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Contracture is seen commonly following Distal Radius Fractures (DRF), and surgical management is being used on an increasing number of DRF patients [1, 2]. Greater frequency of surgical procedures may come from the desire to help patients restore stability, correct articular malalignment, and regain mobility more expediently [3, 4, 5, 6, 7].

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Patient satisfaction through increased joint mobility has been the primary outcome measure in numerous studies that examined the current therapeutic protocols for treating DRF [8, 9, 10, 11, 12, 13] and protocols supplemented with prolonged durations of therapeutic stretching [14, 15, 16, 17, 18, 19]. Franco et al conducted a randomized, cross-over, cohort study of 45 asymptomatic patients treated with static splints (which restricts mobility similar to immobilization) [4]. After treatment in a restrictive, static splint, Franco et al concluded that immobilization creates incrementally significant functional limitations.

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Prolonged stretching has been shown to have a significant effect on connective tissue in molecular examination [17] and clinical trials [18, 19]. Dynamic splinting employs passive, prolonged stretching which has proven responsible for contracture reduction in other joints and pathologies [13, 14, 15, 16]. The purpose of this retrospective study was to evaluate the initial effect of dynamic splinting on wrist extension (active range of motion), in both surgical and non-surgical patients following distal radius fractures.