![]() ![]() The most common of these impairments is the equinus or equinovarus deformity of the ankle 2, 3, 6, 7 however, hip, knee, and toe flexion contractures have also been reported. The orthopedic literature contains numerous descriptions of joint deformities post-stroke. Little is known about the changes in lower extremity PROM that are associated with successful hemiparetic gait. Alternatively, if PROM is adequately maintained in this subpopulation of stroke survivors, it may be advantageous for physical therapists to focus on other rehabilitation activities that may have a more substantial impact on recovery of function. Determining whether lower extremity PROM is decreased in community-ambulating stroke survivors is important because, if present, these deficits may contribute to locomotor dysfunction 7, 10 and should be corrected or prevented with appropriate treatment. 8, 9 However, it is unclear whether less severely impaired individuals, particularly stroke survivors who regain the ability to ambulate independently in the community, have PROM deficits. 2, 3, 5– 7 Consequently, physical therapists may recommend stretching exercises for people with stroke to improve joint integrity and to reduce the risk of secondary musculoskeletal impairment. 1– 6 Stroke survivors with severe hemiparesis and spasticity can develop joint contractures that cause limb deformities, pressure ulcers, and mobility problems. Decreased passive range of motion (PROM) of joints is a common musculoskeletal problem for individuals with chronic poststroke hemiparesis. ![]()
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