Correcting
Joint Contractures
59CHAPTER
559
In this chapter we discuss different aids used for gradually straightening limbs that
have joint contractures.
Information on contractures, their causes and prevention is in Chapter 8. Exercises
to prevent and correct contractures are in Chapter 42. For other references to
contractures, see the Index, p. 647.
Joint contractures can often be gradually straightened with casts or braces that
gently but firmly hold the joint in a stretched position for a long time. We stress gently
because unless great care is taken it is very easy to cause injuries.
To straighten a limb,
3 areas of pressure
are needed
1.
In theory, the leg
could be straightened
like this.
1.
In fact, this would cause
pressure sores on the
small areas where the
splint presses.
2. 3.
2.
WRONG
3.
Also, the knee could
be dislocated it the
calf is not supported
while stretching.
Always use wide areas of pressure. Avoid pressure on the knee, behind the heel,
and over bony areas.
BETTER
well-padded pieces of
cardboard tubes, plastic,
plaster, or bamboo
If a child stays in bed, a
stretching aid like one of these
might work. (But try to keep
the hip straight, so that the aid
does not cause a hip contracture
while it straightens the knee.)
tight strap or band
of car inner tube
BETTER
weight
here