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  4. Amount of Torque and Duration of Stretching Affects Correction of Knee Contracture in a Rat Model of Spinal Cord Injury

Amount of Torque and Duration of Stretching Affects Correction of Knee Contracture in a Rat Model of Spinal Cord Injury

Clin Orthop Relat Res, 2013 · DOI: 10.1007/s11999-013-3196-z · Published: July 27, 2013

Spinal Cord InjuryRehabilitationMusculoskeletal Medicine

Simple Explanation

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.

Study Duration
10 days
Participants
32 male Wistar rats
Evidence Level
Not specified

Key Findings

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    High-torque and long-duration static stretching led to greater restoration of ROM than the other torque and duration treatment groups.
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    Stretching was more effective in improving articular components of contractures compared with the muscular components.
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    Stretching in this rat model prevented shortening and adhesion of the joint capsule, and affected biochemical composition, but did not change morphologic features of the cartilage.

Research Summary

This study investigated the effects of different stretching protocols on knee contractures in rats with spinal cord injuries. The protocols varied in torque (high or low) and duration (long or short) using static or intermittent stretching. The results showed that high-torque, long-duration static stretching was the most effective in restoring range of motion (ROM). Stretching primarily improved articular components of contractures. Stretching prevented joint capsule shortening and adhesion and affected biochemical composition of cartilage but did not alter its morphology. The study suggests that maximizing stretch and duration may be crucial for treating contractures after spinal cord injuries.

Practical Implications

Optimal Stretching Protocol

High-torque, long-duration static stretching appears to be the most effective method for improving knee joint ROM after spinal cord injury.

Focus on Articular Components

Rehabilitation strategies should prioritize addressing articular factors contributing to contractures.

Early Intervention

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.

Study Limitations

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