Contracture of the Hand

Definition:
A muscle contracture is a permanent shortening of a muscle or joints in the hand. It is usually in response to prolonged hypertonic spasticity in a concentrated muscle area. Contractures are essentially muscles or tendons that have remained too tight for too long, thus becoming shorter. Once they occur they cannot be stretched or exercised away; they must be released with orthopedic surgery.

Symptoms
  • Stiffness in the hand
  • Pain in the hand
  • Physical deformity of the hand
  • Loss of ROM in the hand
Causes
  • Tight muscle
  • Tight tendon
  • Trauma
  • Scar tissue
Treatment
  • ROM and stretching exercises to hand
  • Hand intrinsic strengthening
  • Upper extremity strengthening
  • Splinting
Contracture of the Hand Phase I

Purchase Phase

  • Soft Tissue Mobilization To Hand Palm
  • Wrist Flexor Stretch At Wall
  • Wall Clocks
  • Hand Circuit
  • Finger Extensor Stretch
  • Sitting Posture
  • Walkfit
  • Foam Wedge In Abduction
  • WalkFit Program.pdf

Contracture of the Hand Phase II

Purchase Phase

  • Wrist Curls
  • Web Gripping
  • Finger Extensor Strengthening Yoga
  • Rice Hand Opening Closing

Contracture of the Hand Phase III

Purchase Phase

  • Ulnar Radial Deviation
  • Rice Wrist Flexion And Extension
  • Wrist Curls
  • Rice Wrist Pronation Supination
  • Rice Hand Opening Closing
  • Eccentric Wrist Flexion
  • Eccentric Wrist Extension