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Contractures with special reference in elderly: definition and risk factors - a systematic review with practical
M Offenbächer1, S Sauer, J Rieß
1Generation Research Program, Human Science Center, Ludwig-Maximilians-University of Munich , Prof.-Max-Lange-Platz 11, Bad Tölz , Germany .
Contractures, common in the elderly, are often defined as joint range of motion restriction. Immobility is a key risk factor, highlighting the importance of exercise and mobility maintenance for prevention.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Clinical Kinesiology
Background:
- Contractures are prevalent in the elderly population, leading to significant functional and medical complications.
- Understanding contractures and their associated risk factors is crucial for effective elderly care and rehabilitation.
Purpose of the Study:
- To provide a comprehensive overview of contractures in the elderly.
- To identify potential risk factors associated with the development of contractures.
Main Methods:
- A systematic literature search was conducted, focusing on studies published within the last 10 years.
- Studies were screened for definitions of contracture and identified risk factors, extracting data on study design, joint affected, and measurement methods.
Main Results:
- The review identified 47 studies defining contracture and 3 studies on risk factors.
- A significant finding is that contractures are frequently equated with restricted range of motion (ROM) in joints.
- Immobility emerged as a potential pivotal risk factor in contracture development.
Conclusions:
- Most studies define contractures as joint ROM limitations, with limited understanding of specific risk factors.
- Immobility appears to be a significant factor in contracture development.
- Preventive strategies should focus on exercise programs and maintaining mobility in the elderly to mitigate functional limitations.
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