Continuous passive motion, or CPM, is a rehabilitation technique used during the first phase of recovery following a soft tissue surgical procedure or traumatic injury. It is delivered by a CPM device that continuously and mechanically moves the affected joint through a controlled range of motion, sparing the patient from having to move the joint under their own muscle power. The goals of this early phase of rehabilitation are to control post operative pain, reduce inflammation, provide passive motion in a specific plane of movement, and protect the healing tissue or surgical repair. The exact range of motion used depends on the joint being treated, and in most cases it is increased gradually over time as healing progresses.
Facts
FAQs
Is continuous passive motion still recommended after a knee replacement?
Not for most patients: recent research found no significant gain in function or hospital stay over standard mobilization alone, though it can help when standard mobilization is not possible.
For most patients it is not. Older studies showed a benefit after total knee arthroplasty, but more recent research calls the benefit questionable. When groups receiving standard mobilization therapy alone were compared with groups that also received continuous passive motion, the results showed no significant increase in functional outcomes or length of hospital stay, and no decrease in adverse effects of the surgery. The results did not support using it over potentially more successful options such as high intensity, high velocity active exercise, so its use is not advised for most patients after knee replacement and is not recommended as a standard clinical procedure. It is still found useful in unusual cases where a person has problems that prevent standard mobilization treatment.
Connections
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. Continuous passive motion (Wikipedia)
Continuous Passive Motion - Lead section
Continuous passive motion (CPM) devices are used during the first phase of rehabilitation following a soft tissue surgical procedure or trauma.
https://en.wikipedia.org/wiki/Continuous_passive_motion, lead section
Continuous passive motion (CPM) devices are used during the first phase of rehabilitation following a soft tissue surgical procedure or trauma.
History (origin-year)
The concept was created by Robert B. Salter M.D in 1970 and, along with help from engineer John Saringer, a device was created in 1978.
In Group: Exercise and Manual Rehabilitation Methods, Introduction
Continuous passive motion (CPM) devices are used during the first phase of rehabilitation following a soft tissue surgical procedure or trauma.
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