This paper describes the application of low level controlled torque to an elbow contracture through the use of an active orthosis. Over a period of twenty months the lack of elbow extension range was reduced from 105 degrees to 57 degrees. A description of the important orthotic design factors which led to significant functional improvement is provided.
References
1.
ChalmersD DHamerG P. Three point dynamic orthosis. Prosthet Orthot Int1985; 9: 115–116
2.
MoorePMajorR EStallardJButlerP B. Contracture correction device for arthrogryposis. Physiotherapy1990; 76: 303–305
3.
NordinMFrankelV H. Basic biomechanics of the musculoskeletal system 2nd edition. Lea & Febiger, Pennsylvania1980
4.
NuismerB AEkesA MHolmM B. The use of low-load prolonged stretch devices in rehabilitation programmes in the Pacific Northwest. Amer J Occup Ther1997; 51: 538–543
5.
ParkerB C. A dynamic elbow extension splint. Am J Occup Ther1987; 41: 825–826