$Unique_ID{BRK02157}
$Pretitle{}
$Title{Continuous Passive Motion}
$Subject{Continuous Passive Motion CPM easy helpful rehabilitation exercise
motorized calisthenic tables weight inch loss spots knee surgery joint
replacement orthopedic surgeries sports medicine ligament reconstruction
physical conditions muscles nerves joints tendons stroke elderly mobility}
$Volume{}
$Log{}

Copyright (c) 1993   Tribune Media Services, Inc.


Continuous Passive Motion


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QUESTION:  I know there are all sorts of exercises for all types of needs and
goals.  What about a type of exercise called CPM?  I just heard that they are
easy to do and are helpful.  Do I have the right information, or am I just
looking for an easy way out again?  I know you will tell me.

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ANSWER:  As exercise, CPM probably has very little value; but as a
rehabilitation tool it may well be very useful.
     The idea of continuous passive motion (CPM) tables were actively promoted
as methods of losing inches while "motorized calisthenic tables do all the
work", which may be where you have gotten all your information--or
misinformation.  The technique translates as some outside force creates the
motion while you passively (while at rest) just allow it to happen.  No work
there.
     Most experts agree that in exercise, "no pain" (or at least, "no work" ),
"no gain" is all too true.  CPM does not cause weight or inch loss and
certainly not in "spots," as some people advertise.  You don't really use your
muscles when some outside force causes the motion, and there is no forceful
contraction which either uses energy or acts as the stimulus for new muscle
development.  So it just doesn't work.
          For rehabilitation, however, CPM reportedly can be useful with
patents who have undergone knee surgery, joint replacement, and other such
orthopedic surgeries.  Also, in sports medicine CPM is used primarily
after ligament reconstruction and may help patients with physical
conditions that preclude exercise, i.e., problems with the muscles and
nerves.  It keeps joints working, permitting a full range of motion while
the muscles and tendons have a chance to heal.  But it is only the first
step in the process of rehabilitation, and is followed by exercise in
which the patient actively moves the arm or leg.
     Additionally, CPM may be helpful with stroke victims and the elderly for
the same reasons.  It keeps the joints working and helps the patient retain
the greatest possible mobility.  As you can see, while easy exercises may have
a place in some cases, it can't replace the gain obtained from a little extra
effort known as "work".

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The material contained here is "FOR INFORMATION ONLY" and should not replace
the counsel and advice of your personal physician.  Promptly consulting your
doctor is the best path to a quick and successful resolution of any medical
problem.