Optimizing continuous passive motion duration following arthroscopic release of elbow contracture: a retrospective study
Abstract Background The anatomical structure of the elbow joint makes it vulnerable to contractures. While elbow arthroscopy minimizes soft tissue damage and enhances early rehabilitation, the optimal duration for postoperative Continuous Passive Motion (CPM) therapy is unclear. This retrospective s...
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| Format: | Article |
| Language: | English |
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BMC
2024-11-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-024-08108-3 |
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| _version_ | 1846148143693955072 |
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| author | Xunhao Wang Qianyuan Liu Jiyang Tan Jiani Wu Haoyu Yang Fei Xiong Qiuwen Ying Jingyi Mi |
| author_facet | Xunhao Wang Qianyuan Liu Jiyang Tan Jiani Wu Haoyu Yang Fei Xiong Qiuwen Ying Jingyi Mi |
| author_sort | Xunhao Wang |
| collection | DOAJ |
| description | Abstract Background The anatomical structure of the elbow joint makes it vulnerable to contractures. While elbow arthroscopy minimizes soft tissue damage and enhances early rehabilitation, the optimal duration for postoperative Continuous Passive Motion (CPM) therapy is unclear. This retrospective study aims to establish the appropriate duration of CPM following arthroscopic elbow contracture release. Methods We analyzed postoperative outcomes from patients undergoing CPM rehabilitation for 1, 3, or 5 months. Metrics such as ASES, VAS, DASH, MEPS scores, grip strength, and range of motion were assessed before surgery and at 1,3,6 and 12 months post-surgery. Results Patients who received 3 or 5 months of CPM therapy showed statistically significant improvements in elbow flexion-extension, range of motion, and functional scores (ASES, VAS, DASH, MEPS) compared to the 1-month group (p < 0.05). However, no significant differences were observed between the 3- and 5-month groups. Conclusions A 3-month CPM period is effective for patients with higher functional demands, with no additional benefit from extending therapy to 5 months. |
| format | Article |
| id | doaj-art-eec1839c3fda497b97e06af4d892f00e |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-eec1839c3fda497b97e06af4d892f00e2024-12-01T12:05:53ZengBMCBMC Musculoskeletal Disorders1471-24742024-11-0125111010.1186/s12891-024-08108-3Optimizing continuous passive motion duration following arthroscopic release of elbow contracture: a retrospective studyXunhao Wang0Qianyuan Liu1Jiyang Tan2Jiani Wu3Haoyu Yang4Fei Xiong5Qiuwen Ying6Jingyi Mi7Suzhou Medical College of Soochow UniversitySuzhou Medical College of Soochow UniversitySuzhou Medical College of Soochow UniversityPhysical Education and Sports School of Soochow UniversitySuzhou Medical College of Soochow UniversityDepartment of Sports Medicine, Wuxi 9th People’s Hospital Affiliated to Soochow UniversityDepartment of Sports Medicine, Wuxi 9th People’s Hospital Affiliated to Soochow UniversitySuzhou Medical College of Soochow UniversityAbstract Background The anatomical structure of the elbow joint makes it vulnerable to contractures. While elbow arthroscopy minimizes soft tissue damage and enhances early rehabilitation, the optimal duration for postoperative Continuous Passive Motion (CPM) therapy is unclear. This retrospective study aims to establish the appropriate duration of CPM following arthroscopic elbow contracture release. Methods We analyzed postoperative outcomes from patients undergoing CPM rehabilitation for 1, 3, or 5 months. Metrics such as ASES, VAS, DASH, MEPS scores, grip strength, and range of motion were assessed before surgery and at 1,3,6 and 12 months post-surgery. Results Patients who received 3 or 5 months of CPM therapy showed statistically significant improvements in elbow flexion-extension, range of motion, and functional scores (ASES, VAS, DASH, MEPS) compared to the 1-month group (p < 0.05). However, no significant differences were observed between the 3- and 5-month groups. Conclusions A 3-month CPM period is effective for patients with higher functional demands, with no additional benefit from extending therapy to 5 months.https://doi.org/10.1186/s12891-024-08108-3Contracture releaseElbow Joint RehabilitationRange of Motion EnhancementPostoperative recoveryJoint stiffness |
| spellingShingle | Xunhao Wang Qianyuan Liu Jiyang Tan Jiani Wu Haoyu Yang Fei Xiong Qiuwen Ying Jingyi Mi Optimizing continuous passive motion duration following arthroscopic release of elbow contracture: a retrospective study BMC Musculoskeletal Disorders Contracture release Elbow Joint Rehabilitation Range of Motion Enhancement Postoperative recovery Joint stiffness |
| title | Optimizing continuous passive motion duration following arthroscopic release of elbow contracture: a retrospective study |
| title_full | Optimizing continuous passive motion duration following arthroscopic release of elbow contracture: a retrospective study |
| title_fullStr | Optimizing continuous passive motion duration following arthroscopic release of elbow contracture: a retrospective study |
| title_full_unstemmed | Optimizing continuous passive motion duration following arthroscopic release of elbow contracture: a retrospective study |
| title_short | Optimizing continuous passive motion duration following arthroscopic release of elbow contracture: a retrospective study |
| title_sort | optimizing continuous passive motion duration following arthroscopic release of elbow contracture a retrospective study |
| topic | Contracture release Elbow Joint Rehabilitation Range of Motion Enhancement Postoperative recovery Joint stiffness |
| url | https://doi.org/10.1186/s12891-024-08108-3 |
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