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Factors associated with joint contractures in adults: a systematic review with narrative synthesis.

Tariq, H., Collins, K., Tait, D., Dunn, J., Altaf, S. and Porter, S., 2023. Factors associated with joint contractures in adults: a systematic review with narrative synthesis. Disability and Rehabilitation, 45 (11), 1755-1772.

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DOI: 10.1080/09638288.2022.2071480

Abstract

Purpose: The primary objective of the review was to collate the available evidence on factors associated with joint contractures in adults. Methods: A systematic literature search was conducted on MEDLINE, CINAHL, AMED, and EMBASE. Studies that involved participants aged ≥18 and assessed joint contracture as a primary or secondary outcome were included. Two independent reviewers screened studies against the eligibility criteria, performed data extraction, and assessed the quality of evidence. A narrative synthesis by domain and sub-domain was undertaken. The protocol was registered on PROSPERO: CRD42019145079. Results: Forty-seven studies were included in the review. Identified factors were broadly classified into three major domains: sociodemographic factors, physical factors, and proxies for bed confinement. Sociodemographic factors were not associated with joint contractures. Functional ability, pain, muscle weakness, physical mobility, and bed confinement provided the most consistent evidence of association with joint contractures. The evidence regarding the relationship between spasticity and joint contractures remains unclear. Other factors might be important, but there was insufficient evidence to make inferences. Conclusions: The review identified and collated evidence on factors associated with joint contractures, which can be utilised to develop effective prevention and management strategies.

Item Type:Article
ISSN:0963-8288
Uncontrolled Keywords:contracture; range of motion; PROM; joint; adult; associated factor; risk factor
Group:Faculty of Health & Social Sciences
ID Code:36938
Deposited By: Symplectic RT2
Deposited On:12 May 2022 15:16
Last Modified:20 May 2024 12:48

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