Continuous Passive Motion (CPM)
• Passivemotionperformedbyamechanicdevicethatmove joint slowly and continuously through a controlled ROM.
• Effectiveinlesseningthenegativeeffectsofjoint immobilization in conditions such as arthritis, contractures, and intra-articular fractures.
• EffectiveinimprovingtherecoveryrateandROMinvarietyof surgical procedures.
General Guidelines for CPM
• Suddenlyusedaftersurgerywhilethepatientisstillunder anesthesia or as soon as possible if bulky dressings prevent early motion.
• Startat20-30degreesofmovementandthenincrease gradually (10-15 degrees per day) within patient’s tolerance.
• Speed; 1 cycle per 45 sec or 2 min is well tolerated.
• Duration;lessthan1weekorwhenasatisfactoryROMis reached. The amount of time on CPM is vary depending on treatment methods
– 24 hrs.
– 1hr,3timesaday
– 3-5 hrs/day