The Use of Casts in the Management of Joint Mobility and Hypertonia Following Brain Injury in Adults: A Systematic Review | Zendy

Patricia Mortenson | Zendy; Janice J. Eng | Zendy

Open Access

The Use of Casts in the Management of Joint Mobility and Hypertonia Following Brain Injury in Adults: A Systematic Review

Author(s) -

Patricia Mortenson,

Janice J. Eng

Publication year - 2003

Publication title -

physical therapy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.998

H-Index - 150

eISSN - 1538-6724

pISSN - 0031-9023

DOI - 10.1093/ptj/83.7.648

Subject(s) - hypertonia , physical medicine and rehabilitation , rigour , acquired brain injury , medicine , rehabilitation , range of motion , casting , joint (building) , physical therapy , psychology , engineering , psychiatry , architectural engineering , materials science , geometry , mathematics , composite material

Many controversies exist regarding the practicality, the theoretical premises, and the supporting evidence for the use of casts in the management of joint hypomobility and hypertonia (ie, increase in joint resistance to passive movement resulting from hyperactivity of the stretch reflex and/or changes in the muscles and connective tissues). The purpose of this review was to determine current best practice for the use of casting in the rehabilitation of adults with brain injury. A systematic review was undertaken to find studies that quantified the effectiveness of casting in adults with brain injury. Thirteen articles that presented experimental or case report evidence on casting were analyzed using Sackett's levels of evidence and were examined for scientific rigor. A grade B recommendation is given for the use of casting to increase passive range of motion or to prevent its loss, and implications for further research are provided.

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