Abstract
After surgery at the shoulder belt, early functional physiotherapeutic follow-up treatment
is an essential part of the therapy. A steady and controlled passive motion of the
shoulder belt supports the substrate exchange between the cells of the hyaline joint
cartilage and improves muscular blood circulation. Postoperative agglutination of
the gliding layers is prevented, shrinkage of the joint capsule, of the ligaments,
of the tendons as well as of the muscular system is reduced while the joint mobility
is increased or is at least kept stable. The motorized motion brace was tested on
100 patients during follow-up treatment of surgically stabilized proximal humerus
fractures, after the implantation of shoulder endoprostheses, after scapula fractures,
after capsule-ligament injuries, after impingement syndromes, as well as after synovectomies.
The “motorized motion brace HMM” was used in conjunction with the usual physiotherapeutic
treatment for both hospitalized patients as well as for out-patients. The “motorized
passive motion brace HMM” allows for a reciprocating passive abduction and adduction
motion of the shoulder joint. The motion range is adjustable between 30 and 100° and
the brace is universally usable for both shoulder joints. Due to the constant slow
motion of the motor, a continuous painless passive treatment of the shoulder joint
is achieved. The shoulder brace is individually adjustable to each patient, which
avoids incongruity of the center of the joints. The light weight as well as the cordless
operation using rechargeable batteries ensures a high degree of comfort which results
in excellent patient compliance. The necessary hospitalization time for physiotherapeutic
follow-up treatment and thus the costs of these treatments can be reduced when the
HMM brace is given to the patients on a weekly rental basis. Therefore, the “motorized
passive motion brace HMM” for the shoulder joint in the postoperative follow-up treatment
is a useful supplement to physiotherapy.
Key words
“motorized motion brace HMM” - early functional physical therapy - CPM module - continuous
passive motion - humerus motion module (HMM) - injuries of the shoulder belt
References
- 1
Blauth W.
Die motorisierte, programmierbare Übungsschiene für das Schulter- und Ellbogengelenk.
Med Orthop Tech.
1985;
105
131-133
- 2
Blauth W.
Das Kieler Orthesensystem (K.O.S.) für das Schulter- und das Ellbogengelenk. Teil
1. Die programmierbare Motorschiene (motorisierte Übungsschiene).
Unfallchirurg.
1989;
1
28-36
- 3
Blauth W.
Bewegungsschienen sind unverzichtbar in der postoperativen Weiterbehandlung.
OP-Journal.
1993;
3
76-78
- 4 Donner K. Die funktionelle Behandlung von Schultergelenkerkrankungen. In: Colloquia
rheumatologica. Heft 41. Die Schulter. Dr. Edmund Banaschewski GmbH, München 1987;
59-71
- 5
Kristiansen B, Angermann P, Larsen T K.
Functional results following fractures of the proximal humerus. A controlled clinical
study comparing two periods of immobilization.
Archives of Orthopedic and Trauma Surgery.
1989;
108
339-341
- 6 Lob G, Wörsdörfer O. Indikation und Kontraindikation für die Anwendung motorgetriebener
Bewegungsschienen. In: Hefte zur Unfallheilkunde. Heft 181. Springer, Berlin, Heidelberg,
New York 1986; 953-958
- 7 Puhl W, Cotta H. Pathophysiologie des Knorpelschadens. In: Hefte zur Unfallheilkunde.
Heft 127. Springer, Berlin, Heidelberg, New York 1976; 1-23
- 8 Refior H J, Hackenbroch M H. Die Reaktion des hyalinen Gelenkknorpels unter Druck,
Immobilisation und Distraktion. In: Hefte zur Unfallheilkunde. Heft 127. Springer,
Berlin, Heidelberg, New York 1976; 23-26
- 9
Salter R B, Simmonds D F, Malcolm B W, Rumble E J, Macmichael D, Clements N D.
The biological effect of continuous passive motion on the healing of full-thickness
defects in articular cartilage.
J Bone Joint Surg [Am].
1980;
62
1232-1251
M. Rapp
Klinik für Unfallchirurgie · Marienhospital Stuttgart
Böheimstraße 37
70199 Stuttgart
Germany
Email: matthiasrapp@vinzenz.de