iHomeRehab
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description: iHomeRehab Website
date: 2020-03-26T04:57:07Z
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items: CPM’s Therapeutic Benefits
items: CPM for Rehab After Surgery
items: CPM Recent Research Studies
items: What is Cryotherapy?
items: 4 Technologies to Boost Recovery After Knee Surgery
items: How to Treat a Pulled Back Muscle in 8 Steps
items: 5 Home Remedies for a Sprained Ankle
items: How Long Does It Take to Recover After a Hip Surgery?
items: Signs & Symptoms of a Rotator Cuff Injury
items: 4 Things NOT to Do When You Have a Sprained Wrist

CPM’s Therapeutic Benefits
type: item
date: 2019-03-12T01:42:29Z
creator: david
subject: Knee
subject: Hand/Wrist
subject: Shoulder
subject: Ankle
subject: CPM Machines
description: During the past 3 decades, continuous passive motion (CPM) devices have become a generally accepted part of postsurgical treatment to promote healing and regeneration of joint cartilage. In 1970, Robert B. Salter, MD, PhD, a Toronto orthopedic surgeon, along with a succession of research fellows, first investigated the biological effects of CPM on healing and […] The post CPM’s Therapeutic Benefits appeared first on iHomeRehab.
encoded: During the past 3 decades, continuous passive motion (CPM) devices have become a generally accepted part of postsurgical treatment to promote healing and regeneration of joint cartilage. In 1970, Robert B. Salter, MD, PhD, a Toronto orthopedic surgeon, along with a succession of research fellows, first investigated the biological effects of CPM on healing and regeneration of articular tissues in rabbits.1 Later, Salter and his colleagues began applying this basic research to human patients. They found that nine selected patients “have been relatively free of pain, have maintained the increased motion gained at operation, and have accepted the application of CPM well.” As described by O’Driscoll and Giori, Salter’s basic premise is that “because immobilization is obviously unhealthy for joints, and if intermittent movement is healthier for both normal and injured joints, then perhaps continuous motion would be even better.” However, because patients could not be expected to move their injured joints continuously for hours at a time, the movement would, of necessity, be passive. “He also believed that CPM would have an added advantage, namely that if the movement was reasonably slow, it should be possible to apply it immediately after injury or operation without causing the patient undue pain.”2 In many respects, it appears that Salter’s views have been borne out. According to Hammesfahr and Serafino, CPM “is one of the primary methods for decreasing the deleterious effects of immobilization and can deliver orthopedic, neurological, and even circulatory benefits to the patient. Immobilization, in turn, can create deleterious sequelae of physiological and functional impairments.”3 Through the years, CPM devices have been created for most of the major joints of the upper and lower extremities, but they appear to be most frequently prescribed for postsurgical use in injuries of the knee or shoulder. CPM is generally provided through devices mechanically designed to bend …

CPM for Rehab After Surgery
type: item
date: 2019-03-12T01:36:21Z
creator: david
subject: Knee
subject: Hand/Wrist
subject: Shoulder
subject: Ankle
subject: CPM Machines
subject: All Products
description: CPM is an abbreviation for continuous passive motion. A CPM device is a machine that is used to move a joint without the patient having to exert any effort. A CPM machine is most commonly used on the knee joint, although there are CPM machines made for other joints as well. The CPM has a […] The post CPM for Rehab After Surgery appeared first on iHomeRehab.
encoded: CPM is an abbreviation for continuous passive motion. A CPM device is a machine that is used to move a joint without the patient having to exert any effort. A CPM machine is most commonly used on the knee joint, although there are CPM machines made for other joints as well. The CPM has a motor that bends the joint back and forth to a set number of degrees. The amount of movement of the CPM can be adjusted. CPM machines are often applied after knee surgery, such as a knee replacement procedure. The effectiveness of CPM is debatable, as they have not been shown to offer superior results after standard surgical procedures. Is CPM Good or Bad? Recovering normal joint mobility after surgery can be a significant challenge. The stiffness of a joint can be a complication that limits outcomes and causes pain. After surgery for knee replacement, ACL reconstruction, and frozen shoulder surgery, a stiff joint can be a major complication. Therefore, some surgeons use a CPM to try to prevent scar tissue formation and improve the joint mobility. However, there are possible downsides to using a CPM, and therefore many surgeons opt for other methods to improve joint mobility. One of the downsides is that the machine is passive, and therefore the patient is not playing an active role in their recovery. One of the benefits of bending your own joint is not only is the patient making gains in terms of mobility, but they are also engaging muscles around the joint that require rehab. Should You Use It? In most situations, CPM is not part of the standard recovery from surgery. There are some circumstances where patients may be unable to participate in more active physical therapy, and in these situations, a CPM can be a helpful tool to use for post-surgical rehab. It should be clear that the average patient recovering from surgery such as ACL reconstruction or knee replacement does not do better if they use a CPM. However, there may be circumstances that make your situation different. If y…

