Abstract
Background: Continuous passive motion (CPM) is often used in the early post-operative rehabilitation of patients after hip surgery.
Aim of this study was to evaluate the effectiveness of new CPM device after hemi arthroplasty in terms of clinical scores and functional recovery.
Materials & Methods: A total of 26 patients undergoing hemiarthroplasty were assigned into two groups. The experimental group received continuous passive motion and conventional physiotherapy and control group received only conventional physiotherapy for seven days as tolerated.
Results: Average difference in active range of hip abduction was 25 ±5 degrees and Oxford hip score difference was 5.7 ± 3.5 in control group that received conventional physiotherapy. On the other hand, average difference in active range of hip abduction was 40 ±10 degrees and Oxford hip score difference was 8.8 ± 3.6 in experimental group that received an additional intervention in form of continuous passive motion.
Conclusion: Continuous passive motion machine can be used as an adjunct to conventional physiotherapy after hemiarthroplasty.
Keywords: biomedical engineering, design, continuous passive motion, hip and hemiarthroplasty.
References
- John Basmajian, Charles Slonecker: Grant’s Method of Anatomy, 11th Ed, Lippincott Williams and Wilkinns, Baltimore, 2005.
- Kadasne DK: Kadasne’s text book of anatomy, Jaypee Brothers, New Delhi, 2009
- Chaurasia BD: Human Anatomy – Regional and Applied: Volume I, Volume II and Volume III,4th Ed, CBS Publisher and Distributors, New Delhi,2010.
- Standring Susan: Gray’s Anatomy – The Anatomical Basis of Clinical Practice, 4th Ed, Elsevier Churchill Livingstone, London, 2005.
- Varshney MK: Essential orthopedics principles and practice. Jaypeee Brothers, New Delhi, 2016.
- Hurtling, D & Kessler, R.M management of common musculoskeletal disorders physical therapy principals & methods, 3 rd edition, JB Lippincott, Philadephia, 1996
- Campbell’s, operative orthopedics, 11th edition, Mosby Elsevier, 2008.
- Onyemaechi, EG Anyanwu, EN Obikili and J Ekezie:Anatomical Basis for Surgical Approaches to the HipAnn Med Health Sci Res. 2014 Jul-Aug; 4(4): 487–494.
- Magee, D.J: Orthopaedic physical assessment, 3rd edition, WB saunders, Philadelphia 1997.
- Stanley Hoppenfield: Treatment and rehabilitation of fractures, 1stEd, Lippincott Wiliams & Wilkins, USA,2000.
- Minns Lowe CJ, Barker KL, Dewey ME, Sackley CM. Effectiveness of physiotherapy exercise following hip arthroplasty for osteoarthritis: a systematic review of clinical trials. BMC Musculoskelet Disord 2009; 10:98.
- Barbay K. Research evidence for the use of preoperative exercise in patients preparing for total hip or total knee arthroplasty Orthop Nurs. 2009;28:127–33.
- Salter RB, Simmonds DF, Malcolm BW, Rumble EJ, MacMichael D, Clements ND. The biological effect of continuous passive motion on the healing of full-thickness defects in articular cartilage.An experimental investigation in the rabbit. J Bone Joint Surg Am. 1980;62:1232–1251.
- Wilk M, Franczuk B. Evaluating changes in the range of movement in the hip joint in patients with degenerative changes, before and after total hip replacement. Ortop Traumatol Rehabil. 2004; 6:342–349.
- Salter RB, Hamilton HW, Wedge JH, Tile M, Torode IP, O'Driscoll SW, Murnaghan JJ, Saringer JH. Clinical application of basic research on continuous passive motion for disorders and injuries of synovial joints: a preliminary report of a feasibility study. J Orthop Res. 1984;1:325–342.
- Bohannon RW: Clinical applications of continuous passive motion. Postgrad Adv Phys Ther 3-1 1, 1987
- Namba RS, Kabo JM, Dorey FJ, Meals RA. Continuous passive motion versus immobilization. Clin Orthop. 1991;267:218-222.
- Frank C, Akeson WH, Woo SL-Y, Amiel D, Ing D, Coutts RD. Physiology and therapeutic value of passive joint motion. ClinOrthop. 1984;185:113-120.
- Salter RB. The biological concept of continuous passive motion of synovial joints. The first eighteen years of basic research and its clinical implications. ClinOrthop. 1989; 242:12-24.
- Basso DM, Knapp L: Comparison of two continuous passive motion protocols for patients with total knee implants. PhysTher 67(3):360-363, 1987
- Colwell CW, Morris BA: The influence of continuous passive motion on the results of total knee arthroplasty. ClinOrthop 276:225-228, 1992
- Coutts RD: Continuous passive motion in the rehabilitation of the total knee patient, its role and effect. Orthop Rev 1 5(3):126-134, 1986.
Corresponding Author
Harne MS
Research fellow, Bapurao Deshmukh College of Engineering,
Sevagram, Wardha, Maharashtra India -442102
DOI: https://dx.doi.org/10.18535/jmscr/v6i2.52
