Contracture management for people with spinal cord injuries
Contracture management for people with spinal cord injuries
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DOI：
10.3233/nre-2011-0627
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发表时间：
2011-01-01
影响因子：
2
通讯作者：
Ben, Marsha
中科院分区：
文献类型：
--
作者：
Harvey, Lisa A.;Glinsky, Joanne A.;Ben, Marsha
挛缩是脊髓损伤患者常见的致残问题。迄今为止，挛缩主要通过伸展和被动运动等物理干预措施来控制。这些通常通过手动或在各种矫形器、装置或辅助工具的帮助下进行。然而，最近的临床试验结果质疑这些干预措施的有效性。他们指出，治疗师不应期望在不到 3 个月的时间里每天进行少于 30 分钟的伸展运动就能看到关节灵活性或肌肉伸展性的变化。这表明挛缩可能是一个比之前假设的更复杂、更需要处理的多因素问题。本文要求临床医生和研究人员重新评估当前挛缩治疗的有效性。
Contractures are a common and disabling problem for people with spinal cord injuries. To date, contractures have largely been managed with physical interventions such as stretch and passive movements. These are typically administered either manually or with the assistance of various orthoses, devices or aids. However, the results of recent clinical trials question the effectiveness of these interventions. They indicate that therapists should not expect to see a change in joint mobility or muscle extensibility from stretches applied for less than 30 minutes a day over less than 3 months. This suggests that contractures may be a far more complex and multifactorial problem to manage than previously assumed. This paper challenges clinicians and researchers to reappraise the effectiveness of current contracture management.