Clin Orthop Relat Res, 2013 · DOI: 10.1007/s11999-013-3196-z · Published: July 27, 2013
Joint contractures, or the stiffening of joints, are common after neurologic conditions such as spinal cord injuries. Stretching is often used to prevent and treat these contractures. This study used a rat model of spinal cord injury to test different stretching methods, varying the amount of force (torque) and the length of time stretching was applied, to see which method best improved knee joint movement. The researchers found that high-torque, long-duration static stretching was most effective in improving range of motion, especially regarding the articular (joint) components of the contracture.
High-torque, long-duration static stretching appears to be the most effective method for improving knee joint ROM after spinal cord injury.
Rehabilitation strategies should prioritize addressing articular factors contributing to contractures.
The treatments evaluated in our study, using this particular animal model, should be considered to be geared toward treatment of contractures that might form very early after spinal cord injury, not chronic contractures of long duration.