Serial casting has been an effective tool used by physical therapists to increase ankle dorsiflexion range of motion and improve functional gait. The casting techniques were developed over a ten-year period of clinical practice and are effective for managing spasticity-induced foot deformity in children with cerebral palsy or other central nervous system deficits, as well as adults with head injury. Our highly skilled physical therapists have received additional training to perform serial casting. Referral for serial casting must be made by the physician.