CPM

Question 1

CPM: Physiological Effects

Answer 1

• Accelerate rate of intra-articular cartilage regeneration, tendon and ligament healing
• Decrease edema and joint effusion
• Minimize contractures,
• decrease post-op pain,
• increase synovial fluid lubrication of joint,
• improve circulation,
• prevent adheisions, i
• mprove nutrition to articular cartilage and periarticular tissues,
• increase ROM

Question 2

CPM: Indications

Answer 2

• Post-immobilization #,
• tendon/ligament repair,
• total knee/hip replacement
• Postimmobilization fracture
• Tendon or ligament repair
• Accelerate rate of interarticular cartilage regeneration, tendon and ligament healing
• Decrease edema and joint effusion
• Minimize contractures
• Decrease post op pain Increase synovial fluid lub Improve circulation
• Prevent adhesions
• Improve nutrition to articular cartilage and periarticular tissues
• Increase joint ROM

Question 3

CPM: Contraindications

Answer 3

Increases in pain,

edema of inflammation following treatment

Question 4

CPM: Precautions

Answer 4

Intracompartmental hematoma from anticoagulants

Question 5

CPM: Application Knee

Answer 5

• ROM set to 1- to 4- minute cycles
• 20-40 deg flexion initially
• Increase 5-10 deg as tolerated
• Goal of 110-120 is acceptable
• Treatment time: 1 hr 3x/day or 24 cont hrs
• Duration of tx: 1- 3 weeks or until therapeutic goals have been met.