Contracture Management for the Neurological Patient
Presented by Andrea E. Ecsedy
Nonfinancial: Andrea Ecsedy has no competing nonfinancial interests or relationships with regard to the content presented in this course.
This course will review recent evidence in the area of contracture management. A summary of the history of contracture management will be presented—where we have been and where we are now. Evidence in support of specific interventions will be discussed to include stretching, dynamic splinting, serial casting, and other modalities. Evidence of the effectiveness of these interventions in changing joint mobility, pain, and levels of activity will also be reviewed.
Meet your instructor
Andrea E. Ecsedy
Andrea Ecsedy, PT, DPT, NCS, is a board-certified specialist in neurologic physical therapy with over 40 years of clinical experience. Her clinical focus includes balance and vestibular dysfunction, stroke, Parkinson’s disease, and other neurologic diseases. She has taught as adjunct faculty in several university physical…
Chapters & learning objectives
1. History and Etiology
In this chapter, the roots of contracture management philosophy will be covered, as well as present-day thinking and how we arrived where we are today.
2. Review of the Evidence
The evidence supporting stretching as an intervention for contracture management will be presented. The rationale behind developing a contracture management plan for a neurological patient with this evidence in mind will also be incorporated. The discussion will include diagnostic-specific recommendations based on the evidence presented.
3. Other Options for Treatment
This chapter will discuss other interventions to address contractures. Topic areas will include serial casting, dynamic splinting, modalities, and surgery.
4. So Now What? How To Treat
In this chapter, research in support of contracture prevention techniques, as well as their effectiveness and feasibility, will be presented. The chapter will include a discussion of how to review and appraise conflicting evidence, and what routes practicing clinicians can take when the research does not give the answer we are looking for.
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