Limb Contractures in Progressive Neuromuscular Disease and the Role of Stretching, Orthotics, and Surgery - 06/07/18
Doi : 10.1016/S1047-9651(18)30286-9
Craig M. McDonald, MD ⁎
From the Department of Physical Medicine and Rehabilitation, Department of Pediatrics, and MDA Adult and Child Neuromuscular Disease Clinics, University of California, Davis Medical Center, Sacramento, California
*Address reprint requests to: Craig M. McDonald, MD, Department of Physical Medicine and Rehabilitation, U.C. Davis Medical Center, 4301 X Street, Room 2030, Sacramento, CA 95817.Department of Physical Medicine and RehabilitationU.C. Davis Medical Center4301 X Street, Room 2030SacramentoCA95817
Résumé |
Limb contractures are common impairments in selected progressive neuromuscular disease (NMD) conditions and can lead to such increased disabilities as worsening motor performance, decreased mobility, loss of ADL skills, and pain. This article reviews the pathogenesis of joint contractures in NMD, the prevalence of specific contractures among many common NMD conditions, and the role of optimal positioning, stretching, upright ambulation, orthotics, and splinting, as well as surgery in the prevention and management of contractures.
Le texte complet de cet article est disponible en PDF.© 1998
Elsevier Inc. Tous droits réservés.
Vol 9 - N° 1
P. 187-211 - février 1998 Retour au numéro
Article précédent
- Management of Pulmonary Complications in Neuromuscular Disease
- Joshua O. Benditt
- Spinal Deformity in Progressive Neuromuscular Disease: Natural History and Management
- Dennis A. Hart, Craig M. McDonald
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