Journal of Shoulder and Elbow Surgery
Volume 19, Issue 2 , Pages 196-201 , March 2010

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

  • Slif D. Ulrich, MD

      Affiliations

    • Department of Orthopaedic Surgery, Union Memorial Hospital, Baltimore, MD, USA
    • ,
  • Peter M. Bonutti, MD

      Affiliations

    • The Bonutti Clinic, Effingham, IL, USA
    • ,
  • Thorsten M. Seyler, MD

      Affiliations

    • The Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD, USA
    • ,
  • David R. Marker, BS

      Affiliations

    • The Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD, USA
    • ,
  • Bernard F. Morrey, MD

      Affiliations

    • Department of Orthopaedics, Mayo Clinic, Rochester, MN, USA
    • ,
  • Michael A. Mont, MD

      Affiliations

    • The Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD, USA
    • Corresponding Author InformationReprint requests: Michael A. Mont, MD, Director, Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 W Belvedere Ave, Baltimore, MD 21215.

References 

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  2. Bonutti PM, Windau JE, Ables BA, Miller BG. Static progressive stretch to reestablish elbow range of motion. Clin Orthop Relat Res. 1994;128–134
  3. Cohen E. Adjunctive therapy devices: restoring ROM outside of the clinic. Phys Ther Prod. 1995;10–13
  4. Doornberg JN, Ring D, Jupiter JB. Static progressive splinting for posttraumatic elbow stiffness. J Orthop Trauma. 2006;20:400–404
  5. Gelinas JJ, Faber KJ, Patterson SD, King GJ. The effectiveness of turnbuckle splinting for elbow contractures. J Bone Joint Surg Br. 2000;82:74–78
  6. Green DP, McCoy H. Turnbuckle orthotic correction of elbow-flexion contractures after acute injuries. J Bone Joint SurgAm. 1979;61:1092
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  8. Hepburn GR, Crivelli KJ. Use of elbow dynasplint for reduction of elbow flexion contractures: a case study. J Orthop Sports Phys Ther. 1984;5:269–274
  9. Hotz M. Clinical management options for soft tissue stiffness and loss of joint motion. Inside Care Manage. 2001;11–15
  10. Inglis AE. The dynamic splint is expensive and I have not found it to be very effective. Instr Course Lect. 1991;40(chapter 7):45–49
  11. Likert R. A technique for the measurement of attitudes. Arch Psychol. 1932;(55):140
  12. MacKay-Lyons M. Low-load, prolonged stretch in treatment of elbow flexion contractures secondary to head trauma: a case report. Phys Ther. 1989;69:292–296
  13. Steffen TM, Mollinger LA. Low-load, prolonged stretch in the treatment of knee flexion contractures in nursing home residents. Phys Ther. 1995;75:886–895discussion 895–7
  14. Steinmann SP. Elbow stiffness. In: Orthopaedic knowledge update: shoulder and elbow. Chicago: American Academy of Orthopaedic Surgeon; 2002;p. 325–331
  15. Woo SL, Peterson RH, Ohland KJ, Sites TJ, Danto MI. The effects of strain rate on the properties of the medial collateral ligament in skeletally immature and mature rabbits: a biomechanical and histological study. J Orthop Res. 1990;8:712–721

PII: S1058-2746(09)00396-6

doi: 10.1016/j.jse.2009.08.007

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 2 , Pages 196-201 , March 2010

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