title: Mobilization brace in post-traumatic elbow stiffness.
abstract: Invalidating elbow contractures, a frequent problem after injury, are commonly treated by physical therapy or surgical release. In both cases, results can be frustrating: physical therapy is often not sufficient to gain functional range of motion, and after surgical release it is common to lose part of the motion gained in operating room. Thanks to the viscous-elastic properties of the soft tissue, the mobilization elbow braces can stretch the retracting or retracted tissues inducing a biological lengthening of collagen fibres. In post-traumatic contracture, mobilization braces are effectively employable in two main critical situations: to treat recent onset contractures which do not respond to simple physical therapy and to help in preserving range of motion gained after surgical release. We report our experience with mobilization brace used in 42 patients, 5 for post-traumatic contracture, 4 for contracture following articular fracture fixation and 33 after surgical release. Classification, indications and treatment protocols of the mobilization braces utilized are reported.
authors.affiliation: Shoulder and Elbow Unit, Istituto Ortopedico Rizzoli, Bologna, Italy. alessandro.marinelli@ior.it
authors.forename: Alessandro
authors.initials: A
authors.lastname: Marinelli
authors.forename: Graziano
authors.initials: G
authors.lastname: Bettelli
authors.forename: Enrico
authors.initials: E
authors.lastname: Guerra
authors.forename: Marco
authors.initials: M
authors.lastname: Nigrisoli
authors.forename: Roberto
authors.initials: R
authors.lastname: Rotini
mesh_terms: D000328:Adult; D001915:Braces; D003286:Contracture / Q000209:etiology / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000209:etiology / Q000628:therapy*; D008297:Male; D000092464:Elbow Injuries
references.citation: Hand Clin. 2004 Nov;20(4):363-74
references.pmid: 15539093
references.citation: J Shoulder Elbow Surg. 2010 Mar;19(2):196-201
references.pmid: 19959379
references.citation: J Bone Joint Surg Br. 2000 Jan;82(1):74-8
references.pmid: 10697318
references.citation: Acta Orthop Scand. 1996 Dec;67(6):626-31
references.pmid: 9065082
references.citation: Clin Orthop Relat Res. 1994 Jun;(303):128-34
references.pmid: 8194222
references.citation: J Bone Joint Surg Am. 1979 Oct;61(7):1092-5
references.pmid: 489654
references.citation: J Orthop Trauma. 2006 Jul;20(6):400-4
references.pmid: 16825965
references.citation: J Hand Ther. 2006 Jan-Mar;19(1):34-8
references.pmid: 16473732
references.citation: Clin Orthop Relat Res. 1993 Aug;(293):46-54
references.pmid: 8339508
references.citation: J Bone Joint Surg Am. 1981 Jul;63(6):872-7
references.pmid: 7240327