A contracture is an abnormal state of muscle shortening resulting in joint restriction and structural changes of non-bony tissues. Contractures cause detrimental limitations on function affecting quality of life and limiting range of motion (ROM), especially within the geriatric population. A limitation of ROM may lead to immobility and deformity. Current research suggests that no single treatment option has been demonstrated to be most efficacious in the management of contractures. Based on the limited number of studies presently available on this topic, we hypothesize that a relationship exists between neural tension and contractures. After reviewing the literature we evaluated this relationship and the potential of neural mobilization as an effective treatment option. Neural mobilization is a treatment technique in which neural tissues are moved to restore normal movement of a nerve within its sheath. Ultimately, future research is warranted to determine if neural mobilization is the most effective approach for treating contractures and improving patients' ROM.
