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