Does Early Continuous Passive Motion Enhance Physical Therapy After Elbow Contracture Release?
Does Early Continuous Passive Motion Improves Effectiveness of Physical Therapy After Arthroscopic Release of Elbow Contracture: A Prospective Randomized Trial.
Am J Phys Med Rehabil . 2025 May 1;104(5):445-451.Sixty-one patients with elbow contracture were randomized to receive either early continuous passive motion with physical therapy (eCPM+PT; n=31) or physical therapy alone (PT; n=30). The primary outcome was elbow range of motion (ROM) at 6 months. Secondary outcomes included the Mayo Elbow Performance Score (MEPS) and its subcomponents (pain, function, motion, and stability), assessed at 5 days, 6 weeks, 3 months, and 6 months postoperatively. Overall, the results revealed that the eCPM+PT group had significantly better ROM and MEPS scores at 6 months. Functional flexion was also more common in the eCPM+PT group. These findings suggest that adding eCPM to PT promotes faster and more effective functional recovery after elbow contracture surgery.
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