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Chapter 4: Contractures and Deformities
Contractures and deformities are major problems in treating children with cerebral palsy. It is important to understand that, except in a very few instances, the children are not born with them. They arise over time as secondary problems and, of course, they are more likely to arise where the children have less access to treatment and where referrals are late.
- A contracture is a permanent shortening of a muscle, muscle tendon or joint structure. A contracture becomes established once the soft tissues lose their elasticity. These peripheral tissues become increasingly fibrous, until they can only be lengthened by surgery.
- A deformity is an abnormal body posture or limb position. The normal alignment of one bone with another is lost and distorted, and ...