関節拘縮 : その予防・治療について

概要

論文の詳細を見る
Joint contracture is a consequence of immobilization or various traumas, and is one of the most prevalent syndromes encountered in rehabilitation medicine. Histological and biochemical changes of matrix components occur, and their biomechanical characters, which reflect surrounding mechanical environments, respond to a newer condition. Quantitative studies have been accumulated to clarify the relationship between mechanical stress and tissue response. The research results show that low-load constant tension is effective to grow connective tissues and is a useful treatment for fixed joint contracture. The basic concept of treatment was prevention, and induction of tissue reaction with prolonged stretch. The program of treatment consists of positioning, ROM-exercise and functional splinting, which including extraskeletal fixation, dynamic sprint and other devices. For further improvement of treatment, new corrective device and therapeutic equipment will be required on the basis of further understanding about pathomechanisms of contracture development.
社団法人日本リハビリテーション医学会の論文
2003-01-18