From the Research
For Dupuytren's contracture, I recommend a night splint or extension splint that provides gentle, sustained stretching of the affected fingers, specifically a static progressive stretch (SPS) brace, as it has shown excellent outcomes in managing joint contractures 1. When selecting a brace, look for ones specifically designed for Dupuytren's contracture, such as the Oval-8 finger splints, LMB Spring Wire Finger Extension splints, or custom-molded thermoplastic splints. These should be worn primarily at night for 6-8 hours, though some patients benefit from shorter daytime wearing periods as well. The ideal brace should maintain finger extension without causing pain or skin irritation. Custom-fitted splints from a hand therapist often provide the best results as they're tailored to your specific contracture pattern. Bracing works by applying consistent tension to the contracted tissue, potentially slowing progression by counteracting the shortening of the palmar fascia. However, bracing is most effective for mild to moderate contractures (less than 30 degrees of contracture) and works best as a complementary treatment alongside other interventions rather than as a standalone solution. Some studies suggest that the use of dynamic or static splints may not significantly influence the outcome of Dupuytren's contracture treatment 2, 3, but the most recent and highest quality study recommends the use of SPS braces for their excellent outcomes and ease of use 1. Key considerations when choosing a brace include:
- The type of brace: SPS, dynamic, or static
- The duration of wear: primarily at night, with optional daytime wear
- The level of customization: custom-fitted splints may provide the best results
- The potential benefits and limitations of bracing as a treatment for Dupuytren's contracture.