contracture ppt for physiotherapy.. definition of contracture types of contracture why contracture occurs therapy of contracture YouTube link- https://youtu.be/JU1zyft7w9c

1. CONTRACTURE
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2. CONTENT-
1. CONTRACTURE
2. TYPES OF CONTRACTURE
3. WHY CONTRACTURE OCCURS?
4. THERAPY OF CONTRACTURE
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3. CONTRACTURE-
Contracture is defined as the adaptive shortening of the muscle-tendon unit and other soft tissues that
cross or surround a joint resulting in significant resistance to passive or active stretch and limitation of
ROM, which may compromise functional abilities.
◦ Types of Contracture
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ARTHROGENC
CONTRACTURE
MYOSTATIC
CONTRACTURE
PSEUDOMYOSTATIC
CONTRACTURE
FIBROTIC
CONTRACTURE
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4. Myostatic contracture Arthrogenic contracture
• Intra-articular pathology
• Also called periarticular contracture
• Changes may have adhesion, synovial
proliferation, joint effusion.
• Restrict normal arthrokinematics motion
• Lose mobility
Psuedomyostatic contracture
• Impaired mobility, limited ROM result in
hypertonicity
• CNS lesion, muscle spasm
• Rise to excessive resistance to passive
stretch
• Reduce muscle tension temporarily
Fibrotic contracture
• Fibrous changes in connective tissue of muscle
and and peri-articular structures.
• Eventual increase ROM
• Difficult to re establish optimal tissue length
• Permanent loss of extensibility can occur; if long
period of immobilization
• Musculotendinous unit shortened.
• Loss of ROM
• Reduction inn number of sarcomere
• No decrease in sarcomere length
• Resolved with stretching.
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5. WHY CONTRACTURE OCCURS?
◦ Paralysis
◦ Muscular atrophy
◦ Muscular dystrophy
◦ Loss of strength
◦ Loss of muscle control
◦ Stiffness in tendon
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6. THERAPY OF CONTRACTURE
◦ Positioning- assessed by lying, sitting or
standing. Make is functional as possible to
prevent muscle shortening and will decrease pain.
◦ Heat- to decrease muscle pain and assist tissue
lengthening before stretching
◦ Stretching- use of splints or casts for prolong
stretch
◦ Massage- maintain tissue mobility and nutrition
◦ Manual techniques- joint mobilization used to
increase joint flexibility and decreases pain.
◦ Advice and support- orthotic device and
adaptive equipment
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7. by-physioworld
Thank you
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• Properties of tissue
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