Arthrogryposis multiplex congenita, which is characterized by multiple congenital contractures of joints and poorly formed or fibrotic muscles which impedes motor development and function, is a fairly rare condition occurring in approximately one in 3,000 live births. 

The pediatric physical and occupational therapists at Duke have a long history of treating this condition and have expertise in splinting, casting, and bracing to preserve or improve muscle length and joint mobility.

They have a strong knowledge of biomechanics and resources for fitting adaptive equipment to assist and restore function. They employ many therapeutic techniques to improve strength, range, and function.

Our therapists work together with the family, the child’s medical team, and the community care providers to create a coordinated plan of care that is designed to address the goals of the patient and family and enable them to gain as much function and independence as possible.

Physical Therapy Treatments

• Splinting and bracing
• Casting
• Equipment assessment and training
• Therapeutic exercise
• Functional mobility training
• Gait training
• Taping and kinesio taping

Occupational Therapy Treatments

• Splinting and bracing
• Casting
• Activities of daily living (ADL) equipment and training
• Fine motor training and adaptations
• Therapeutic exercise
• Taping and kinesio taping