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Titolo:
Serial plaster casting to correct equino-varus deformity of the ankle following acquired brain injury in adults
Autore:
Singer, B; Singer, KP; Allison, G;
Indirizzi:
Univ Western Australia, Dept Surg, Ctr Musculoskeletal Studies, Perth, WA 6009, Australia Univ Western Australia Perth WA Australia 6009 Perth, WA 6009, Australia
Titolo Testata:
DISABILITY AND REHABILITATION
fascicolo: 18, volume: 23, anno: 2001,
pagine: 829 - 836
SICI:
0963-8288(200112)23:18<829:SPCTCE>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
BOTULINUM-TOXIN-A; CEREBRAL-PALSY; MUSCLE CONTRACTURE; REFLEX EXCITABILITY; SPASTIC HYPERTONIA; IMMOBILIZED MUSCLE; SKELETAL-MUSCLE; SOLEUS MUSCLE; STROKE; LENGTH;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
90
Recensione:
Indirizzi per estratti:
Indirizzo: Singer, B Univ Western Australia, Dept Surg, Ctr Musculoskeletal Studies, Perth, WA 6009, Australia Univ Western Australia Perth WA Australia 6009 6009, Australia
Citazione:
B. Singer et al., "Serial plaster casting to correct equino-varus deformity of the ankle following acquired brain injury in adults", DISABIL REH, 23(18), 2001, pp. 829-836

Abstract

Purpose: Proposed mechanisms via which serial casting might effect increased joint range, muscle extensibility and reduced reflex excitability are outlined in this review. Support for these mechanisms stems largely from animal experimental studies. The applicability of these data to human muscle isunknown. Issues: Equino-varus deformity of the ankle is a common secondary complication of acquired brain injury. It results from a combination of sequelae ofthe brain injury and subsequent immobility, including hypertonia, reduced muscle length and increased stiffness. Some evidence exists for the efficacy of serial plaster casts in the treatment of equino-varus deformity, although most reported studies are uncontrolled and involve small numbers of subjects. Serial casting has been shown to result in decreased resistance to passivelengthening and a reduction in dynamic reflex excitability within the lengthened muscles in children with cerebral palsy. Currently documented effects of serial casting in brain injured adults are limited to changes in rangeof maximal passive dorsiflexion. Conclusion: Serial casting should be considered as an adjunct to therapy aimed at improving functional mobility. A variety of therapeutic interventions have been used to augment the effect of the casting regime. Factors thathave been demonstrated to be associated with a favourable outcome from serial casting, and recommendations for future research are also discussed in this review.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/09/20 alle ore 10:11:11