The use of low-load prolonged stretch devices in rehabilitation programs in the Pacific northwest
| Autor: | Ann M. Ekes, Barbara A. Nuismer, Margo B. Holm |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male Wrist Joint medicine.medical_specialty Orthotic Devices Contracture Adolescent Knee Joint medicine.medical_treatment Population Physical medicine and rehabilitation Occupational Therapy Elbow Joint medicine Humans Joint Contracture Range of Motion Articular education Muscle contracture Aged Retrospective Studies Aged 80 and over education.field_of_study Rehabilitation business.industry Middle Aged Orthotic device Orthopedic surgery Physical therapy Female Joints medicine.symptom business Range of motion |
| Zdroj: | The American journal of occupational therapy : official publication of the American Occupational Therapy Association. 51(7) |
| ISSN: | 0272-9490 |
| Popis: | Objective. This retrospective study examined the use of low-load prolonged stretch (LLPS) orthoses for contracture management. Method. The records of 17 patients from skilled nursing facilities, hand clinics, and hospitals were reviewed. There was a total of 18 contractures (2 wrist, 12 elbow, 4 knee) secondary to neurological and orthopedic pathologies. Chart review focused on patient demographic information, range of motion (ROM) and functional outcomes, and wear schedules. Results. The use of LLPS orthoses significantly increased ROM for the whole sample, which in turn significantly improved the subjects functional outcomes. When the sample was divided into two pathology groups to compare a predominately geriatric population with neurological pathologies to a somewhat younger population with a history of musculoskeletal pathology, both groups showed a significant gain in ROM with the use of the LLPS orthoses. Conclusion. Use of LLPS orthoses for contracture management can mediate the losses in ROM and function that occur with joint contractures. |
| Databáze: | OpenAIRE |
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