Article

We carried out a systematic review of the literature on
treatment of genu recurvatum in hemiparetic adult patients by searching the
PubMed, Pedro, Trip Database and Science Direct databases. The following keywords
were used: (recurvatum or hyperextension or knee) and (hemiplegia or
hemiparesis). RESULTS: Nine articles met our selection criteria. Four assessed
retraining methods (functional electric stimulation or electrogoniometric
feedback), two assessed orthopaedic or neurosurgical treatments and three
articles focused on orthoses. DISCUSSION AND CONCLUSION: Even though all the
various treatments produced encouraging results, most of the reviewed studies
presented methodological limitations. Moreover, none of the selected articles
suggested a treatment strategy which takes account of the various aetiologies in
genu recurvatum. On the basis of some of the reviewed articles and our own
clinical experience, we propose an aetiology-specific treatment strategy for genu
recurvatum patients. In a broad patient population, this categorization could
form the basis for testing the specificity of each treatment method as a function
of the cause of genu recurvatum. This approach could help confirm the clinical
indications and identify the most appropriate treatment for each patient.
CI - Copyright 2010 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS