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Continuous passive motion use in hand therapy

K M Adams1, S T Thompson

  • 1Pennsylvania Hand Center, Bryn Mawr, USA.

Hand Clinics
|February 1, 1996
PubMed
Summary
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Continuous Passive Motion (CPM) offers benefits in hand therapy but has specific indications and contraindications. This review examines the advantages and disadvantages of various CPM devices for upper extremity rehabilitation.

Area of Science:

  • Orthopedics
  • Physical Therapy
  • Rehabilitation Medicine

Background:

  • Continuous Passive Motion (CPM) is a therapeutic modality used in rehabilitation.
  • Its application in hand therapy aims to improve joint mobility and reduce stiffness.
  • Understanding its appropriate use is crucial for effective patient outcomes.

Purpose of the Study:

  • To delineate the specific indications for using CPM in hand therapy.
  • To identify contraindications that preclude the use of CPM.
  • To critically evaluate the pros and cons of available portable and stationary CPM devices for the upper extremity.

Main Methods:

  • Literature review of studies on Continuous Passive Motion in hand and upper extremity therapy.
  • Comparative analysis of portable versus stationary CPM devices.

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  • Synthesis of clinical evidence regarding efficacy and safety.

    • Main Results:

    • CPM is indicated for specific conditions to enhance range of motion and prevent adhesions.
    • Contraindications include active infection, uncontrolled pain, and certain fractures.
    • Both portable and stationary CPMs have distinct advantages and limitations concerning patient compliance, cost, and clinical setting.

    Conclusions:

    • The judicious application of CPM in hand therapy requires careful consideration of patient-specific factors and therapeutic goals.
    • Selecting the appropriate CPM device depends on the treatment setting and individual patient needs.
    • Further research may refine optimal protocols for CPM use in diverse upper extremity injuries.