Erb's Palsy

[emad]

Personally , i see the issue of stretching and strenghtening can NOT provide the good outcome expected .
The key point is NOT the muscle ,but the behavior of the child regarding that limb ,Cortical attention toward that upper limb seems to be lost , sometimes they do NOT like that limb ....reach the level of hating it , usually they prefer using the non-affected .
Encourging them to use that limb is a social matter primarily .I begin to apply Induced constraint therapy early as possible ,i noticed great progress from the first 3 months of age .

Cheers
Emad

[sdkashif]

It is Ok with to induce the movement in the weak limb but where there is contracture, stretching has a definite role to play. By inducing the active movements in a limb is actually the way of strengthening the weak limb in other words.

[emad]

Stretching needs to be reviewed within physiotherapy and rehabilitation concepts ,because it fires protective mechanisms ( reflexes) leading more contractures . Just observe this child manner /pattern of activity ,you will find them move in pattern leads to that flexed contracture . This type of contracture was mysterous for me with one of those childern .Just non-cooperative child .

Cheers
Emad

[sdkashif]

Is there any evidence based study that verifies that stretching leads to more contractures? If there is any studies regarding that, kindly provide some links regarding that.

[emad]

Unfortunately , NO evidence .

Cheers
Emad

[ramywhite]

I don't know either if there is any evidence that stretching contracture tissue may lead to more contractures . But if the muscle is good innervated you can use Active Inhibition to overcome the patient active resistance to stretching.
Cheers

[emad]

Nice ,Why are we standing still believers in Stretching ? Is there evidence supports stretching efficacy in contractures .

Further behind step , anyone has experience that stretching could work in contractures .What is the cause of this contracture with that Erb,s girl ?

Cheers
Emad