What is a contracture?
A contracture is a joint that has become stiff and stuck, usually in a bent position, because the muscles, tendons or skin around it have shortened. The joint no longer straightens or bends through its normal range.
It affects elbows, wrists, fingers, hips, knees and ankles.
Why does it matter?
A contracture makes basic care difficult. A bent elbow is hard to wash, clenched fingers are hard to keep clean, and tight hips make it harder to sit or lie comfortably.
It also affects comfort and skin. The good news is that it can be prevented with simple daily movement and good positioning, which families can learn.
An everyday example in Ipoh
Madam Wong is recovering at home in Greentown after a stroke. Her right arm is weak, and her daughter notices the fingers curling into her palm and the elbow staying bent.
At each visit we move her arm through its range, then teach her daughter and the helper how to do it safely each morning. We show how to rest the hand open, support the arm on a pillow and change her position through the day.
Related terms and next steps
Contracture is closely linked to range of motion and to spasticity, the muscle tightness that follows a stroke. Read about bedridden patient physiotherapy and preventing pressure sores at home.
Our pages on stroke rehabilitation and bed mobility explain how we plan care around it.
