Off-campus Pacific University users: To download campus access theses and dissertations, please log into our proxy server with your PUNet ID and password.

Non-Pacific University users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.

Theses or dissertations that have a specific embargo period indicated below will not be available to anyone until the date indicated.

Date of Award


Degree Type

Capstone Project (On-Campus Access Only)

Degree Name

Doctor of Physical Therapy (DPT)

First Advisor

Katie Farrell, PT, DSc, GCS


There is no definitive evidence showing that serial casting does or does not improve ankle passive ROM and functional mobility in the head-injured adult. Five of the eight reviewed articles indicate an improvement in passive ankle dorsiflexion ROM, suggesting a potential benefit for the appropriate patient. However, all eight articles had significant threats to internal and external validity such as small sample size, no control group, and lack of adequate follow-up. These threats limit the applicability of the results. Further research is necessary, specifically focusing on functional mobility and long-term effects. Based on these results, it is recommended that clinical judgment be a key factor in determining the appropriateness of serial casting per patient presentation in the head-injured population.


The digital version of this project is currently unavailable to off-campus users not affiliated with Pacific University; however, it may be accessed on campus or through interlibrary loan (for eligible borrowers) from Pacific University Library. Pacific University Library is a free lender.