Prevention and management of limb contractures in neuromuscular diseases

Andrew J. Skalsky, Craig M McDonald

Research output: Contribution to journalArticle

49 Scopus citations

Abstract

Limb contractures are a common impairment in neuromuscular diseases. They contribute to increased disability from decreased motor performance, mobility limitations, reduced functional range of motion, loss of function for activities of daily living, and increased pain. The pathogenesis of contractures is multifactorial. Myopathic conditions are associated with more severe limb contractures compared with neuropathic disorders. Although the evidence supporting the efficacy of multiple interventions to improve range of motion in neuromuscular diseases in a sustained manner is lacking, there are generally accepted principles with regard to splinting, bracing, stretching, and surgery that help minimize the impact or disability from contractures.

Original languageEnglish (US)
Pages (from-to)675-687
Number of pages13
JournalPhysical Medicine and Rehabilitation Clinics of North America
Volume23
Issue number3
DOIs
StatePublished - Aug 2012

Keywords

  • Bracing
  • Contractures
  • Range of motion
  • Splinting
  • Static positioning
  • Stretching
  • Surgery
  • Therapy

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

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