I have a patient with a bilateral flexion contracture of the knee. Range (-40º to 110º).
PMH
1 Year ago was hospitalized by a pneumonia in an intensive care unit for 40 days he had a stroke with right hemiplegia during the same process.
DM2.
Has done physical teraphy the past 4 months
PE
Can move his upper extremities without restriction, difficulty and with strength.
Hips: Flexion and extension of both mantained
Knees: Active flexion 110º. Active extension -50º.
Ankles: Flexion and extension of both mantained
Thight hamstring are palpated both popliteal fossa.
No spasticity.