Document Detail


Contractures secondary to immobility: is the restriction articular or muscular? An experimental longitudinal study in the rat knee.
MedLine Citation:
PMID:  10638868     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To measure articular structures' contribution to the limitation of range of motion after joint immobility. STUDY DESIGN: Experimental, controlled study involving 40 adult rats that had one knee joint immobilized in flexion for durations of 2, 4, 8, 16, and 32 weeks; 20 rats underwent a sham procedure. The angular displacement was measured both in flexion and extension at three different torques. Myotomy of transarticular muscles allowed isolation of the arthrogenic component of the contracture. RESULTS: A contracture developed in all immobilized knees. The articular structures were incrementally responsible for the limitation in range of motion (from 12.6 degrees +/-6.7 degrees at 2 weeks to 51.4 degrees +/-5.4 degrees at 32 weeks). The myogenic restriction proportionately decreased over time (from 20.1 degrees +/-8.4 degrees at 2 weeks to only 0.8 degrees +/-7.2 degrees at 32 weeks). The increase in the arthrogenic component of contracture was predominant in extension. CONCLUSION: This study quantified the increasing role of arthrogenic changes in limiting the range of motion of joints after immobility, especially as the period of immobility extended past 2 weeks. These data provide a better understanding of joint contracture development and can be used to guide therapeutic approaches.
Authors:
G Trudel; H K Uhthoff
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  81     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-02-01     Completed Date:  2000-02-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  6-13     Citation Subset:  AIM; IM; S    
Affiliation:
Department of Medicine, University of Ottawa, Canada.
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MeSH Terms
Descriptor/Qualifier:
Animals
Contracture / etiology,  physiopathology*
Immobilization / adverse effects*
Knee Joint / physiopathology*
Male
Range of Motion, Articular*
Rats
Rats, Sprague-Dawley
Torque

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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