Therapeutic Casting of the Upper Extremity Level 1

November 4, 2022
9:00 AM - 5:30 PM Friday



Course Description

This course will provide the practitioner with the knowledge base and practical skills for use of casting materials to manage common upper extremity impairments in the pediatric population through therapeutic casts and splints. Participants will learn to identify appropriate candidates for casting, problem solve which materials and techniques are appropriate for various clinical presentations, and evaluate progress. The course will emphasize the importance of the use of the therapist's manual intervention before and during casting to maximize therapeutic effects. Attendees will learn to align casts for optimal function. The course will include multiple opportunities to learn and apply hands-on practical skills which will can be carried over to the clinical setting after course completion. Audience: occupational therapists/OTAs, physical therapists/PTAs.

Course Objectives

At the conclusion of the course, participants should be able to:

1. Discuss candidate identification for serial casting using the ICF model, including rationale,

assessment, considerations, precautions, and contraindications.

2. Contrast various materials used for serial casting and splinting, with their different

properties and benefits for use for varied therapeutic goals.

3. Describe a variety of casting techniques that might be employed depending on patient

presentation and goals.

4. Apply a therapeutic serial cast of the upper extremity.

5. Fabricate an upper extremity therapeutic splint with appropriate joint alignment, padding,

and use of casting materials.

About the Instructor

Amanda Hall, PT, MPT, PCS, ATP, received her MPT from the University of Washington in 2001, and she re-certified as a Pediatric Clinical Specialist in 2020. Her clinical practice is at the HSC Pediatric Center in Washington, DC. Amanda also provides continuing education instruction in therapeutic casting, orthotic design, and treatment of the foot and ankle, with a framework based on PNF principles, therapeutic alliance, developmental movement system analysis, neuroplasticity, manual therapy, patient-centered design, and therapeutic gait. Amanda has presented internationally, with special emphasis on serving patients with complex presentations and “outliers”, including at the Combined Sections Meeting of the American Physical Therapy Association, the APTA Pediatrics Annual Conference, and at the National Institutes of Health.


08:00-08:30 Course Registration & Sign-in/Breakfast
08:30-09:00 Registration

09:00-09:30 Lecture: Casting Framework, ICF Model with a manual therapy lens

  • Serial casting
  • Use of casting material for UE splints: indications

09:30-10:00 Manual therapy techniques in preparation for casting

10:00-10:30 Lab: Casting techniques

1. Circumferential wrapping

2. Selective reinforcement

3. Combination of materials

5. Creating an anchor

6. Use of elastic tension and direction of pull to influence tissue and joint mobilization

7. Wrapping around the thumb

8. Selective support on one side of an extremity

9. Cutting materials for specialized applications

10:30-10:45 Lecture and demonstration: Casting Materials and Tools

1. Required tools

2. Properties of materials

3. Principles of material selection

4. Safety considerations

10:45-11:00 UE Serial casting demonstration

11:00-11:30 Lab: Serial Casting of the UE in pairs: partner 1 leads

11:30-11:45 Small group activity: review of casts: alignment, function, trouble-shooting and clinical fixes and techniques

11:45-12:15 Lab: Serial Casting of the UE in pairs: partner 2 leads

12:15-12:30 Small group activity: review of casts: alignment, function, trouble-shooting and clinical fixes and techniques

12:30-01:00 Lunch

01:00-02:00 Lab: Fabrication of Circumferential Wrist-Hand Orthosis

1. Demonstration

2. Fabrication Lab

02:00-03:00 Lab: Fabrication of Clamshell Elbow Splint

1. Demonstration

2. Fabrication Lab

03:00-04:00 Lab: Fabrication of CIMT Splint

1. Demonstration

2. Fabrication Lab

04:00-05:00 Review of splints, finishing, trouble shooting

05:00-05:30 Question and answer


Texas Children's Hospital Feigin Center

1st Floor Conference Room A
1102 Bates Street
Houston, TX 77030

Click here for directions

Hotel Accommodations


6750 Main Street, Houston, TX 77030


Booking Link:

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Who Should Attend

OTs, OTAs, PTs, PTAs


7.5 contact hours or CCU's through TPTA. Texas Children's Hospital is a preferred provider for the Texas Physical Therapy Association, APS #2303051TX.