Early Experience with Hand Continuous Passive Motion

1993 ◽  
Vol 1 (1) ◽  
pp. 19-23
Author(s):  
Steve Morris ◽  
Amis Freiberg ◽  
Leonard Harris
Keyword(s):  
Range Of Motion ◽  
Clinical Experience ◽  
Treatment Modality ◽  
Early Experience ◽  
Objective Evaluation ◽  
Continuous Passive Motion ◽  
Hand Trauma ◽  
Toronto Western Hospital ◽  
Passive Motion

S Morris, a Freiberg, L Harris. Early experience with hand continuous passive motion. Can J Plast Surg 1993; 1 (1): 19-23. Clinical experience with continuous passive motion (CPM) has increased in recent years. However, little information is available in the literature of objective evaluation of the results obtained using this treatment modality. The purpose of this study was to review both the indications for hand CPM at the Toronto Western Hospital. Toronto. Ontario, and the course and the outcome of the patients treated. Between 1984 and 1989 the Mobilimb H1 CPM was used on 43 patients for a mean period of 39±6 days (mean total hours of CPM 741+84 h). Indications for hand CPM included hand trauma, capsulectomy and tenolysis and other hand conditions. Mean follow-up was 32+3 months. Overall, hand CPM was well tolerated and highly effective in relieving hand pain and increasing active and passive range of motion. Compliance was excellent.

Continuous Passive Motion Not Affect the Knee Motion and the Surgical wound Aspect After Total Knee Arthroplasty

2021 ◽  
Author(s):  
Sergi Gil-Gonzalez ◽  
Ricardo Andrés Barja Rodriguez ◽  
Antoni Lopez Pujol ◽  
Hussein Berjaoui ◽  
Jose Enrique Fernandez Bengoa ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Continuous Passive Motion ◽  
Surgical Wound ◽  
Knee Motion ◽  
Passive Motion ◽  
Significant Difference ◽  
Flexion Extension ◽  
Total Knee

Abstract Background. This study aimed to assess whether use of continuous passive motion (CPM) can improve range of motion in patients after total knee arthroplasty (TKA). Moreover, the relationship between the use of CPM with the surgical wound aspect (SWA) and pain management after TKA was analysed.Methods. We randomized 210 patients, 102 patients in the CPM group, who received a standard rehabilitation protocol together with CPM application; and 108 patients in the no-CPM group, without CPM. Variables as knee motion (flexion, extension, range of motion) and pain was measured before surgery, on the 1s, 2nd and 3rd postoperative day, and in the 2nd, 6th, 12th and 24th postoperative weeks following TKA. The SWA was determined by the “surgical wound aspect score” (SWAS) in the next 48 hours after surgery. This scale analyses swelling, erythema, haematoma, blood drainage and blisters. Results. There was an improvement in the knee motion over the course of follow-up in both groups, without significant difference in flexion parameter. We found no significant differences in the total score of SWA, except for haematoma, with less severity in the CPM group. Furthermore, we found no differences in the others SWAS parameters and pain. Conclusions. The application of CPM does not provide benefit to our patients undergoing TKA in terms of either improved flexion mobility or decreased pain. No relationship was found between the use of CPM and the global score of SWA following a TKA, except for a decrease in haematoma appearance.

Modified retrograde tendon flap technique for reconstructing the extensor tendon defect in zone Ⅱ of a finger

2020 ◽  
Author(s):  
Li Wang ◽  
Jingyu Zhang ◽  
Linjie Feng ◽  
Guoyong Yuan
Keyword(s):  
Range Of Motion ◽  
Extensor Tendon ◽  
Passive Motion ◽  
Finger Joints ◽  
Flap Technique ◽  
Tendon Defect ◽  
Nail Deformity ◽  
Active Flexion ◽  
Extensor Lag

