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Contracture management for people with spinal cord injuries.
MedLine Citation:
PMID:  21335673     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Contractures are a common and disabling problem for people with spinal cord injuries. To date, contractures have largely been managed with physical interventions such as stretch and passive movements. These are typically administered either manually or with the assistance of various orthoses, devices or aids. However, the results of recent clinical trials question the effectiveness of these interventions. They indicate that therapists should not expect to see a change in joint mobility or muscle extensibility from stretches applied for less than 30 minutes a day over less than 3 months. This suggests that contractures may be a far more complex and multifactorial problem to manage than previously assumed. This paper challenges clinicians and researchers to reappraise the effectiveness of current contracture management.
Authors:
Lisa A Harvey; Joanne A Glinsky; Owen M Katalinic; Marsha Ben
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  NeuroRehabilitation     Volume:  28     ISSN:  1878-6448     ISO Abbreviation:  NeuroRehabilitation     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-02-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9113791     Medline TA:  NeuroRehabilitation     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  17-20     Citation Subset:  IM    
Affiliation:
Rehabilitation Studies Unit, Northern Clinical School, Sydney School of Medicine, University of Sydney, Australia.
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