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Related Experiment Videos

Transcutaneous electrical nerve stimulation and extensor splint in linear scleroderma knee contracture

T E Rizk, S J Park

    Archives of Physical Medicine and Rehabilitation
    |February 1, 1981
    PubMed
    Summary

    This study presents two effective treatments for knee flexion contracture in a child with linear scleroderma. Continuous stretching with electrical stimulation achieved faster and greater range of motion improvement.

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    Area of Science:

    • Orthopedics
    • Pediatric Rheumatology
    • Rehabilitation Medicine

    Background:

    • Knee flexion contracture is a common complication in pediatric linear scleroderma with hemiatrophy.
    • Conservative management often involves physical therapy and splinting.

    Observation:

    • A pediatric patient with linear scleroderma and hemiatrophy presented with significant knee flexion contracture.
    • Initial treatment included hot packs, gentle stretching, and serial posterior splinting.

    Findings:

    • The initial treatment yielded a 35-degree gain in knee range of motion over 16 weeks, with regression of contracture at 9 months.
    • An alternative approach using a front extension splint with transcutaneous electrical nerve stimulation (TENS) resulted in a 55-degree gain in 6 weeks.

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    Implications:

    • Continuous stretching combined with TENS offers a more rapid and effective treatment for knee flexion contracture in this population.
    • This highlights the potential of advanced therapeutic modalities in managing complex pediatric musculoskeletal conditions.