Efficacy of Soft Splints in Reducing Severe Knee-Flexion Contractures

Anderson, J. P; Snow, Barry; Fj, Dorey; Kabo, J. Michael

doi:10.1097/00001577-199400640-00021

Cited by 4 publications

(4 citation statements)

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“…Cosgrove and Corry found that the improvement in increased knee flexion after botulinum toxin type A injections was maintained through the 12‐week follow‐up visit. As in the ankle, casting with cylinder casts for 2–6 weeks, with or without the injections, combined with physiotherapy may be useful for minimal (10–15°) knee flexion contractures early in the course of treatment (Sussman, 1983; Anderson et al. , 1988; Phillips and Audet, 1990).…”

Section: True Equinus and Jump Kneementioning

confidence: 99%

Treatment of functional limitations at the knee in ambulatory children with cerebral palsy

Chambers

2001

Euro J of Neurology

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The gait of ambulatory children with cerebral palsy frequently involves abnormal knee motion. Spasticity, muscle contracture formation, impairments of motor control, weakness, balance deficits, and extrapyramidal motions can all contribute to the functional limitations imposed at the knee. Careful clinical evaluation of the child and their gait must be performed in order to determine the best individual course of treatment. Often, three-dimensional motion analysis with assessment of muscle activity and force is necessary to completely assess the complexities of gait. Several typical gait patterns have been described involving the knee, including 'jump knee', 'crouch', 'true equinus', 'apparent equinus', 'recurvatum' and 'stiff knee' gait. Each of these gait patterns is defined here and discussed using case examples. These typical gait patterns are usually accompanied by involvement at the hip and ankle and may be combined with transverse plane rotational abnormalities. Treatment options such as rehabilitation (physiotherapy, casting, strengthening, and/or orthoses), spasticity management (intramuscular injections of phenol, alcohol, and botulinum toxin type A) and orthopaedic approaches are discussed for each entity.

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Section: True Equinus and Jump Kneementioning

confidence: 99%

Treatment of functional limitations at the knee in ambulatory children with cerebral palsy

Chambers

2001

Euro J of Neurology

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“…This study also found that the hypertonicity returned with splint removal. Anderson, Snow, Dorey and Kabo [2] found splint-wear resulted in significant gains in tonal reduction but that the hypertonicity returned following the removal of splints.…”

Section: Influence Of Splint Is Local and Temporarymentioning

confidence: 98%

Do clients with acquired brain injury use the splints prescribed by occupational therapists? A descriptive study

Kuipers

Rassafiani

Ashburner

et al. 2009

NRE

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Clients with acquired brain injury often demonstrate hypertonicity and decreased function in their upper limbs, requiring appropriate intervention. Splinting is one of the intervention methods that is widely used to address these issues. Literature shows that some clients are not using splints following fabrication. However, there is a paucity of research about the factors that influence clients to use or not use splints. This study aims to investigate these influential factors for clients with upper limb hypertonicity. Two survey tools including therapist and client questionnaires were developed and completed by both therapists and clients. Six therapists and 14 clients participated in this study and completed the relevant questionnaires. The results illustrate that most clients (13 out of 14) were continuing to use their splints four weeks following discharge from hospital. The main goals of choosing splints for both therapists and clients were prevention of contracture and deformity. The most indicated client reasons for adhering to the splint wearing program were therapist-related factors including clients' trust and reliance on their therapists. Further reasons for clients implementing the recommended splint-wearing program and clinical implications are discussed.

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“…Creatinine excretion is most closely related to lean body mass 4. It is also well documented that women undergo a significant decline in lean body mass during the first 3 years of the menopause,5 which would have an impact on creatinine excretion. If the value of creatinine does decline then the denominator to numerator ratio falls, increasing the overall value of the biomarker being measured.…”

mentioning

confidence: 99%

Associations of CTX-II with biochemical markers of bone turnover raise questions about its tissue origin: data from CHECK, a cohort study of early osteoarthritis

Sprot

2013

Ann Rheum Dis

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Efficacy of Soft Splints in Reducing Severe Knee-Flexion Contractures

Cited by 4 publications

References 0 publications

Treatment of functional limitations at the knee in ambulatory children with cerebral palsy

Treatment of functional limitations at the knee in ambulatory children with cerebral palsy

Do clients with acquired brain injury use the splints prescribed by occupational therapists? A descriptive study

Associations of CTX-II with biochemical markers of bone turnover raise questions about its tissue origin: data from CHECK, a cohort study of early osteoarthritis

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