All patients expressed satisfaction, with no complications and no deterioration in ROM at the one-year follow-up evaluation. The increase in motion for the 20 patients in the study averaged 31° (69%). Twenty patients with elbow contractures who had limited success with other treatment modalities including serial casting, dynamic splinting, physical therapy, and/or surgery, underwent SPS using the new orthosis. The length of treatment time varied between one and three months. A dynamic splint has a static base onto which levels, springs, or pulleys can be attached. Patients used the device in 30-minute treatment protocols. This study evaluates SPS via a new orthosis that directly applies SPS incrementally through patient-controlled therapy, allowing for stress relaxation of contracted tissue. Dynamic splints have a hinge at the elbow and a mechanism that allows some movement of the elbow while being stretched the rest of the time. Other techniques, such as serial casting and static splinting, are time intensive and usually require assistance by a therapist. comparing postoperative dynamic- versus static- splinting outcomes of patients. Existing techniques such as dynamic splinting and traction rely on a time-dependent material property, creep, which applies a continuous load. referred to as dynamic splinting), static progressive stretch devices. Static progressive stretch (SPS) is a technique using the biomechanical principle of stress relaxation to restore range of motion (ROM) in joint contractures. This course prepares the clinician to fabricate well-designed, well-fitting static progressive and dynamic splints to mobilize stiff joints and elongate.
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December 2022
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