Dynamic Elbow Flexion Orthosis for Elbow Flexion Limit in Upper Extremity Burn.
- Author:
Ki Un JANG
1
;
Ji Soo CHOI
;
Joo Yeon LEE
;
Cheong Hoon SEO
;
Hae Jun YIM
;
Yong Suk CHO
;
Do Hern KIM
;
Jun HUR
;
Wook CHUN
;
Jong Hyun KIM
Author Information
1. Department of Rehabilitation Medicine, Burn Center, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. jangkiun@hanmail.net
- Publication Type:Original Article
- Keywords:
Elbow contracture;
Dynamic splint;
Burn;
Joint limitation
- MeSH:
Braces;
Burns;
Cicatrix, Hypertrophic;
Contracture;
Elbow;
Elbow Joint;
Humans;
Joints;
Orthotic Devices;
Range of Motion, Articular;
Rubber;
Skin;
Splints;
Upper Extremity
- From:Journal of Korean Burn Society
2009;12(1):68-72
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Patients who have a elbow flexion limitation from burn often contend with a severe functional problem in activity of daily living. Positional splint or serial casting have been invented to prevent from elbow contracture, which splint could not improved the range of motion more than 90 flexion. The purpose of this article is to present a dynamic forced elbow flexion orthosis with limited motion joint to overcome the problem of less effective function of correctability of conventional splints. METHODS: The cases were 3rd degree burned patients of upper extremities who had a elbow joint flexion limitation from the post burn skin or joint contracture. This dynamic elbow flexion brace device was fabricated with the dynamic force of the elbow joint, which was induced by a rubber band or spring device into the orthotic joint. The orthosis kept a lower grade constant corrective force with coustom made design and strong strap fixation with comfortable material. RESULTS: This dynamic elbow flexion brace device was fabricated for two burn patients who had 24% and 37% TBSA in a flame burn with extensive involvement of the upper extremities. They developed hypertrophic scar and skin contracture around both elbow joint. Both patients had moderate to severe elbow joint limitation of motion. Patients with elbow limitation had improved the range of motion more than 90 flexion by this dynamic elbow flexion brace. CONCLUSION: The dynamic forced elbow flexion orthosis with limited motion joint had improved the range of motion more than 90 flexion, however those has some problems which ought to be improved to more effective and comfortable function.
