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Thanks for the input. Have you seen sheepskin be effective? It may work for friction reduction, but it doesn't do much for pressure, which is a bigger problem for friction in this man. I've been working hard to eliminate the rare eggcrate mattress, and am currently working to get rid of those useless heel protectors, so I'd hate to bring in a sheepskin boot unless it's the only option, to avoid misunderstanding with others on it's general acceptability. As far as tone goes, he was on PT when he got to the hospital over a year and a half ago. I wasn't here then, but he was on PT for a little while, with little change. He began to improve a little a year ago, responding more with a bit of volitional movement. It was short lived, though, and he returned to the previous status. Renee [log in to unmask] wrote: > > Sheepskin boot for the foot? But sounds like he may do well if you break the > tone in the knee or dorsiflex the ankle to break the tone rather than work > through the toes to position > > Julie PT -- Renee Cordrey, MSPT, CWS "He's the best physician that knows the worthlessness of the most medicines." Ben Franklin, Poor Richard's Almanac, 1733 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%