Providence® Orthosis Casting Procedure

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

Step 2.

• Use 4 ply plaster splints vertically

• Cover all boney landmarks

• Extend past midline laterally

Step 3.

• Lock splints together with plaster roll applied horizontally

Step 4.

• Massage plaster until smooth

• Mold in slightly above iliac crest and below 12th rib - (waist)

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

Step 6.

• Use 3 ply plaster splints starting laterally, overlapping anterior section

• Cover landmarks

Step 7.

• Lock splints together with plaster roll applied horizontally

Step 8.

• Let plaster harden

• Separate posterior section from anterior

• Roll patient, take off anterior section

Step 1.

• Apply tight tube stockinette with cut strip anteriorly

• Mark ASIS, Coastal Margin, Illiac Crest, Trochanters, Sternal Notch with indelible marker

Step 2.

• Apply synthetic wrapping

• Cover all boney landmarks

Step 3.

• While wrap is drying, lay patient down on back with hips flexed slightly to reduce lordosis

• Let wrap harden

Step 4.

• Mark key lines horizontally across cut strip

• Cut wrap on cut strip

Step 5.

• Remove cast carefully, minimizing distortion