Acquired deforming hypertonia and contractures in elderly subjects: definition and prevalence in geriatric institutions (ADH survey)

Annals of Physical and Rehabilitation Medicine
P DehailC Jeandel

Abstract

By proposing a new terminology (acquired deforming hypertonia or ADH) and a new definition for contractures, the main objective of this study was to establish their prevalence among institutionalized elderly patients. Secondary objectives were to analyze the negative impact of ADH and collect the opinions of clinicians on the possible treatments available. A multicenter cross-sectional study was conducted among residents of 39 geriatric institutions (29 EHPAD and 10 USLD). All subjects presenting at least one ADH were surveyed over a one-week period. Among 3145 observed patients (mean age 88.9±9.7 years) 22% (n=692) presented at least one ADH. In average, each patient presented 4.4±3.2 ADHs. Negative consequences on self-care, nursing and difficulties in getting dressed were most frequently observed. Only 25.4% of clinicians considered the ADH to be potentially reversible. Physical therapy was the therapeutic option most frequently chosen over medication and surgery. This study confirms the important prevalence of ADH among elderly institutionalized patients. Consequences on the level of dependence were significant. It seems relevant to elaborate hierarchical therapeutic strategies in order to counter these disorders and the fa...Continue Reading

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Citations

Jan 23, 2016·Annals of Physical and Rehabilitation Medicine·Alexis SchnitzlerPhilippe Denormandie
Jun 2, 2015·Annals of Physical and Rehabilitation Medicine·J-M Gracies
Dec 21, 2016·Archives of Physical Medicine and Rehabilitation·Flavia CoroianIsabelle Laffont
May 9, 2018·Nursing Older People·Marietjie du Toit
Apr 2, 2019·Disability and Rehabilitation·Christine T ShinerYuriko Watanabe
Aug 27, 2021·Hand Surgery and Rehabilitation·L MailhanP Denormandie

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