Contractures, standing and range of movement
Posted: Fri Sep 04, 2026 10:48 am
Reduced movement and persistent postures can contribute to muscle shortening and joint stiffness. Prevention and comfort plans should be personalised.
Key points to discuss:
- Ask physiotherapy to establish a baseline for joint range, posture, gait and functional movement.
- Review supported standing, walking, positioning, splints or orthoses where appropriate.
- Do not force stretches through pain; families need clear demonstrations and written guidance.
- Check skin and comfort with every orthosis or positioning device.
- Reassess after growth, surgery, a fracture, loss of mobility or a change in pain.
Sources:
- ActiveRett: https://rett.thekids.org.au/resources/activerett/
- Consensus care guidelines: https://pmc.ncbi.nlm.nih.gov/articles/PMC7488790/
Important: This post provides general information, not individual medical advice. Care and treatment must be personalised by qualified healthcare professionals. If you are worried that someone is seriously unwell, use your local urgent or emergency service.
Key points to discuss:
- Ask physiotherapy to establish a baseline for joint range, posture, gait and functional movement.
- Review supported standing, walking, positioning, splints or orthoses where appropriate.
- Do not force stretches through pain; families need clear demonstrations and written guidance.
- Check skin and comfort with every orthosis or positioning device.
- Reassess after growth, surgery, a fracture, loss of mobility or a change in pain.
Sources:
- ActiveRett: https://rett.thekids.org.au/resources/activerett/
- Consensus care guidelines: https://pmc.ncbi.nlm.nih.gov/articles/PMC7488790/
Important: This post provides general information, not individual medical advice. Care and treatment must be personalised by qualified healthcare professionals. If you are worried that someone is seriously unwell, use your local urgent or emergency service.