IBAN: IT36M0708677020000000008016 - BIC/SWIFT:
ICRAITRRU60 - VALERIO DI STEFANO or
CEREBRAL PALSY
CONTRACTURES IN CEREBRAL PALSY
Abnormal muscle tightness often leads to contractures (muscle shortening and reduced
motion of joints, see Chapter 8). In time, the muscles that keep a limb bent become
shortened so that the limb cannot straighten even when the muscles relax. But with care,
contractures can often be prevented.
Without care to prevent it.
SPASTICITY
(Uncontrolled tightening
of muscles)
leads to
CONTRACTURE
(Fixed shortening
of muscles)
101
The typical contractures of cerebral palsy are similar to the abnormal positions of
cerebral palsy. They can include:
neck contractures
that pull the head
back or to one side
sway back
bent-hip contracture
bent-knee contracture
‘tiptoe’ contracture
An arm and hand that
are always bent may
cause contracture of
elbow and wrist.
‘knock-knees’
contracture
Ankle and foot contractures may
bend IN, DOWN, UP or OUT
depending on the spasticity.
Stretching the knees apart
you can see and feel the very
tight cord in the groin.
Chapter 8 discusses contractures, and ways to prevent and correct them. Page 79 explains
how to tell spasticity from contractures.
Spasticity and contractures combined
Decreased range of motion may be caused partly by spasticity and partly by
contractures. Therefore, whenever a child has spasticity, check to see if contractures are
also forming, and if so, how much.
This girl
with
cerebral
palsy has
spastic
muscles
that hold
her knees
tightly
together.
One way to record spasticity and
contractures:
When she is helped
to relax and her
legs are slowly
separated, they
will only
open this far.
Normally her
legs should
open this far.
This means
she has
contractures
on the inner
side of
her thighs
(groin).
Normal
With
Contracture
With
Spasms
You can use
a flexikin to
record the
positions.
(See. p. 43.)
disabled village children
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