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Active Flexibility
ability to contract mm through ROM
passive flexability
passive ROM, must have extensability of soft tissue @/around joint
Contracture
shortening of soft tissue @/around joint limiting ROM/functional activities and resist
passive/active stretch
Myostatic contracture
mm shortening w/ fewer sarcomeres in series (NOT individual sarcomere length)
Pseudomyostatic contracture
hypertonicity/mm spasm/guarding/pain from CVA, SCI or TBI
Arthrogenic/periarticular contracture
CT/joint capsule losses mobility, = decrease in arthrokinematic motion (join
effusion/adhesion/osteo formation)
fibrotic/irreversible contracture
loss of soft tissue extensibility from long-term immobilization or serve tissue trauma or
neuromuscular disease
, how to name contracture
based off the mm that is shortened
(shorten elbow flexors or elbow flexion contracture = unable to extend elbow)
Indications for stretching
- ROM limited
- Mm weakness/shortening of opposing tissue
- Fitness program to reduce risk of injury
-Before or after vigorous exercise
Contraindications for stretching
- Bony block
- Fracture
- Inflammation or infection
- sharp/acute pain with joint movement
- Hematoma/soft tissue trauma