Incidence of ankle contracture after moderate to severe acquired brain injury (original) (raw)

Archives of physical medicine and rehabilitation, 2004

Abstract

To examine an adult population undergoing rehabilitation after brain injury to determine the incidence of ankle contracture and factors contributing to the development of this deformity. Descriptive study Specialist inpatient neurosurgical rehabilitation unit in Australia. Patients (N=105) admitted with a new diagnosis of moderate to severe brain injury over a 12-month period. Not applicable. Maximal ankle dorsiflexion range and the presence of abnormal muscle tone affecting the lower limb(s) were evaluated at weekly intervals. Ankle contracture was defined as maximal passive range of less than 0 degrees dorsiflexion with the knee in extension. Patients were grouped into 3 muscle tone categories: normal, predominantly spastic, or predominantly dystonic. Age, sex, mechanism and severity of brain injury, time to onset of ankle contracture, total length of hospital stay, and discharge mobility status data were also recorded. Muscle tone was designated as normal in 68 (64.7%), as spasti...

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