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.

Upper Extremity

Fingers, Hand/Wrist, Elbow, Shoulder

Lower Extremity

Knee, Foot/Ankle