Rehabilitative Protocols CPM lower limbs

Fisiotek 3000
the new series of C.P.M. machines

This study has taken into consideration the model Fisiotek 3000 E, which has been tested and used for the recovery of the mobility after three cases of surgical intervention: 

- Cruciate Ligament Reconstruction
- Arthroplasty (application of a prosthesis for knee joint)
- Osteoarthritis (sinovectomy and partial endoprotesic replacement of the articular surface) 

1.1
Cruciate Ligament Reconstruction
Patients
7 patients between 25 and 49 years old
Indications
·         Post-operative treatment after anterior cruciate ligament
Purpose
·         Recover enough mobility
·         Reduction of pain
·         Prevention of embolism
Therapy
·         Beginning: 6 hours after the intervention
·         20° - 60°, daily increase -6° and +8°
·         Duration: 12 hours (per day) of 60 minutes cycles alternate to 60 minutes of pause
·         Dosage of Condrosulf, 75 mg of Diclofenac and gastroprotective for the softening of pain and cartilage breeding
·         Active daily physiotherapy
·         Duration of the clinical treatment: 4 days post-operative
Results
It has been possible to discharge patients after 5 days of hospital stay. At the moment of the discharge, the available range of motion was 5° ÷ 85°. Generally, less analgesics have been dosed and the hospital stay has been reduced of 1 day (compared with the other patients immobilized after the intervention).





















1.2
Arthroplasty
Patients
16 patients
Indications
·         Post-operative treatment after anterior cruciate ligament
Purpose
·         Recover enough mobility
·         Reduction of pain
·         Prevention of embolism
Therapy
·         Beginning: 10 hours after the intervention
·         5° - 40°, daily increase +10°
·         Duration: 16 hours (per day) of 60 minutes cycles alternate to 60 minutes of pause
·         Dosage of Condrosulf, 75 mg of Diclofenac and gastroprotective for the softening of pain and cartilage breeding
·         Active daily physiotherapy
·         Duration of the clinical treatment: 5 days post-operative
Results
Patients have been discharged after 6 days of hospital stay. At the moment of the discharge the range of mobility was 2° ÷ 87°. Generally it has been dosed less analgesics and the hospital stay has been reduced of 1,5 days (compared with the others patients immobilized after the intervention).





















1.3
Osteoarthritis
Patients
9 patients between 63 and 71 years old
Indications
·         Post-operative with osteoarthritis (sinovectomy and partial endoprotesic replacement of the articular surface)
Purpose
·         Recover enough mobility
·         Reduction of pain
·         Prevention of embolism
Therapy
·         Beginning: 5 hours after the intervention
·         0° - 40°, daily increase +10°
·         Duration: 12 hours (per day) of 60 minutes cycles alternate to 60 minutes of pause
·         Dosage of Condrosulf, 75 mg of Diclofenac and gastroprotective for the softening of pain and cartilage breeding
·         Active daily physiotherapy
·         Duration of the clinical treatment: 5 days post-operative
Results
Patients have been discharged after 6 days of hospital stay. At the moment of the discharge the range of mobility was 2° ÷ 95°





















In all the three cases, the purposes have been to:

1) Recover enough mobility
2) Reduce pain

3) Prevent embolism

Fisiotek 3000 E was revealed effective and simple to use for therapist and patients. The wide availability of programmable functions has been appreciated and recognized in particular clinical situations:


Force control: it is adjustable between a range from 1 to 30 levels and permits an effective break-up of spasms;



Programming of range of motion: the possibility to program the range of motion by levels of 1° permits to customize the therapy for each patient;

Taking into consideration all the three cases, the result of passive rehabilitation has showed a significant improvement of the joint mobility and smaller recourse to analgesics. 
Furthermore, passive rehabilitation has shortened the period of stay at the hospital.