Contractures: Difference between revisions
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Contractures are generally myogenic and can mimic cramps. Often described by patients as exertional muscle stiffness or muscle cramping after arbitrary movement such as lifting heavy objects for more than a few seconds or after repetitive movements. Stretching the affected muscle during a contracture does not provide relief, and contractures generally last longer than muscle cramps. Painful contractures are prominent in metabolic myopathies such as McArdle disease, glycogenosis type V.<ref name=":0">Dijkstra JN, Boon E, Kruijt N, Brusse E, Ramdas S, Jungbluth H, van Engelen BG, Walters J, Voermans NC. Muscle cramps and contractures: causes and treatment. Practical Neurology. 2023 Feb 1;23(1):23-34.</ref> <ref>Berardo A, DiMauro S, Hirano M. A diagnostic algorithm for metabolic myopathies. Current neurology and neuroscience reports. 2010 Mar;10:118-26.</ref> | Contractures are generally myogenic and can mimic cramps. Often described by patients as exertional muscle stiffness or muscle cramping after arbitrary movement such as lifting heavy objects for more than a few seconds or after repetitive movements. Stretching the affected muscle during a contracture does not provide relief, and contractures generally last longer than muscle cramps. Painful contractures are prominent in metabolic myopathies such as McArdle disease, glycogenosis type V.<ref name=":0">Dijkstra JN, Boon E, Kruijt N, Brusse E, Ramdas S, Jungbluth H, van Engelen BG, Walters J, Voermans NC. Muscle cramps and contractures: causes and treatment. Practical Neurology. 2023 Feb 1;23(1):23-34.</ref> <ref>Berardo A, DiMauro S, Hirano M. A diagnostic algorithm for metabolic myopathies. Current neurology and neuroscience reports. 2010 Mar;10:118-26.</ref> | ||
=== | == Muscle Contracture == | ||
Muscle contractures are defined as shortenings of the muscle resulting in an inability of the muscle to relax normally,<ref name=":0" /> in extreme cases, joint deformation. <ref>Lieber RL, Fridén J. [https://journals.physiology.org/doi/full/10.1152/japplphysiol.00278.2018?rfr_dat=cr_pub%20%200pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&utm_source=TrendMD&utm_medium=cpc&utm_campaign=Journal_of_Applied_Physiology_TrendMD_1 Muscle contracture and passive mechanics in cerebral palsy]. Journal of applied physiology. 2019 May 16.</ref> | |||
== | It can occur because of various reasons including: | ||
* Upper motor neuron lesion, such as [[stroke]], head injury, or [[Cerebral Palsy Introduction|cerebral palsy]] (CP) | |||
* Muscle disease, such as [[Spinal Muscular Atrophy (SMA)|spinal muscular atrophy]] or [[Muscular Dystrophy|muscular dystrophy]] | |||
== Capsular Contracture == | |||
== Contracture Management == | == Contracture Management == | ||
| Line 25: | Line 31: | ||
* [[Contracture Management for Traumatic Brain Injury]] | * [[Contracture Management for Traumatic Brain Injury]] | ||
* [[Principles of Biomechanics in Hip Flexion Contracture]] | * [[Principles of Biomechanics in Hip Flexion Contracture]] | ||
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Introduction[edit | edit source]
Contractures are generally myogenic and can mimic cramps. Often described by patients as exertional muscle stiffness or muscle cramping after arbitrary movement such as lifting heavy objects for more than a few seconds or after repetitive movements. Stretching the affected muscle during a contracture does not provide relief, and contractures generally last longer than muscle cramps. Painful contractures are prominent in metabolic myopathies such as McArdle disease, glycogenosis type V.[1] [2]
Muscle Contracture[edit | edit source]
Muscle contractures are defined as shortenings of the muscle resulting in an inability of the muscle to relax normally,[1] in extreme cases, joint deformation. [3]
It can occur because of various reasons including:
- Upper motor neuron lesion, such as stroke, head injury, or cerebral palsy (CP)
- Muscle disease, such as spinal muscular atrophy or muscular dystrophy
Capsular Contracture[edit | edit source]
Contracture Management[edit | edit source]
Resources[edit | edit source]
- Dupuytren’s Contracture
- Volkmann's Contracture
- Contracture Management in Spinal Cord Injury
- Contracture Management for Traumatic Brain Injury
- Principles of Biomechanics in Hip Flexion Contracture
- ↑ 1.0 1.1 Dijkstra JN, Boon E, Kruijt N, Brusse E, Ramdas S, Jungbluth H, van Engelen BG, Walters J, Voermans NC. Muscle cramps and contractures: causes and treatment. Practical Neurology. 2023 Feb 1;23(1):23-34.
- ↑ Berardo A, DiMauro S, Hirano M. A diagnostic algorithm for metabolic myopathies. Current neurology and neuroscience reports. 2010 Mar;10:118-26.
- ↑ Lieber RL, Fridén J. Muscle contracture and passive mechanics in cerebral palsy. Journal of applied physiology. 2019 May 16.
