Targeted Therapy to Reduce Muscle Tightness and Improve Joint Movement
Serial bracing is a therapeutic intervention aimed at reducing muscle tightness, improving range of motion, and modifying habitual movement patterns in a single joint. This non-invasive approach uses a re-moldable and removable brace to position a tight joint in a comfortable yet elongated state. It is commonly utilized to address issues such as tight heel cords (calf muscles) or tightness in the hands, wrists, elbows, or knees.
The brace is typically worn for more than 16 hours daily. Families can easily remove it using a zipper, allowing for skin checks, stretching and strengthening exercises, or cleaning. Over 1-2 weeks of consistent use, the muscles and joints gradually relax, and the brace can be remolded to stretch them further, enhancing alignment and flexibility.
Muscle tightness or contractures can arise from various factors, including sensory, muscular, bony, or neurological conditions. Often, it stems from a lack of active movement through a joint's full range of motion. Our physical therapists at Progressive Pediatric Therapy work closely with families to identify the unique causes affecting their child and recommend tailored interventions.
Children who engage in unsupported toe walking often develop tight heel cords and ankle pronation, which can negatively impact their balance and gait. This repetitive motion can lead to significant muscle tightness and alignment issues over time.
Therapists may suggest:
Exercises to enhance sensory tolerance and stretch tight muscles.
Strengthening opposing muscles.
Using orthotics, splints, or braces to maintain proper joint alignment.
Consistent use of these tools and adherence to prescribed exercises are essential for achieving meaningful improvements in a child’s range of motion.
Serial bracing offers a practical alternative to casting or surgery. It is non-invasive, cost-effective, and allows for greater flexibility in daily routines.
Typically improves range of motion in 4-6 weeks
Can be removed by caregivers for skin check, stretching, strengthening, bathing.
Can easily be remolded in 15-30 minutes per limb at home/clinic without special equipment.
Can be worn for all typical daily/nightly routines, including walking, running, sleeping, swimming or bathing.
Non-invasive
If removed for sleep or > 6 hours daily will take longer to improve range of motion.
Materials last approximately 4 months of continuous use before worn out.
Requires training to correctly mold.
Once the desired flexibility is achieved (usually after 3-4 remolds), therapists may recommend transitioning to nighttime wear or using durable orthotics to maintain alignment. Continued exercises are crucial for sustaining improvements.
Early intervention can make a profound difference in your child’s mobility and comfort. Speak with your therapist about whether serial bracing is right for your child, and take the first step toward improved movement and quality of life. Together, we can help your child thrive!
Providing comprehensive therapy solutions for your child's unique needs.
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