Continuous Passive Motion for the Treatment of Joint Contractures of the Extremities
Monday, July 25th, 2011Purpose of Technology
Continuous passive motion (CPM) devices are used for the treatment and/or prevention of joint contractures of the extremities, with the goal of maintaining or restoring range of motion (ROM) to the joint. These devices are intended to complement or replace some physical therapist-directed sessions by providing frequent and consistent joint mobilization under controlled conditions in a hospital setting or in the patient’s home.
Questions addressed in this report include:
- Does CPM improve health outcomes in patients after joint surgery or injury when compared with conventional physical therapy?
- Are CPM devices safe?
- Have definitive patient selection criteria for CPM been established?
These questions provide a framework for review and synthesis of the best available evidence, which is presented in this report, along with the Hayes Ratings for the technology. This report also provides background information about the condition being treated, a description of the technology, and the context for development of the technology. Other key elements addressed in the report include the regulatory status; applicable Medicare and commercial payer coverage policies; relevant ICD-9 and ICD-10 diagnosis codes; cost and cost effectiveness; credentialing; hospital length of stay; need for large case management; and ongoing and future clinical trials of the technology.
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