title: Prospective Randomized Trial of the Efficacy of Continuous Passive Motion Post Total Knee Arthroplasty: Experience of the Hospital for Special Surgery.
abstract: Conflicting evidence has created substantial controversy regarding the use of continuous passive motion (CPM) in the in-patient setting post total knee arthroplasty (TKA). A total of 109 patients were randomly assigned to two groups, CPM or no CPM, applied after TKA. All patients received the same physical therapy protocol (3 sessions per day), with the only exception being the CPM. Both groups had a knee flexion of 115° at 6 weeks and 120° at 3 months, with no significant differences (P=0.69 and P=0.41, respectively). Length of stay was significantly less for the group who did not receive CPM. The use of CPM had no clinically relevant benefits with respect to AROM, clinical outcomes or discharge disposition and was associated with a cost of $235.50 per TKA.
authors.affiliation: Hospital for Special Surgery, 535 E 70th Street, 6th Floor, New York, NY.
authors.forename: Rupali N
authors.initials: RN
authors.lastname: Joshi
authors.affiliation: Hospital for Special Surgery, 535 E 70th Street, 6th Floor, New York, NY.
authors.forename: Peter B
authors.initials: PB
authors.lastname: White
authors.affiliation: Hospital for Special Surgery, 535 E 70th Street, 6th Floor, New York, NY.
authors.forename: Mary
authors.initials: M
authors.lastname: Murray-Weir
authors.affiliation: Hospital for Special Surgery, 535 E 70th Street, 6th Floor, New York, NY.
authors.forename: Michael M
authors.initials: MM
authors.lastname: Alexiades
authors.affiliation: Hospital for Special Surgery, 535 E 70th Street, 6th Floor, New York, NY.
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Sculco
authors.affiliation: Hospital for Special Surgery, 535 E 70th Street, 6th Floor, New York, NY.
authors.forename: Amar S
authors.initials: AS
authors.lastname: Ranawat
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000191:economics / Q000534:rehabilitation*; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015915:Motion Therapy, Continuous Passive; D010351:Patient Discharge; D026741:Physical Therapy Modalities; D011446:Prospective Studies; D016059:Range of Motion, Articular; D016896:Treatment Outcome
keywords: CPM; Rehabilitation; TKA; continuous passive motion; total knee arthroplasty