Flexion contractures in amputees are generally caused by either scar tissue restricting movement, or an extreme tightness in the hamstring muscles.

Positioning of the stump following amputation is very important to avoid flexion contractures from forming and the physiotherapist will provide stretching exercises and advise on positioning to prevent this. If severe, surgical release may be considered.

Alignment changes in the prosthesis can be made to accommodate the contracture, however more energy expenditure will be used by the amputee than someone without a contracture.


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