Dysfunctional posturing Discussion

Dysfunctional posturing may occur for a variety of reasons and assume many forms. Dysfunctional posturing refers to an apparent inability to control a joint or set of joints in a fashion not consistent with paralysis, spasticity or tethering effects of scar contracture. This may occur in the course of recovery from a painful condition, in the context of a conversion reaction, or due to malingering. In general, the posturing involves co-contraction of antagonist muscles and requires patient concentration. The diagnosis is usually made by demonstrating more normal posture while the patient's attention is diverted. Some patients may benefit from biofeedback techniques, but others require resolution of psychiatric or financial situations. Surgery is not indicated specifically for this diagnosis.

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