“…For example, administration of decorin, which suppresses bioactivity of cell adhesion, as well as fibrotic regulators, such as transforming growth factor-beta, can improve restricted joint motion in the rabbit intra-articular adhesion model (Fukui et al 2001). However, several studies showed development of arthrogenic contracture without fibrosis in the periarticular connective tissue in spinal cord injury and immobilization models (Hagiwara et al 2010, Kaneguchi et al 2017, Kaneguchi et al 2018a, Kaneguchi et al 2018b, Kaneguchi et al 2019, Moriyama et al 2007. While it therefore remains controversial whether joint fibrosis is a major factor in arthrogenic contracture, development of fibrosis is observed in the joint capsule of remobilized joints together with progression of arthrogenic contracture (Kaneguchi et al 2017, Kaneguchi et al 2018a, Kaneguchi et al 2018b, Kaneguchi et al 2019.…”