A gait training suggestion for lengthening gastrocnemius-soleus muscles: suggestion from the field
Autor: | Christopher E. Duncan |
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Rok vydání: | 1989 |
Předmět: |
medicine.medical_specialty
Achilles tendon Leg business.industry medicine.medical_treatment Muscles Posture Soft tissue Physical Therapy Sports Therapy and Rehabilitation Skin Transplantation Gait Physical medicine and rehabilitation medicine.anatomical_structure Gait training medicine Physical therapy Skin grafting Humans Stance position Ankle business Range of motion Burns |
Zdroj: | Physical therapy. 69(9) |
ISSN: | 0031-9023 |
Popis: | Burns on the posterior lower extremity from the popliteal space to Achilles tendon areas often result in an atypical standing posture and gait pattern. During the acute care hospital stay, the patient frequently assumes a stance position of excessive knee flexion and ankle plantar flexion because of pain splinting or soft tissue shortening, or both (Fig. 1). This burn distribution frequently results in a temporary shortening of the gastrocnemius-soleus muscles. The abnormal stance translates into a familiar gait pattern of absent heel-strike in addition to decreased stride length, weight bearing,1 and duration of stance phase on the involved lower extremity. Furthermore, the pattern may be observed before and after skin grafting is performed. Early intervention is important because a patient is more likely to have optimal results after skin grafting if full active range of motion was attained during the pregrafting phase of burn rehabilitation.1… |
Databáze: | OpenAIRE |
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