Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Nov 11;30(5):e254358.
doi: 10.1590/1413-785220223005e254358. eCollection 2022.

REVIEW OF ARTICULATED ELBOW ORTHOTICS FOR JOINT STIFFNESS REHABILITATION

Alisson Martins Granja Cavalcanti  1 , Renato Santos DE Oliveira Filho  1 , Heitor Carvalho Gomes  1 , Amanda Bezerra DE Souza Martins  2 , Elvio Bueno Garcia  1 , Lydia Masako Ferreira  1
Affiliations
Review

REVIEW OF ARTICULATED ELBOW ORTHOTICS FOR JOINT STIFFNESS REHABILITATION

Alisson Martins Granja Cavalcanti et al. Acta Ortop Bras. .

Abstract
in English, Portuguese

Joint stiffness is the most common complication in elbow injuries, presenting several etiologies and pathophysiological mechanisms that hinder treatment and prognosis. Prevention and treatment of joint contracture depend on the cause of stiffness, and early intervention should modify its outcomes. The methods used may be conservative or surgical, alone or in combination, according to each individual situation.

Objective: Review articles on articulated elbow orthosis for joint stiffness rehabilitation.

Methods: A literature review was conducted in journals available at the PubMed, Medline and LILACS databases, using the following Health Science Descriptors (DeCS): orthotic devices; braces; elbow; elbow joint; contracture; joint disorders. It sought to retrieve and analyze studies with the highest level of evidence that have already been conducted on articulated elbow orthosis for joint stiffness rehabilitation.

Results: After applying the inclusion and exclusion criteria, four articles were included from PubMed and none from Medline or LILACS. Of the four PubMed articles, two were systematic reviews and two were randomized clinical trials.

Conclusion: Articulated elbow orthoses can benefit joint stiffness treatment, improving range of motion and pain, showing superior effect compared to non-articulated plaster orthotics. Level of Evidence III, Systematic Review of Level III Studies.

A rigidez articular é a principal complicação do cotovelo, afetando o tratamento e o prognóstico. O manejo da contratura articular se baseia na sua etiologia, e a intervenção precoce deve modificar o desfecho dessa complicação.

Objetivo: Revisar artigos sobre órtese articulada de cotovelo para reabilitação de rigidez articular.

Métodos: Foi realizada uma revisão bibliográfica em periódicos disponíveis do PubMed, Medline e LILACS, utilizando os Descritores em Ciências da Saúde (DeCS): aparelhos ortopédicos; braquetes; cotovelo; articulação do cotovelo; contratura; e transtornos da articulação. A intenção foi estabelecer e conhecer estudos de alto poder de evidência já realizados, que tenham tido como referência a temática de órteses articuladas de cotovelo para reabilitação de rigidez articular.

Resultados: Após a aplicação dos critérios de inclusão e exclusão, revisaram-se artigos indexados no PubMed, Medline e LILACS, encontrando-se quatro artigos pelo PubMed e nenhum pelo Medline ou LILACS. Dos quatro artigos, dois eram revisões sistemáticas e dois eram ensaios clínicos randomizados. Conclusão: Órteses articuladas de cotovelo podem ser benéficas no tratamento de rigidez articular, sendo sugerido que melhoram amplitude de movimentos (ADM) e dor, inclusive com efeito superior em relação às órteses não articuladas gessadas. Nível de Evidência III, Revisão Sistemática de Estudos de Nível III.

Keywords: Articulation Disorders; Braces; Contracture; Elbow; Elbow Joint; Orthopedic Devices.

PubMed Disclaimer

Conflict of interest statement

All authors declare no potential conflict of interest related to this article.

Similar articles

See all similar articles

Cited by

References

    1. Lindenhovius ALC, Jupiter JB. The posttraumatic stiff elbow a review of the literature. J Hand Surg Am. 2007;32(10):1605–1623. - PubMed
    1. Charalambous CP, Morrey BF. Posttraumatic elbow stiffness. J Bone Joint Surg Am. 2012;94(15):1428–1437. - PubMed
    1. Stanley D. Master techniques in orthopaedic surgery the elbow, third edition. Shoulder Elbow. 2015;7(2):144–144.
    1. Sochol KM, Andelman SM, Koehler SM, Hausman MR. Treatment of traumatic elbow instability with an internal joint stabilizer. J Hand Surg Am. 2019;44(2):161.e1–161.e7. - PubMed
    1. Sodhi N, Yao B, Anis HK, Khlopas A, Sultan AA, Newman JM, Mont MA. Patient satisfaction and outcomes of static progressive stretch bracing a 10-year prospective analysis. Ann Transl Med. 2019;7(4):67–67. - PMC - PubMed

LinkOut - more resources