• Contracture

  Filed under Columns locomotor system diseases
  November 25

  Contracture - a significant limitation of joint mobility of the pathological changes in tissues that have a functional relationship with the articular joint. Depending on which way the damaged joint, released: bending, tiesiamoji, adductor, and atitraukiamoji rotation contracture. In addition, the contracture may be congenital or acquired. More frequent lessons.

  Congenital contracture of the muscles, bones or skin abnormalities in development. In the meantime, acquired contracture can be traumatic, inflammatory origin, paralysis, or dystrophic caused by fixation. The beginning of a breach of any fabric, and then the process involves other tissues. According to the initial stages of damaged tissue can be distinguished: dermatogenines, dezmogenines, fasciogenines, aponeurogenines, miogenines, and artrogenines neurogenic contractions.

  But the origin of contracture schematically depicts one side of concave on the other - convex. Convex side of the fabric feeble, stretch, and concave - wrinkle, shrink or draw. At first these symptoms to see only the initial stage of damaged tissues, and then - and others. Convex side of the contracture occurs atrophy, protein and fat excess, and concave - randėjantis wrinkled surface. The clinical course of the disease depends on the reason for the contraction occurred, the damaged joint, the anatomical localization and local - from the patient's age. Acute inflammation and injury of contracture formed quickly, chronic disease case - not so fast. The heavier the later stages and treatment is started, the more intense contractions. Soft tissue atrophy (above the damaged joint, and after him), in contracture, yet more and more evident. Extremely bright tissue atrophy, paralysis, contracture, and a tuberculous arthritis. If the contracture developed during childhood, the relevant part of the skeletal growth retardation.

  Contractions at a better prognosis, early initiation of treatment and it is smoother, younger patient age (and the concave side of the fabric paslankesni and plasticity), the lower half išgaubtosios pertempiami muscle tissues (sutraukiamosios their properties remain.)

  Prophylaxis begins with the timely and rational treatment of the underlying disease. In case of skin imperfections, helps to prevent contractures in time performed plastic surgery, paralysis of the case - time to take some of the antagonists. Acute inflammatory phase or just a įvykusiam violation of applicable immobilization. The formation of contractions in all cases of acute exacerbation of decline in for massage, therapeutic gymnastics and water treatments.

  These measures increase the muscle tone and malnourished as independent treatments, and - an added effect with other treatments.
  The more the patient's muscles are weak, the margin should be carried out in the massage action and therapeutic gymnastics exercises.

  Massage goal: restoration of articular joint function, blood and lymph circulation improvement, tissue nutrition, metabolism and regeneration processes (damaged tissue) stimulation, muscle atrophy and reduction of wrinkles, restoration of joint mobility, muscle tone and power sutraukiamosios (bowl side) support and muscle hipertonuso (concave side of the contracture) reduction in scarring and adhesions liquidation.

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