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.
3 Types of Contracture Orthoses:
Positional type. Holds the joint alignment in a static position.
Adjustment of hinge changes alignment of joint. Use daily for short duration.
Adjustment of hinge applies constant stretch to the joint. Use daily for longer duration.