
![Providence® Orthosis plaster casting - Step 5](http://spinaltech.com/uploaded/imager/mainfileupload/38406/5.Prov_Casting_pl_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 5.
• After anterior hardens roll patient to prone position with anterior cast in place
• Use parting agent (soap) laterally so posterior half doesn’t adhere to anterior
• Mark landmarks coccyx, inferior angle of scapula
![Providence® Orthosis plaster casting - Step 6](http://spinaltech.com/uploaded/imager/mainfileupload/38407/6.Prov_Casting_pl_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 6.
• Use 3 ply plaster splints starting laterally, overlapping anterior section
• Cover landmarks
![Providence® Orthosis plaster casting - Step 7](http://spinaltech.com/uploaded/imager/mainfileupload/38409/7.Prov_Casting_pl_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 7.
• Lock splints together with plaster roll applied horizontally
![Providence® Orthosis plaster casting - Step 8](http://spinaltech.com/uploaded/imager/mainfileupload/38410/8.Prov_Casting_pl_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 8.
• Let plaster harden
• Separate posterior section from anterior
• Roll patient, take off anterior section
One Piece Plaster/Fiberglass/Synthetic Casting
![Providence® Orthosis synthetic material casting - Step 1](http://spinaltech.com/uploaded/imager/mainfileupload/38441/1.Prov_Casting_syt_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 1.
• Apply tight tube stockinette with cut strip anteriorly
• Mark ASIS, Coastal Margin, Illiac Crest, Trochanters, Sternal Notch with indelible marker
![Providence® Orthosis synthetic material casting - Step 2](http://spinaltech.com/uploaded/imager/mainfileupload/38442/2.Prov_Casting_syt_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 2.
• Apply synthetic wrapping
• Cover all boney landmarks
![Providence® Orthosis synthetic material casting - Step 3](http://spinaltech.com/uploaded/imager/mainfileupload/38443/3.Prov_Casting_syt_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 3.
• While wrap is drying, lay patient down on back with hips flexed slightly to reduce lordosis
• Let wrap harden
![Providence® Orthosis synthetic material casting - Step 4](http://spinaltech.com/uploaded/imager/mainfileupload/38461/4.Prov_Casting_syt_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 4.
• Mark key lines horizontally across cut strip
• Cut wrap on cut strip
![Providence® Orthosis synthetic material casting - Step 5](http://spinaltech.com/uploaded/imager/mainfileupload/38462/5.Prov_Casting_syt_c2f11996897f4fd3875c42b922d50ae3.jpg)
Step 5.
• Remove cast carefully, minimizing distortion