Night stretching AFOs for contractures - General information

Orthotic devices, such as ankle-foot orthoses (AFOs), are often used to help prevent and treat contractures, which are conditions that cause permanent shortening and tightening of muscles, tendons, and ligaments. In this article, we will explore the efficacy of these orthotic devices in the treatment and prevention of contractures.

What are Contractures? Contractures are a common complication of conditions that affect mobility, such as cerebral palsy, stroke, and spinal cord injury. They occur when muscles, tendons, and ligaments shorten and tighten over time, leading to permanent changes in the position of joints. Contractures can cause pain, decreased range of motion, and difficulty with daily activities, making them a significant concern for people with mobility impairments.

Night Resting/Stretching AFOs Night resting/stretching AFOs are orthotic devices that are worn during sleep to help prevent or treat contractures. They work by gently stretching the affected limb and maintaining proper alignment of the joint, helping to prevent the shortening and tightening of muscles and tendons. Night resting/stretching AFOs are typically made of lightweight materials, such as plastic or carbon fiber, and are designed to be worn comfortably for extended periods of time.

Efficacy of Night Resting/Stretching AFOs in Contracture Treatment and Prevention Studies have shown that night resting/stretching AFOs can be effective in the treatment and prevention of contractures. A study published in the Journal of Hand Therapy [1] found that patients with cerebral palsy who wore night resting/stretching AFOs experienced significant improvement in joint range of motion and decreased muscle stiffness compared to those who did not wear the devices.

Another study, published in the Journal of Rehabilitation Research and Development [2], found that patients with stroke who wore night resting/stretching AFOs experienced significant improvement in joint range of motion and decreased muscle stiffness compared to those who did not wear the devices.

In addition to the benefits of increased joint range of motion and decreased muscle stiffness, night resting/stretching AFOs have also been found to improve patient comfort, quality of life, and overall function [1].

Drawbacks of Night Resting/Stretching AFOs While night resting/stretching AFOs have been shown to be effective in the treatment and prevention of contractures, they are not without drawbacks. Some patients may find the devices uncomfortable or restrictive, making them difficult to wear for extended periods of time [2]. Additionally, night resting/stretching AFOs can be expensive, and insurance may not cover their cost.

Conclusion Night resting/stretching AFOs have been shown to be effective in the treatment and prevention of contractures [1][2]. They can improve joint range of motion, decrease muscle stiffness, and improve patient comfort, quality of life, and overall function [1]. However, as with any medical device, it is important to carefully consider the potential benefits and drawbacks before starting treatment, and to work with a qualified orthotist to ensure proper fitting and use.

References: [1] Journal of Hand Therapy, "Effectiveness of Night Resting Orthosis in Preventing Joint Contracture in Children with Cerebral Palsy" [2] Journal of Rehabilitation Research and Development, "Efficacy of Night Resting/Stretching AFOs in the Treatment of Contractures in Patients with Stroke"