Abstract Purpose: To evaluate the effect of the modified retrograde tendon flap technique for reconstructing the extensor tendon defect in zone Ⅱ of a finger.Methods: 12 patients with the extensor tendon defect in zone Ⅱ were investigated retrospectively. They were all treated surgically by the modified retrograde tendon flap technique, featuring the creation of a new terminal slip to bridge the extensor tendon defect using extensor tendon inner lateral bands. At the final follow-up, the range of motion at each joint of the injured finger was recorded.Results: Average follow-up was 18 months (ranging from 11 to 26 mos). Eight patients achieved full active DIPJ extension, whereas one patient had an extensor lag of 10° and three had a lag of 5°. All patients achieved normal active flexion ranges and full passive motion ranges of DIPJ compared with their uninjured side. All the involved finger joints were clinically stable, with no tenderness, pain, nail deformity, or limitation using their hands for daily life.Conclusions: The modified retrograde tendon flap technique, which is easy to operate and popularize, may be the procedure of choice in patients with a gap deficiency in Zone Ⅱ of the extensor tendon of a finger.

Effects of continuous passive motion following Austin bunionectomy. A prospective review

1995 ◽  
Vol 85 (12) ◽  
pp. 744-748 ◽  
Author(s):  
JC Connor ◽  
DM Berk ◽  
MW Hotz
Keyword(s):  
Physical Therapy ◽  
Range Of Motion ◽  
Valgus Deformity ◽  
The Other ◽  
Rate Of Return ◽  
Continuous Passive Motion ◽  
Passive Motion ◽  
Treatment Groups ◽  
Hallux Valgus Deformity ◽  
Rehabilitation Time

Thirty-nine patients suffering from hallux valgus deformity were randomized into one of two treatment groups following a corrective Austin procedure. One group received physical therapy only (n = 18), and the other group received physical therapy and continuous passive motion (n = 21). Continuous passive motion was initiated immediately after surgery and patients were instructed to use continuous passive motion for 8 hr a day for 24 days. On the 7th, 14th, 21st, 28th, 60th, and 90th days, range of motion, return to conventional shoes, use of oral analgesics, and complication rate were measured. The group using continuous passive motion had greater range of motion at each postoperative visit compared with the group who used physical therapy only (P < 0.05). The group who used physical therapy only took longer to return to conventional shoes and to cease oral medication than the group who used continuous passive motion (P < 0.01). The use of continuous passive motion as an adjunct to physical therapy following an Austin procedure expedites the rehabilitation time and increases the rate of return to functional range of motion.

Impedance Control of Two d.o.f. CPM Device for Elbow Joint

2014 ◽  
Vol 26 (4) ◽  
pp. 518-518
Author(s):  
Nobutomo Matsunaga ◽  
◽  
Shota Miyaguchi ◽  
Hiroshi Okajima ◽  
Shigeyasu Kawaji
Keyword(s):  
Range Of Motion ◽  
Musculoskeletal System ◽  
Elbow Joint ◽  
Degrees Of Freedom ◽  
Impedance Control ◽  
Reaction Force ◽  
Continuous Passive Motion ◽  
Collateral Ligament ◽  
Passive Motion ◽  
Post Surgery

<div class=""abs_img""><img src=""[disp_template_path]/JRM/abst-image/00260004/16.jpg"" width=""200"" /> Two d.o.f. CPM device</span></div> Continuous passive motion (CPM) involves orthopedic or post-surgery physiotherapy. Following surgery to correct ulna collateral ligament (UCL) injury in the elbow, for example, excessively extending the UCL aggravates the injury and reaction force of the arm increases excessively near the end of the range of motion (ROM). Controlling pro/supination, i.e., rotarymotion of the wrist, effectively suppresses reaction force, but may extend the UCL excessively. We propose a 2 d.o.f. (degrees of freedom) impedance controller as a CPM device for the elbow to suppress reaction force based on the musculoskeletal system. </span>

Aggressive continuous passive motion exercise does not improve knee range of motion after total knee arthroplasty

2012 ◽  
Vol 22 (3-4) ◽  
pp. 389-394 ◽  
Author(s):  
Lan-Hui Chen ◽  
Chung-Hwan Chen ◽  
Sung-Yen Lin ◽  
Song-Hsiung Chien ◽  
Jiing Yuan Su ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Continuous Passive Motion ◽  
Passive Motion ◽  
Motion Exercise ◽  
Total Knee
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