Contracture Management

Orthopedic bracing may be used for treatment of non-fixed contractures of both upper extremity and lower extremity joints. Commonly, contracture bracing is used in conjunction with a stretching program.

Orthotic Design is Determined by Considering the Following Factors:

• Which joint has a non fixed contracture.
• What is the goal of the overall treatment.
• The potential for correction.
• Cognitive ability or assistance in using the orthosis.
• Patient compliance.

3 Types of Contracture Orthoses:

• STATIC

  Positional type. Holds the joint alignment in a static position.

• PROGRESSIVE

  Adjustment of hinge changes alignment of joint. Use daily for short duration.

• DYNAMIC

  Adjustment of hinge applies constant stretch to the joint. Use daily for longer duration.