Concept of continuous passive motion in medical system of rehabilitation for patients with pathology of hip and knee (HJ & KJ ) joints

Abstract

Introduction. An integral part of the rehabilitation treatment for the pathology of the musculoskeletal system is mechanotherapy - one of exercises form that is carried out using various devices and apparatus. In the 70 years of XX century orthopaedic surgeon Robert Salter developed a biological concept of continuous passive motion - CPM-therapy (Continuous Passive Motion). The aim: to sum up the efficiency of continuous passive motion therapy in medical system of rehabilitation for patients with pathology of (HJ & KJ ) joints Methology. The 2 groups of clinical adult patients were explored. The patients were identical age, sex, type of pathology and type of surgery. The first, control group includes 59 people (84 joints), the second, main group includes 90 people (130 joints), who were operated for pathology of KJ and HJ (arthroscopy and endoscopy). The control group got the standard rehabilitation, patients of second group performed continuous passive motion on domestic Parr «Legtronic» except standard rehabilitation. A survey of patients conducted by conventional techniques before and during treatment. Results. The results of two groups were compared and it was developed that CPM-therapy with domestic Parr apparatus is better for patient`s progress in complex restorative treatment of patients with disorders of the knee and hip joints in the postoperative period. This one leades to significantly shortening the rehabilitation of 31%, increases range of motion compared to the control group, with a significant decrease in pain, neurotrophic and myotonic syndromes. It was noted that patients have a positive mental attitude and the desire to “work” on Parr for a long time (from 2 to 8 hours a day!) Conclusion. The expediency and high efficiency of the developed domestic device «Legtronic» for automatic movements in complex restorative treatment of disorders of the knee and hip joints that allows it to recommend broad clinical use in orthopaedic and trauma departments, rehabilitation and health centres.