Therapeutic Uses of Contractures: Indications & Techniques

While often pathological, contractures (shortening of muscle/tendon/ligament) can be intentionally induced or utilized:

1. Limb mobilization – serial casting/stretching after immobilization.
2. Muscle strengthening – resistance via controlled contracture.
3. Joint stabilization – e.g., cerebral palsy, SCI.
4. Posture correction – scoliosis bracing/contracture guidance.
5. Functional movement – tenodesis effect (wrist extension → finger flexion).
6. Tendon transfers – contracture anchors new insertion.
7. Cosmetic – dimple creation (rare).
8. Rehabilitation – graded stretch programs.

Must be planned/monitored by physiatrist/therapist to avoid harm.