Factors Affecting Development of Contracture in Hemiplegic Patients

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Although contracture development is a common and debilitating problem in hemiplegic patients, there is considerable controversy about its pathogenesis and appropriate treatment. The incidence of contracture occurrence as well as factors accecting its development were studied in 88 hemiplegic patients. As a result, the highest percentage of contracture occurred in the shoulder joint. The percentage of subjects with contracture tended to be greater in the upper extremities than in the lower extremities. Though immobility induced by loss of volitional movement is the most important causal factor in the development of the contracture, it was apparent that other factors such as spasticity, pain and joint edema presence play an important role in hemiplegic patients.

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