prevent contractures

[fishersh]

hi! i'm an israeli pt working in a nursing home with physically dependent patients.could you send me protocols or any information about the pt-treatment in this population in your country?who does got treatment and who doesn't?how many times a week?in which questionnary do you use?in israel we have to prevent contractures (twice a week at least, passive ROM - health ministry requests) even if no any functional profit - and sometimes it even cause pain!so what about cost effectivness and ethics?

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[mirkamranali]

to prevent the contracture you should always keep in mind that the contracture is due to uml.you can prevent the contracture by daily rom exerices thrice daily. you can also prevent contracture through the splint or modified orthosis. thank you .my name is kamran from pakistan.

[mirkamranali]

to prevent the contracture you should always keep in mind that the contracture is due to uml.you can prevent the contracture by daily rom exerices thrice daily. you can also prevent contracture through the splint or modified orthosis. thank you .my name is kamran from pakistan.

[NARSTR]

Once there is joint contracture only surgery can change that. If it is muscle shortening, keeping the limb in a functional position during day/night will prevent contractures. Passive movements are not likely to make a difference. They serve well as a test to see if contractures are occuring. They can be damaging to tissues if any pressure is applied, and unless new range can be obtained, there is no economic value in doing them.