Serial casting versus positioning for the treatment of elbow contractures in adults with traumatic brain injury: a randomized controlled trial

Moseley, Anne M.; Hassett, Leanne; Leung, Joan; Clare, Jennifer S; Herbert, Robert D.; Harvey, L A

doi:10.1177/0269215507083795

Cited by 42 publications

(54 citation statements)

References 33 publications

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“…Elbow extension was measured using the method described by Moseley et al (intraclass correlation coefficient ¼ 0.98, 95% CI 0.93-1). 10 Wrist extension was measured using the method described by Harvey et al (intraclass correlation coefficient ¼ 0.85). 11 Ankle dorsiflexion was measured at 12 Nm of torque with a spring balance and cuff secured over the foot using a procedure similar to that described by Moseley and Adams.…”

Section: Measures Of Contracturementioning

confidence: 99%

Incidence and predictors of contracture after spinal cord injury—a prospective cohort study

et al. 2012

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Section: Measures Of Contracturementioning

confidence: 99%

Incidence and predictors of contracture after spinal cord injury—a prospective cohort study

et al. 2012

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“…However, passive joint mobility can be improved by serial casting. A follow-up treatment with splints is often indispensable, which is impressively evidenced in a paper by Moseley et al, [15]: serial casting results showed an average improvement of elbow mobility by 22 degrees. However, this range of motion already decreased by 11 degrees on the subsequent day and completely disappeared after 4 weeks.…”

Section: Resultsmentioning

confidence: 98%

Effectiveness of Physiotherapy and Occupational Therapy after Traumatic Brain Injury in the Intensive Care Unit

Hellweg

2012

Critical Care Research and Practice

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Physiotherapy and occupational therapy are frequently administered in intensive care units (ICUs) after traumatic brain injury (TBI) to promote recovery. The increasing economic pressure and the growing need for evidence of therapeutic effectiveness are reasons for reviewing the currently available scientific data. The databases of OTseeker, PEDro, Medline, and Cochrane were searched for studies on frequently applied therapeutic procedures in the ICU following a TBI. It becomes evident that the currently available data on physiotherapy and occupational therapy are very limited. Consequently, it is not possible to give conclusive recommendations within an evidence-based context. Studies of other neurological disorders indicate that early mobilisation positively influences outcome parameters such as the ability to walk. It can be concluded from three studies that physiotherapy for the prevention or treatment of ventilator-associated pneumonia is not effective. The proof of effectiveness for other physiotherapeutic and occupational therapy interventions must still be demonstrated.

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“…6,8,[12][13][14][15][16][17][18][19][20][21] These findings were confirmed by a recent Cochrane review that provided high-quality evidence that passive stretch produces negligible short-term (mean between-group difference 1 , 95% CI, 0-3) or long-term (mean between-group difference 0 , 95% CI, À2 to 2) changes in joint range of motion (ROM) when administered to people with a variety of neurological conditions. The typical dose of passive stretch applied in the reported trials was 30 minutes to 12 hours per day over 4-12 weeks (median duration 30 days); 22 this dosage of passive stretch may be insufficient.…”

mentioning

confidence: 76%

An Intensive Programme of Passive Stretch and Motor Training to Manage Severe Knee Contractures after Traumatic Brain Injury: A Case Report

Leung

Harvey

Moseley

2013

Physiotherapy Canada

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Purpose: While contemporary management of contractures (a common secondary problem of acquired brain injury that can be difficult to treat) includes passive stretch, recent evidence indicates that this intervention may not be effective. This may be because clinical trials have not provided a sufficient dose or have not combined passive stretch with other treatments. The purpose of this case report is to describe a programme of intensive passive stretch combined with motor training administered over a 1.5-year period to treat severe knee contractures. Method: Five months after traumatic brain injury, an adolescent client with severe contractures in multiple joints underwent an intensive stretch programme for his knee contractures, including serial casting and splinting, which was administered for 10 months in conjunction with a motor training programme administered for 1.5 years. Results: The client regained full extension range in his knees and progressed from being totally dependent to walking short distances with assistance; these effects were maintained at follow-up 5.5 years after injury. Conclusion: The use of a high dose of passive stretch in conjunction with motor training may be an option to consider for correcting severe contractures following acquired brain injury.Key Words: brain injuries; contracture; exercise therapy; muscle stretching exercises. RÉ SUMÉObjectif : Bien que le contrô le des contractures (un problè me secondaire fré quent propre aux lé sions cé ré brales acquises et pouvant ê tre difficile à traiter) comprenne des é tirements passifs, des preuves ré centes indiquent que cette intervention pourrait ê tre inefficace. Cela pourrait s'expliquer par le fait que les essais cliniques n'ont pas utilisé des dosages suffisants ou qu'ils n'ont pas jumelé les é tirements passifs à d'autres traitements. L'objectif de ce rapport de cas consiste à dé crire un programme d'é tirements passifs intensifs allié à un entraînement moteur administré durant une pé riode d'un an et demi pour le traitement de contractures sé vè res au genou. Mé thodologie : Cinq mois aprè s un traumatisme cé ré bral, un client adolescent aux prises avec des contractures sé vè res à de multiples articulations a é té soumis à un programme intensif d'é tirements pour ses contractures au genou, y compris l'application successive de plâ tres et d'attelles. Le programme a é té administré pendant 10 mois, en mê me temps qu'un programme d'entraînement moteur qui a duré un an et demi. Ré sultats : Le client a retrouvé la pleine extension de son genou et ses progrè s se sont é tendus d'une dé pendance totale à la capacité de marcher sur de courtes distances sans aide; ces effets se sont prolongé s pendant un suivi de cinq ans et demi aprè s le traumatisme. Conclusion : L'utilisation des é tirements passifs à dosage é levé en mê me temps qu'un entraînement moteur pourrait ê tre une avenue à considé rer pour corriger les contractures sé vè res ré sultant d'un traumatisme cé ré bral.Contractures-a reduction in passive joint range d...

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Serial casting versus positioning for the treatment of elbow contractures in adults with traumatic brain injury: a randomized controlled trial

Abstract: Serial casting induces transient increases in range of motion. These effects are not maintained.

Cited by 42 publications

References 33 publications

Incidence and predictors of contracture after spinal cord injury—a prospective cohort study

Incidence and predictors of contracture after spinal cord injury—a prospective cohort study

Effectiveness of Physiotherapy and Occupational Therapy after Traumatic Brain Injury in the Intensive Care Unit

An Intensive Programme of Passive Stretch and Motor Training to Manage Severe Knee Contractures after Traumatic Brain Injury: A Case Report

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