Joint contractures and acquired deforming hypertonia in older people: Which determinants? - 04/12/19
Highlights |
• | More than 20% of dependent older people have joint contractures or acquired deforming hypertonia. |
• | Mobility limitation, whatever the cause, constitutes the “primum movens” of joint contractures. |
• | Histological, cellular and molecular changes are involved in joint contractures. |
Abstract |
Joint contractures and acquired deforming hypertonia are frequent in dependent older people. The consequences of these conditions can be significant for activities of daily living as well as comfort and quality of life. They can also negatively affect the burden of care and care costs. However, etiological factors and pathophysiologic mechanisms remain only partly understood. As a result, preventive interventions and treatments focus entirely on controlling symptoms rather than the causes. Moreover, the effectiveness of these interventions remains to be validated. The purpose of this position paper is to present current data on etiological factors contributing to the development of joint contractures and acquired deforming hypertonia in older people. The pathophysiologic mechanisms of joint contractures in animal models are also presented.
Le texte complet de cet article est disponible en PDF.Keywords : Contractures Aquired deforming hypertonia, Etiological factors, Pathophysiology
Plan
Vol 62 - N° 6
P. 435-441 - novembre 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.