Treatment possibilities of “contractures” by neurological diseases

van de Rakt, Jan and Mccarthy-Grunwald, Steven ORCID logo ORCID: (2020) Treatment possibilities of “contractures” by neurological diseases. Italian Journal of Sports Rehabilitation and Posturology, 7 (1). pp. 1450-1478.

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This is an contracture !! We have heard this “Often and almost every time too fast”, That “An restriction in movement is called an contracture”. This give the physical therapist and others an tool to say: “That this isn’t treatable”. But is every contractures an irreversible situation and therefore not treatable? Working in an nursing home, there were so many situations in which there was an “contracture” and always was the reaction, that this wasn’t treatable. Of course, there were joint deformation, that makes an movement not possible and the only cure was and is an joint replacement. But in the nursing home, the most people suffer often from an neurological disease and one of the most remarkable symptoms is the increased tone, together with the loss of selectivity, gives attitudes that had an great “resemblance” with the joint destruction symptoms. That has lead, that this attitude with high tone was called an contracture and regrettable give that almost always the same reaction: “Irreversible and not treatable”. People with an neurological disease with great loss of control (selectivity) can suffer from loss of mobility, but often it was possible to find, what this loss of mobility caused. Par example an restriction in the extension of knee was caused by the high tone in the hamstrings muscle. Try of change this with stretch exercise, that will give no or almost no reaction, but the reason was and is high tone, that don’t react on stretch alone. That means only, that this therapy isn’t correct or incomplete. And there must be an good assessment, WHY the tone of the hamstrings is so high and not react ? Observe an Individual with an neurological disease and an high tone in his hamstrings and this person has an epileptic insult. He lost his conscious and the tone decrease fast and the restriction ( “the contracture”) is gone. After that, when he is coming back, the tone will come back.

Item Type: Article
Journal / Publication Title: Italian Journal of Sports Rehabilitation and Posturology
Publisher: Societcientifica Riabilitazione e Posturologia dello Sport
ISSN: 2385-1988
Departments: Academic Departments > Health, Psychology & Social Studies (HPSS) > Rehabilitation
Additional Information: Steve McCarthy-Grunwald MSc BSc RMN is Senior Lecturer in Mental Health Nursing with Dementia Specialty, University of Cumbria, UK.
Depositing User: Anna Lupton
Date Deposited: 27 Sep 2018 15:53
Last Modified: 13 Jan 2024 10:18


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