Restoring range of motion via stress relaxation and static progressive stretch in posttraumatic elbow contractures

Slif D. Ulrich, Peter M. Bonutti, Thorsten M. Seyler, David R. Marker, Bernard F. Morrey, Michael A. Mont

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

Hypothesis: Loss of range of motion after injury or surgery of the elbow is a common complication. We hypothesized that an orthosis that used progressive stretch and stress relaxation principles would improve elbow range of motion. Methods: This study evaluated the result of a patient-directed, bidirectional orthosis that uses static progressive stretch and stress relaxation principles to improve elbow range of motion in patients who had posttraumatic elbow contractures. Treatment in 37 elbows consisted of a 30-minute stretching protocol performed in 1 to 3 sessions daily for a mean of 10 weeks (range, 2-22 weeks). Results: The mean gain in range of motion was 26° (range, 2°-60°). Gains of motion were noted in 35 of 37 elbows. Patients lowered their analgesic use and were highly satisfied with the device (mean satisfaction score of 8.5 of 10 points possible). Discussion: This device compared favorably with reports of other devices. Consistent improvements in restoring range of motion can be achieved with short treatment times by using a device based on the principles of static progressive stretch and stress relaxation in patients with posttraumatic elbow contractures.

Original languageEnglish (US)
Pages (from-to)196-201
Number of pages6
JournalJournal of shoulder and elbow surgery
Volume19
Issue number2
DOIs
StatePublished - Mar 2010
Externally publishedYes

Keywords

  • Orthosis
  • elbow range of motion
  • static progressive stretch
  • stress relaxation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Fingerprint

Dive into the research topics of 'Restoring range of motion via stress relaxation and static progressive stretch in posttraumatic elbow contractures'. Together they form a unique fingerprint.

Cite this