Contracture Management in Spinal Cord Injury: Difference between revisions
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According to a prospective cohort studying the incidence of contracture at one year after spinal cord injury showed that 66% of the patients developed at least one contracture in any joint at one year after acute spinal cord injury. The proportion of participants with paraplegia developing at least one contracture in any joint was 47%, while the proportion of participants with tetraplegia who got at least one contracture in any joint was 83%.<ref>Diong J, Harvey LA, Kwah LK, Eyles J, Ling MJ, Ben M, Herbert RD. [https://www.nature.com/articles/sc201225 Incidence and predictors of contracture after spinal cord injury—a prospective cohort study.] Spinal cord. 2012 Aug;50(8):579-84.</ref> | According to a prospective cohort studying the incidence of contracture at one year after spinal cord injury showed that 66% of the patients developed at least one contracture in any joint at one year after acute spinal cord injury. The proportion of participants with paraplegia developing at least one contracture in any joint was 47%, while the proportion of participants with tetraplegia who got at least one contracture in any joint was 83%.<ref>Diong J, Harvey LA, Kwah LK, Eyles J, Ling MJ, Ben M, Herbert RD. [https://www.nature.com/articles/sc201225 Incidence and predictors of contracture after spinal cord injury—a prospective cohort study.] Spinal cord. 2012 Aug;50(8):579-84.</ref> | ||
== | == Common contractures == | ||
People with motor complete C5 tetraplegia are prone to developing elbow flexion contractures because they have voluntary control of the biceps muscles but have paralysis of the triceps. Besides, patients commonly sit with their elbows positioned in flexion on the armrests of wheelchairs and lie with their elbows flexed when in bed. Together these factors increase the time in which the biceps muscles are immobilized in a shortened position increasing susceptibility to elbow flexion contractures [ | |||
== Causes of contracture == | |||
Contractures occur in patients with SCI as a result of paralysis combined with prolonged sitting and lying | |||
* prolonged immobilization and | |||
* habitual use of soft tissues in their shortened range. | |||
== Treatment == | |||
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Introduction[edit | edit source]
The most common complication of spinal cord injury is contractures. It is a debilitating problem for patients suffering from a spinal cord injury. Contractures result from a loss in the extensibility of the soft tissue structures-skin, ligaments, muscles, and joint capsules crossing joints, leading to restriction in joint mobility, causing joint stiffness, and later on the deformity.[1] Contractures reduce joint mobility and are associated with pain, spasticity, sleep disturbances and skin breakdown.
According to a prospective cohort studying the incidence of contracture at one year after spinal cord injury showed that 66% of the patients developed at least one contracture in any joint at one year after acute spinal cord injury. The proportion of participants with paraplegia developing at least one contracture in any joint was 47%, while the proportion of participants with tetraplegia who got at least one contracture in any joint was 83%.[2]
Common contractures[edit | edit source]
People with motor complete C5 tetraplegia are prone to developing elbow flexion contractures because they have voluntary control of the biceps muscles but have paralysis of the triceps. Besides, patients commonly sit with their elbows positioned in flexion on the armrests of wheelchairs and lie with their elbows flexed when in bed. Together these factors increase the time in which the biceps muscles are immobilized in a shortened position increasing susceptibility to elbow flexion contractures [
Causes of contracture[edit | edit source]
Contractures occur in patients with SCI as a result of paralysis combined with prolonged sitting and lying
- prolonged immobilization and
- habitual use of soft tissues in their shortened range.
Treatment[edit | edit source]
Add text here...
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Harvey LA, Glinsky JA, Katalinic OM, Ben M. Contracture management for people with spinal cord injuries. NeuroRehabilitation. 2011 Jan 1;28(1):17-20.
- ↑ Diong J, Harvey LA, Kwah LK, Eyles J, Ling MJ, Ben M, Herbert RD. Incidence and predictors of contracture after spinal cord injury—a prospective cohort study. Spinal cord. 2012 Aug;50(8):579-84.
