How to identify the most common cause of Movement Dysfunction
The most common and major cause of movement dysfunction The most common and major cause of movement dysfunction is joint immobilisation accompanied by length-associated changes in tissues (Grossman et al., 1982; Janda, 1993). When a joint becomes immobilized, initially there are two categories of muscle state; hypertonia: an excited, overactive and dominant muscle; and hypotonia: weak, inhibited, under-active with reduced feed-forwards capacity. Note the ‘initial’ emphasis in the previous sentence – the ‘effect’ of an injury commonly has phases i.e. phase 1, acute, generally days 1 to 3, phase 2, acute, days 4 through to 3 weeks and so on. Over the past four decades length-associated change observed in muscle tissue, seen when a joint is immobilised, has been categorized in to two symptomatic states; ‘stretch-weakened’ and ‘adaptive shortened’ (Kendall, McCreary, Provance, Rodgers & Romani, 2005). These two conditions of length-associated change, have an immediate negative influence on the physiological, …
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