·Two reviews favored the use of CPM in the initial postoperative phase after TKR 2 28; a later Cochrane review did not 29 The Brosseau et al 2 review suggested that CPM combined with PT intervention increased active knee flexion by 4° at 2 weeks postknee replacement relative to PT alone The meta analysis reviewed 20 randomized controlled
·Background Although we know routine use of continuous passive motion CPM has no clinical benefit on patients outcome after total knee replacement TKR the effect of CPM on patients with poor rehabilitation progress under ERAS Enhanced Recovery after Surgery pathway is unclear We aimed to evaluate the clinical outcomes by using
·Continuous passive motion CPM is commonly used as a postoperative rehabilitation treatment along with physical therapy for postoperative knee rehabilitation However the comparison between the two in terms of efficacy in postoperative knee replacement recovery is unclear To compare efficacy and safety of combined CPM versus physical therapy
·In 2013 a systematic review of the best of these studies was performed and revealed some conclusions about the use of continuous passive motion after knee replacement continuous passive motion after knee replacement The results of using a CPM can be categorized into specific outcomes as follows Very small increase of knee flexion 2%
·The review showed that CPM following knee replacement surgery probably improves the ability to bend the knee slightly and the person s quality of life but may not improve pain or function We are uncertain about the effects of CPM on need for manipulation under anaesthesia participants perceptions of treatment effectiveness or risk of
CPM machines are most commonly used on knee joints after surgery but there are machines made for other joints too The machine is normally used during the initial healing period immediately after knee replacement surgery and the first few days of recovery Purpose of Continuous Passive Motion Therapy
·Overall there is extensive literature reporting that CPM following TKA was beneficial for optimal patient outcomes 4 6 Bade et al 7 and Naylor et al 8 regarded CPM as a significant indicator and determinant of early functional outcomes during the initial postoperative stages Harvey et al 9 performed a meta analysis and pointed out that application of CPM has
However the cost of CPM devices can be high and the efficacy of CPM is uncertain This Cochrane systematic review and meta analysis evaluated the efficacy of CPM in patients undergoing primary TKA Based on evidence from 24 randomized trials pooled n = 1445 the authors concluded that there is very little advantage of using CPM after TKA
·Typically an individual will use the CPM 2 3x per day starting the same day or day after surgery and will continue to use the device for a couple days The ROM of the device starts small and is gradually increased based on patient tolerance The main goal of using a CPM is to improve knee ROM in the acute phase right after surgery
It suggests that CPM has no effect on improving clinical measures and the subjective assessment of pain level joint stiffness and functional ability on the other hand showed a substantial positive effect Background Continuous passive motion CPM is a common strategy for early post operative rehabilitation of patients who have undergone knee surgery During an
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