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Electrotherapy > CPM > Flashcards

Flashcards in CPM Deck (5)
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1

Indications

To reduce blood and fluid accumulation in and around joints following trauma or surgery (usually TKA)
To maintain motion following injury or surgery
To prevent stiffness following injury or surgery

2

Contraindications

If ligaments are insufficient
Joint instability
If fracture fixation has not been attained

3

Precautions

- May increase wound drainage
- Wound swelling could risk incision healing. If would is swollen before CPM begins, may have to bring joint into flexion and extension to "milk" extra fluid before beginning CPM
- Do not have circumferential dressing (cling wrap, ace wrap, etc) in place when using CPM. Movement of the wraps can cause abrasions
- Check positioning often to prevent pressure nerve palsies

4

Controls

Arc of Motion: Est. per surgeon
Tx Time: continusous except for bathroom breaks
Length of Tx: 7-10 days although may be used for 21-30 if needed
Positioning: to maintain proper axes of motion

5

Use

-ROM typically set by surgeon
- Speed to pt. comfort
- Compliance: once out of the hospital pt. typically have poor compliance
- Alignment: it is very easy for a pt. to incorrectly set up the machine or to not stay secured