Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Passive motion therapy for infants with arthrogryposis.

P M Palmer, G D MacEwen, J R Bowen

    Clinical Orthopaedics and Related Research
    |April 1, 1985
    PubMed
    Summary

    Early passive stretching and serial splinting significantly improve joint motion and function in children with arthrogryposis multiplex congenita, with surgery reserved for persistent deformities.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Childhood outcomes following preterm prelabor rupture of the membranes (PPROM): a population-based record linkage cohort study.

    Journal of perinatology : official journal of the California Perinatal Association·2017
    Same author

    Lattice constant measurement from electron backscatter diffraction patterns.

    Journal of microscopy·2017
    Same author

    Decreasing infection in neonatal intensive care units through quality improvement.

    Archives of disease in childhood. Fetal and neonatal edition·2016
    Same author

    Transmission electron microscopy specimen preparation method for multiphase porous functional ceramics.

    Microscopy and microanalysis : the official journal of Microscopy Society of America, Microbeam Analysis Society, Microscopical Society of Canada·2013
    Same author

    Ion beam polishing for three-dimensional electron backscattered diffraction.

    Journal of microscopy·2012
    Same author

    Effects of focused ion beam milling on electron backscatter diffraction patterns in strontium titanate and stabilized zirconia.

    Journal of microscopy·2012

    Area of Science:

    • Pediatric Orthopedics
    • Rehabilitation Medicine
    • Developmental Pediatrics

    Background:

    • Arthrogryposis multiplex congenita (AMC) presents significant challenges due to contractures affecting multiple extremities.
    • A substantial portion of AMC patients (40%) also exhibit multiple congenital anomalies, complicating treatment.
    • Previous treatment approaches for AMC have varied, necessitating a structured, evidence-based program.

    Purpose of the Study:

    • To present a comprehensive treatment program for arthrogryposis multiplex congenita.
    • To evaluate the efficacy of early passive stretching and serial splinting in improving joint motion and function in infants and young children with AMC.
    • To define the role of surgical intervention within a multidisciplinary AMC treatment regimen.

    Main Methods:

    Related Experiment Videos

    • Development of a treatment program based on clinical experience with 95 pediatric patients diagnosed with AMC.
    • Implementation of daily intensive passive stretching exercises for affected joints.
    • Application of serial splinting techniques to progressively correct joint contractures.
    • Selective use of surgical procedures for residual deformities unresponsive to conservative management.

    Main Results:

    • The developed program, emphasizing early passive stretching and serial splinting, demonstrated substantial improvements in patient function.
    • Ninety percent of patients presented with contractures in all extremities, highlighting the severity and widespread nature of the condition.
    • Conservative management (stretching and splinting) was effective in increasing joint mobility and functional capacity for the majority of the study cohort.

    Conclusions:

    • A comprehensive, conservative program focused on early passive stretching and serial splinting is highly effective for managing arthrogryposis multiplex congenita.
    • This regimen significantly enhances joint motion and functional outcomes in infants and young children with AMC.
    • Surgical intervention should be reserved for cases with persistent deformities that do not respond adequately to intensive non-operative treatment.