Contracture Management for Traumatic Brain Injury: Difference between revisions
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== '''Definition of contractures''' == | |||
Contractures are losses in joint range due to changes in the passive mechanical properties | |||
soft tissues spanning joints (1-3). | |||
== | == Epidemiology == | ||
Contractures are common following acquired brain injury (4). Up to 84% of patients with craniocerebral trauma and about 50% of patients with cerebrovascular accident develop contractures (5, 6). Reports of incidence however vary substantially. | |||
Contractures are undesirable because of their potentially serious implications on motor recovery, functional outcomes and care needs.. | |||
== Aetiology == | |||
Movement is essential for maintaining the passive mechanical properties of soft tissues. | |||
Animal models show that soft tissues undergo a remodelling process when they are subjected to prolonged immobilisation in a shortened position, leading to a loss of extensibility and length, and subsequently restrictions in joint range (7-15). | |||
A study using ultrasound imaging has demonstrated that muscle tendon units and muscle fascicles are shorter at high tension in muscles with contractures in people with brain injury (16). | |||
== References == | == References == | ||
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<references /> | <references /> | ||
[[Category: Acquired Brain Injuries]][[Category:TBI Content Project]] | [[Category: Acquired Brain Injuries]] | ||
[[Category:TBI Content Project]] | |||
Revision as of 00:30, 19 June 2019
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Definition of contractures[edit | edit source]
Contractures are losses in joint range due to changes in the passive mechanical properties
soft tissues spanning joints (1-3).
Epidemiology[edit | edit source]
Contractures are common following acquired brain injury (4). Up to 84% of patients with craniocerebral trauma and about 50% of patients with cerebrovascular accident develop contractures (5, 6). Reports of incidence however vary substantially.
Contractures are undesirable because of their potentially serious implications on motor recovery, functional outcomes and care needs..
Aetiology[edit | edit source]
Movement is essential for maintaining the passive mechanical properties of soft tissues.
Animal models show that soft tissues undergo a remodelling process when they are subjected to prolonged immobilisation in a shortened position, leading to a loss of extensibility and length, and subsequently restrictions in joint range (7-15).
A study using ultrasound imaging has demonstrated that muscle tendon units and muscle fascicles are shorter at high tension in muscles with contractures in people with brain injury (16).
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
