Arthrogryposis (AMC) - Comprehensive Care at Palms Physiotherapy & Allied Health

Arthrogryposis (also known as Arthrogryposis Multiplex Congenita - AMC) is a rare condition characterized by joint contractures and muscle weakness that affect the body’s ability to move. At Palms Physiotherapy & Allied Health, our multidisciplinary team—including physiotherapists, exercise physiologists, occupational therapists, and speech therapists—work collaboratively to provide comprehensive care to individuals with Arthrogryposis. Our goal is to improve mobility, strengthen muscles, and enhance the quality of life for individuals living with this condition.

What is Arthrogryposis?

Arthrogryposis refers to a group of conditions that are present at birth, where joints are stiff and have limited movement. These joint contractures occur due to abnormal muscle development during fetal life. While the severity and specific joints affected can vary from person to person, Arthrogryposis often leads to limited movement in the arms, legs, and other parts of the body.

The condition can be caused by a variety of genetic and environmental factors and may affect a single joint or multiple joints. It is often diagnosed during infancy and requires ongoing care and support throughout life.

How Physiotherapy Helps in the Management of Arthrogryposis

Physiotherapy plays an essential role in managing Arthrogryposis by improving joint mobility, strength, and overall physical function. At Palms Physiotherapy & Allied Health, our physiotherapists work closely with individuals to develop personalized treatment plans that are focused on improving movement and preventing complications. Some of the key physiotherapy interventions include:

• Stretching and joint mobilization: Targeted techniques to increase flexibility and joint range of motion, especially in areas with contractures.

• Strengthening exercises: Physiotherapists guide patients through exercises that build muscle strength, which can help improve functional movement and stability.

• Functional training: Techniques to improve everyday movement patterns, such as standing, sitting, or walking.

• Orthotics and bracing: Recommendations for custom orthotics to improve posture and joint alignment.

• Pain management: Physiotherapists use various techniques, including manual therapy and heat/cold treatments, to manage pain associated with Arthrogryposis.

How Exercise Physiology Supports Individuals with Arthrogryposis

Exercise physiology is vital for people with Arthrogryposis as it helps improve endurance, muscle strength, and mobility. Our exercise physiologists at Palms Physiotherapy & Allied Health design safe and individualized exercise programs that cater to the unique needs of each patient. Key interventions include:

• Low-impact strengthening exercises: Building muscle strength while minimizing stress on affected joints.

• Cardiovascular fitness: Improving heart and lung function through aerobic exercises that can be adapted to an individual’s abilities.

• Stretching routines: To maintain or improve flexibility in stiff joints, helping to reduce discomfort and increase movement.

• Functional movement training: Focusing on improving movements required for daily activities, such as standing up, climbing stairs, or walking.

• Adaptive fitness programs: Exercise programs designed specifically for children and adults, taking into account the severity of their condition.

How Occupational Therapy Assists in Arthrogryposis Care

Occupational therapy helps individuals with Arthrogryposis live more independently by improving fine motor skills, daily living activities, and functional mobility. Our occupational therapists work closely with each patient to provide specialized care tailored to their needs. Key interventions include:

• Assistive devices and adaptive equipment: Recommendations for tools and devices that aid in daily tasks, such as dressing, eating, and writing.

• Joint protection strategies: Teaching techniques to protect affected joints from strain and injury.

• Fine motor skill development: Exercises and strategies to improve dexterity and hand function, which can be affected by joint contractures.

• Home modifications: Suggestions for making the home environment more accessible and safe, ensuring comfort and independence.

How Speech Therapy Assists Individuals with Arthrogryposis

Although Arthrogryposis primarily affects the joints and muscles, it can also impact speech and swallowing due to the involvement of the facial muscles and respiratory system. Speech therapy at Palms Physiotherapy & Allied Healthhelps individuals improve communication and swallowing function. Speech therapy can assist in the following ways:

• Speech clarity and articulation: Targeted exercises to improve speech production and clarity for those who experience difficulties due to muscle weakness.

• Swallowing therapy: For individuals who experience difficulties swallowing, speech therapists can provide exercises and strategies to ensure safe eating and drinking.

• Breathing techniques: Improving respiratory function through specific exercises that help with speaking and swallowing, especially if there are underlying issues with the diaphragm or respiratory muscles.

Benefits of a Multidisciplinary Approach to Arthrogryposis Care

At Palms Physiotherapy & Allied Health, we understand that Arthrogryposis requires a collaborative, multidisciplinary approach. Our team of physiotherapists, exercise physiologists, occupational therapists, and speech therapists work together to provide comprehensive care for individuals with this condition. The benefits of this approach include:

• Personalized treatment plans: Tailored care based on the individual’s specific needs and goals.

• Holistic care: Addressing multiple aspects of the condition, including mobility, strength, daily function, speech, and swallowing.

• Increased independence: Through therapy, individuals are better able to perform everyday activities with greater ease.

• Ongoing support: We provide long-term management strategies to ensure continued improvement in quality of life.

• Access to specialized resources: Our clinic offers a sensory room, rehabilitation gym, and kids therapy gym, providing a conducive environment for therapy and rehabilitation.