SlideShare a Scribd company logo

CPM

•
•
D
DoaaTammamAtia

Continuous passive motion (CPM) is a treatment that uses a device to continuously move a joint through a controlled range of motion after trauma or surgery. This helps increase range of motion over time and aids recovery by promoting synovial fluid movement and preventing scar tissue formation. CPM can be used after ligament repairs, fractures, joint replacements, and contractures. It provides benefits like early motion, reduced pain and swelling, and prevention of stiffness. While it has advantages, it also has risks like wound complications if not applied properly. CPM works best in the short-term for pain and swelling control but has no clear advantage over passive range of motion exercises in the long run.

1 of 17
Download to read offline
BY ASS.PROF.DR. MOHAMED SERAG DR. DOAA TAMMAM Continuous passive motion CPM
Definition : Continuous passive motion (CPM) is a treatment method that help in recovery of joints immediately after trauma or surgery.
 CPM carried out by CPM device which constantly move the joint through a controlled ROM , the exact range is dependent on the joint but in the most cases the range of motion is increase over time.
- Mechanism of Action  Mechanism of action to aid joint recovery depend on what surgery is performed.  1- movement of synovial fluid : to allow for better diffusion of nutrients into damaged cartilage and diffusion of blood and waste products  2- another mechanism: is the prevention of fibrous scar tissue formation in the joint, which tend to decrease the ROM for joint.
 CPM can be used clinically in post operative rehabilitation and management:  1-after ligament repair or other intra- articular surgery  2-internal fixation of fracture  3-joint manipulation for contractures  4-total joint replacement Uses of CPM:
Clinical advantage of CPM  1- Providing early motion  2-achieving functional ROM  3-Aid in pain relief  4-improve general circulation  5-reduce edema  6-improve cartilage synovial fluid  7-retard (delay)muscular atrophy  8- stiffness  9- incidence of complication  10- reduce hospital stay  11-enhance wound healing
Disadvantages:  1- increased length of time spend in bed limiting walking  2- considerable maintenance costs  3- Mismatching of the units due to different leg sizes- shape  4- CPM affected only the ROM and swelling not muscular activity or power
Contraindication: 1- Unstable Fractures 2- Loss Of Sensation 3- Un Controlled Or Untreated Infection Precautions: Patients Can Complain As Result Of : 1- Inability To Apply Machine Properly 2- Lack Of Training For Nursing Or Therapist Who Might Render Use Of Device a Risk To The Patient
Risks: 1- wound complication 2- disruption of surgical measure such as ligament repair 3-malfunction of the device
CPM materials and functions:  CPM device composed of 3 major parts:  -Limb carrier  - the motor  - the controls there are 3 variables to each subject:  1- the size of motion arc  2-the position of the motion arc in relationship to normal arc of the joint  3-the rate of motion
Characteristics of CPM unit:  1- the device should fit anatomy to be moved as closely as possible  2-the axis and the quantity of motion should be as close as possible to patients (the repaired joint and perpendicular structures will then be protected from adverse stress)  3-the device should be adjustable in order to increase or decrease the ROM within the comfortable levels of the patient
 4- the machine must be designed to resist fatigue during operation in the device  5- the device must be easy to control easily turned off and on by patients and easily adjusted by physician.  6- the device should be portable
Application  1- therapist application of CPM device should be within 72 hours following surgery.  2- the device itself supports the limb and slowly move the joint without patient assistance and move through 24 hours.  3- application of device is continued from 1- 4 weeks.
CPM
CPM
Evidence base  Recent studies compare between long tem goal and short term goal in using PROM and CPM:  Studies observe that CPM most effective than PROM in short term goal ( pain , swelling, and start move early)  But no difference between PROM and CPM in long term goal
THANK YOU

More Related Content

CPM

  • 1. BY ASS.PROF.DR. MOHAMED SERAG DR. DOAA TAMMAM Continuous passive motion CPM
  • 2. Definition : Continuous passive motion (CPM) is a treatment method that help in recovery of joints immediately after trauma or surgery.
  • 3.  CPM carried out by CPM device which constantly move the joint through a controlled ROM , the exact range is dependent on the joint but in the most cases the range of motion is increase over time.
  • 4. - Mechanism of Action  Mechanism of action to aid joint recovery depend on what surgery is performed.  1- movement of synovial fluid : to allow for better diffusion of nutrients into damaged cartilage and diffusion of blood and waste products  2- another mechanism: is the prevention of fibrous scar tissue formation in the joint, which tend to decrease the ROM for joint.
  • 5.  CPM can be used clinically in post operative rehabilitation and management:  1-after ligament repair or other intra- articular surgery  2-internal fixation of fracture  3-joint manipulation for contractures  4-total joint replacement Uses of CPM:
  • 6. Clinical advantage of CPM  1- Providing early motion  2-achieving functional ROM  3-Aid in pain relief  4-improve general circulation  5-reduce edema  6-improve cartilage synovial fluid  7-retard (delay)muscular atrophy  8- stiffness  9- incidence of complication  10- reduce hospital stay  11-enhance wound healing
  • 7. Disadvantages:  1- increased length of time spend in bed limiting walking  2- considerable maintenance costs  3- Mismatching of the units due to different leg sizes- shape  4- CPM affected only the ROM and swelling not muscular activity or power
  • 8. Contraindication: 1- Unstable Fractures 2- Loss Of Sensation 3- Un Controlled Or Untreated Infection Precautions: Patients Can Complain As Result Of : 1- Inability To Apply Machine Properly 2- Lack Of Training For Nursing Or Therapist Who Might Render Use Of Device a Risk To The Patient
  • 9. Risks: 1- wound complication 2- disruption of surgical measure such as ligament repair 3-malfunction of the device
  • 10. CPM materials and functions:  CPM device composed of 3 major parts:  -Limb carrier  - the motor  - the controls there are 3 variables to each subject:  1- the size of motion arc  2-the position of the motion arc in relationship to normal arc of the joint  3-the rate of motion
  • 11. Characteristics of CPM unit:  1- the device should fit anatomy to be moved as closely as possible  2-the axis and the quantity of motion should be as close as possible to patients (the repaired joint and perpendicular structures will then be protected from adverse stress)  3-the device should be adjustable in order to increase or decrease the ROM within the comfortable levels of the patient
  • 12.  4- the machine must be designed to resist fatigue during operation in the device  5- the device must be easy to control easily turned off and on by patients and easily adjusted by physician.  6- the device should be portable
  • 13. Application  1- therapist application of CPM device should be within 72 hours following surgery.  2- the device itself supports the limb and slowly move the joint without patient assistance and move through 24 hours.  3- application of device is continued from 1- 4 weeks.
  • 16. Evidence base  Recent studies compare between long tem goal and short term goal in using PROM and CPM:  Studies observe that CPM most effective than PROM in short term goal ( pain , swelling, and start move early)  But no difference between PROM and CPM in long term goal