Short term continuous passive motion: a feasibility study
Continuous passive motion (CPM) is an established method of preventing joint stiffness and of overcoming it. The optimum duration of treatment, however, is not known, though a period of one to three weeks is usual. This may be unnecessarily long and a programme lasting only three days has been tried...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 1988-11, Vol.70 (5), p.802-806 |
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| container_title | Journal of bone and joint surgery. British volume |
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| creator | Laupattarakasem, W |
| description | Continuous passive motion (CPM) is an established method of preventing joint stiffness and of overcoming it. The optimum duration of treatment, however, is not known, though a period of one to three weeks is usual. This may be unnecessarily long and a programme lasting only three days has been tried in 34 patients: in 22 (Group A) treatment was designed to increase movement in stiff joints which had been operated on or manipulated, and in 12 (Group B) it was to prevent stiffness after an injury. A specially designed CPM device was used. In Group A, the range by the third day of treatment was significantly greater than before manipulation or operation and this increase was maintained until the latest follow-up at an average of 24 weeks. In Group B, the pre-injury range was almost retained and thereafter there was a gradual increase. Patient compliance in the first 12 hours of CPM was relatively poorer than that described in previous reports, and in five patients treatment had to be discontinued. |
| doi_str_mv | 10.1302/0301-620x.70b5.3192584 |
| format | Article |
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The optimum duration of treatment, however, is not known, though a period of one to three weeks is usual. This may be unnecessarily long and a programme lasting only three days has been tried in 34 patients: in 22 (Group A) treatment was designed to increase movement in stiff joints which had been operated on or manipulated, and in 12 (Group B) it was to prevent stiffness after an injury. A specially designed CPM device was used. In Group A, the range by the third day of treatment was significantly greater than before manipulation or operation and this increase was maintained until the latest follow-up at an average of 24 weeks. In Group B, the pre-injury range was almost retained and thereafter there was a gradual increase. Patient compliance in the first 12 hours of CPM was relatively poorer than that described in previous reports, and in five patients treatment had to be discontinued.</description><identifier>ISSN: 0301-620X</identifier><identifier>EISSN: 2044-5377</identifier><identifier>DOI: 10.1302/0301-620x.70b5.3192584</identifier><identifier>PMID: 3192584</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Child ; Elbow Joint ; Exercise Therapy - methods ; Feasibility Studies ; Female ; Hip Joint ; Humans ; Injuries of the limb. Injuries of the spine ; Joint Diseases - rehabilitation ; Joint Diseases - surgery ; Knee Joint ; Male ; Manipulation, Orthopedic - rehabilitation ; Medical sciences ; Middle Aged ; Patient Compliance ; Shoulder Joint ; Traumas. 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British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>Continuous passive motion (CPM) is an established method of preventing joint stiffness and of overcoming it. The optimum duration of treatment, however, is not known, though a period of one to three weeks is usual. This may be unnecessarily long and a programme lasting only three days has been tried in 34 patients: in 22 (Group A) treatment was designed to increase movement in stiff joints which had been operated on or manipulated, and in 12 (Group B) it was to prevent stiffness after an injury. A specially designed CPM device was used. In Group A, the range by the third day of treatment was significantly greater than before manipulation or operation and this increase was maintained until the latest follow-up at an average of 24 weeks. In Group B, the pre-injury range was almost retained and thereafter there was a gradual increase. Patient compliance in the first 12 hours of CPM was relatively poorer than that described in previous reports, and in five patients treatment had to be discontinued.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Elbow Joint</subject><subject>Exercise Therapy - methods</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Hip Joint</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Joint Diseases - rehabilitation</subject><subject>Joint Diseases - surgery</subject><subject>Knee Joint</subject><subject>Male</subject><subject>Manipulation, Orthopedic - rehabilitation</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Compliance</subject><subject>Shoulder Joint</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Joint Diseases - rehabilitation</topic><topic>Joint Diseases - surgery</topic><topic>Knee Joint</topic><topic>Male</topic><topic>Manipulation, Orthopedic - rehabilitation</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Compliance</topic><topic>Shoulder Joint</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Laupattarakasem, W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. 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This may be unnecessarily long and a programme lasting only three days has been tried in 34 patients: in 22 (Group A) treatment was designed to increase movement in stiff joints which had been operated on or manipulated, and in 12 (Group B) it was to prevent stiffness after an injury. A specially designed CPM device was used. In Group A, the range by the third day of treatment was significantly greater than before manipulation or operation and this increase was maintained until the latest follow-up at an average of 24 weeks. In Group B, the pre-injury range was almost retained and thereafter there was a gradual increase. Patient compliance in the first 12 hours of CPM was relatively poorer than that described in previous reports, and in five patients treatment had to be discontinued.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>3192584</pmid><doi>10.1302/0301-620x.70b5.3192584</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0301-620X |
| ispartof | Journal of bone and joint surgery. British volume, 1988-11, Vol.70 (5), p.802-806 |
| issn | 0301-620X 2044-5377 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adult Biological and medical sciences Child Elbow Joint Exercise Therapy - methods Feasibility Studies Female Hip Joint Humans Injuries of the limb. Injuries of the spine Joint Diseases - rehabilitation Joint Diseases - surgery Knee Joint Male Manipulation, Orthopedic - rehabilitation Medical sciences Middle Aged Patient Compliance Shoulder Joint Traumas. Diseases due to physical agents |
| title | Short term continuous passive motion: a feasibility study |
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