RE: CPM machines - moderator

[Guest guest]

This is one thread I wish our moderator would respond to.

At the hospital where I had my hip done they have stopped using CPM machines

completely. They say that they actually hinder the patient's long term

progress. They say it is better to get the patient to use active movement

rather than passive movement.

I have no opinion, just listening to the various arguments.

Aussie Margaret

RTHR 1990 revised 2004

Re: Posting

CPM stands for Constant Passive Motion. It is a machine that you put

your leg in and it moves oh so slowly keeping your knee moving and

bending to a slight degree. It can be adjusted to bend more as you can

bend more. Look it up on google and you can find a picture of it.

On Nov 4, 2006, at 10:16 AM, lindy wrote:

> what's a CPM?????????????????

>> I totally agree. I had one both times in the hospital nd for three

>> weeks at home and i did so much better than others I knew. I think

>> the machine did wonders.

>>

>>

>>>

>>> they should demand to have a CPM at home after being released from

>>> the hospital.

Send instant messages to your online friends http://au.messenger.

[Guest guest]

At 08:38 AM 11/5/2006 +1000, you wrote:

>This is one thread I wish our moderator would respond to.

>

>At the hospital where I had my hip done they have stopped using CPM machines

>completely. They say that they actually hinder the patient's long term

>progress. They say it is better to get the patient to use active movement

>rather than passive movement.

>

>I have no opinion, just listening to the various arguments.

I guess I would come down on the side of having them...but then, I was in

one for most of the first 24 hours after surgery, and then for 8 hours each

night afterwards. (Surgery on Wednesday, machine on until Thursday morning,

8 hours Thursday night, 8 hours Friday night and then home on Saturday.)

However, active movement was also a part of the regimen - I was standing at

the side of my bed only about 5 hours after I got back to my room

post-op. By Thursday afternoon, I was walking about 5 steps to get to the

commode, and PT was there and we were exercising by Thursday morning.

The upshot is that I think there is room for both, and I'm grateful that's

the way my OS went. It's just my opinion, though - for what that's worth! <G>

Ann

[Guest guest]

Margaret wrote " This is one thread I wish our moderator would respond to.

At the hospital where I had my hip done they have stopped using CPM machines

completely. They say that they actually hinder the patient's long term

progress. They say it is better to get the patient to use active movement

rather than passive movement. "

Hi

Here is a link to a short article about the use of CPM machine. It concludes

that they can be useful but that after 6 weeks the outcome is the same for

those that have used one and those who haven't...

http://orthopedics.about.com/cs/kneereplacement/i/cpm.htm

P.S: I don't have an opinion as I haven't had a TKR.

[Guest guest]

Margaret wrote " This is one thread I wish our moderator would respond to. "

As I said, I haven't had a TKR, but I think this pro-CPM debate is becoming

hurtful to those post-TKR people who have had a good recovery without CPM.

Debates like this can become divisive and competitive too. The CPM

proponents should acknowledge that others have done just as well without the

machine, perhaps due to exercising the joint through activity, rather than

using CPM. Surgeons are different and patients are all different too.

[Guest guest]

Boy I sure felt it aided in my therapy and recovery. The patients that

I was with in therapy that did NOT use the CPM machine were not doing

as well as I did.

On Nov 4, 2006, at 5:05 PM, Harnett wrote:

> Margaret wrote " This is one thread I wish our moderator would respond

> to.

>

> At the hospital where I had my hip done they have stopped using CPM

> machines

> completely. They say that they actually hinder the patient's long term

> progress. They say it is better to get the patient to use active

> movement

> rather than passive movement. "

>

> Hi

> Here is a link to a short article about the use of CPM machine. It

> concludes

> that they can be useful but that after 6 weeks the outcome is the same

> for

> those that have used one and those who haven't...

>

> http://orthopedics.about.com/cs/kneereplacement/i/cpm.htm

>

>

> P.S: I don't have an opinion as I haven't had a TKR.

>

>

>

>

>

[Guest guest]

I'm also a THR, so this isn't personal, but after having a look, there are

almost as many anti-CPM articles as there are pro-CPM. Although it doesn't

look like any really significant clinical studies have been done on the

results of using the machine compared to not using the machine, doctors seem

to have split opinions about it. Some feel that active exercise is more

effectve, come that the passive is.

There's also the questiojn of financing-- some health insurance plans just

don't cover a CPM (or a multitude of other PT aids). This might also have

an effect on the doctor's decision.

I do remember seeing a few of the machines on TKR patients in the orthopedic

ward where I stayed, but they were used exclusively for elderly people in

poor general who just weren't able to exercise.

Just out of curiosity, if anyone comes up with a genuine clinical trial

comparing the benefits of the CPM to the benefits of active exercise, I'd be

interested in seeing it. Up to now, what I've seen are basically opinion

pieces by one or a group of doctors, physiotherapists or surgeons...

Greywolf - RTHR-2003; LTHR-2004

mdavison@...

RE: CPM machines - moderator

Margaret wrote " This is one thread I wish our moderator would respond to. "

As I said, I haven't had a TKR, but I think this pro-CPM debate is becoming

hurtful to those post-TKR people who have had a good recovery without CPM.

Debates like this can become divisive and competitive too. The CPM

proponents should acknowledge that others have done just as well without the

machine, perhaps due to exercising the joint through activity, rather than

using CPM. Surgeons are different and patients are all different too.

--------------------------------------------

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[Guest guest]

Since I had my revision I have a cpm machine at home. I been doing 3x a day at 2 hours each. Well yesterday I didn't use the cpm machine at all. The reason I didn't was I was at the hospital with my dad he in ICU. When I woke this morning I'm paying for not using the machine. I'm having trouble getting my leg straight. I took my meds and getting right in the cpm. I was really getting board with using the cpm but now I realize how important it has been for me.Shirley RE: [Total_Joint_ Replacement] CPM machines - moderator Margaret wrote "This is one thread I wish our moderator would respond to." As I said, I haven't had a TKR, but I think this pro-CPM debate is becoming hurtful to those post-TKR people who have had a good recovery without CPM. Debates like this can become divisive and competitive too. The CPM proponents should acknowledge that others have done just as well without the machine, perhaps due to exercising the joint through activity, rather than using CPM. Surgeons are different and patients are all different too. ------------ ---------

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[Guest guest]

I had BTKR about 11 mos ago. My OS does not believe in CPM machines. He also specified that I could not leave the house for the lst month after surgery - and should spend most of my time lying down (no recliner!). I was up about 30 mins 4X a day - shower and 3 meals. Otherwise, I was in bed. I did not have nearly as much swelling as I expected. He also feels that ice is not necessary - and I never needed it. It is interesting that there are so many different opinions. I am happy with the way things worked out for me. I have good range of motion and can straighten each leg. I have no pain (ahhh - how nice) and can walk up and down steps with no problems. I was lucky enough to have my 27 yr old daughter with me and she was a good caretaker. Also - PT came to the house 3X a week. I also did my exercises at least 8X a day which I think helped me to get the good range of motion.

I was beginning to think I was the only one who did not use a CPM. S. from TX

[Guest guest]

I had a CPM machine the first few days in hospital... I think it was

helpful. Someone said that it gives you a psychological boost as well

to see that your knees can actually move after the surgery you've

undergone...

Judy

-- In Joint Replacement , " Margaret "

<zztinau@...> wrote:

>

> This is one thread I wish our moderator would respond to.

>

> At the hospital where I had my hip done they have stopped using CPM

machines

> completely. They say that they actually hinder the patient's long term

> progress. They say it is better to get the patient to use active

movement

> rather than passive movement.

>

> I have no opinion, just listening to the various arguments.

>

> Aussie Margaret

> RTHR 1990 revised 2004

>

> Re: Posting

>

>

> CPM stands for Constant Passive Motion. It is a machine that you put

> your leg in and it moves oh so slowly keeping your knee moving and

> bending to a slight degree. It can be adjusted to bend more as you can

> bend more. Look it up on google and you can find a picture of it.

> On Nov 4, 2006, at 10:16 AM, lindy wrote:

>

> > what's a CPM?????????????????

> >> I totally agree. I had one both times in the hospital nd for three

> >> weeks at home and i did so much better than others I knew. I think

> >> the machine did wonders.

> >>

> >>

> >>>

> >>> they should demand to have a CPM at home after being released from

> >>> the hospital.

>

> Send instant messages to your online friends

http://au.messenger.

>