CPM Recent Research Studies
type: item
date: 2019-03-12T01:32:00Z
creator: david
subject: Knee
subject: Hand/Wrist
subject: Shoulder
subject: Ankle
subject: CPM Machines
subject: All Products
description: The Results — Significantly better knee function (Knee Society Score ‘excellent’) at all post-op investigation points with the ‘Physio with CPM’ group. — The ‘Physio with CPM’ group achieved significantly better outcomes in daily activities score (Oxford ‘satisfactory joint function’) at all post-op investigation points. — The mean KSS score for the ‘Physio with CPM’ […] The post CPM Recent Research Studies appeared first on iHomeRehab.
encoded: The Results — Significantly better knee function (Knee Society Score ‘excellent’) at all post-op investigation points with the ‘Physio with CPM’ group. — The ‘Physio with CPM’ group achieved significantly better outcomes in daily activities score (Oxford ‘satisfactory joint function’) at all post-op investigation points. — The mean KSS score for the ‘Physio with CPM’ group was better at 6 weeks than the mean score at 52 weeks for the ‘Physio Only’ group. — The scores at each measurement point with the ‘Physio with CPM’ group were considerably more consistent, with a significantly smaller range when compared to the ‘Physio Only’ group. — The lowest recorded Oxford Knee Score for the ‘Physio with CPM’ group at 52 weeks was higher than the average score for the ‘Physio Only’ group. <img src="[binary]" alt="page2image727690992" width="108.545667" height="109.536967" /> Dr. Volker Sauer the clinical study Dr Volker Sauer produced the following study to compare regular post-op rehabilitation to physiotherapy with CPM. The study involved 76 patients, 37 of whom used CPM in their rehabilitation. Prior to operation there were no significant differences between both groups with regards to Knee Society Score (KSS) and Oxford Score as well as the range of motion in flexion. The evaluation points of the study were: prior to operation, 6, 12 and 52 weeks post operation. BREAKDOWN OF REHABILITATION — Physiotherapy (P.T.) only rehabilitation group — Usual standard treatment for Total Knee Arthroplasty (TKA) — 3 weeks rehabilitation following quality standards of DRV, i.e. German Public Retirement Insurance — 8hrs per week physiotherapy, spread over 5 days (1.5 – 2hrs daily) — 4hrs additional physiotherapy over 3 weeks — 1.5hrs daily activity training over 3 weeks — No CPM usedPhysiotherapy (P.T.) plus C.P.M rehabilitation group — 8 hours per week physiotherapy, for the first 3 weeks,5 days per week (1.5 – 2hrs daily) — Daily use of CPM machine at home for 3 weeks,7 days per week, 2…

What is Cryotherapy?
type: item
date: 2019-03-12T01:21:20Z
creator: david
subject: GameReady
subject: All Products
description: Cryotherapy is the delivery of therapeutic cold to help provide natural pain relief, , decrease swelling, and help your patients recover as quickly as possible. The classic application methods are cold packs filled with ice or gel to provide targeted cryotherapy to an injury and ice baths to treat larger areas of the body. However, […] The post What is Cryotherapy? appeared first on iHomeRehab.
encoded: Cryotherapy is the delivery of therapeutic cold to help provide natural pain relief, , decrease swelling, and help your patients recover as quickly as possible. The classic application methods are cold packs filled with ice or gel to provide targeted cryotherapy to an injury and ice baths to treat larger areas of the body. However, as a medical professional, you have the ability to provide more advanced—and more effective—forms of cryotherapy. Cryotherapy Technology Cryotherapy has come a long way since ice packs and ice baths were the only available methods. New systems use a combination of body-conforming wraps with control units to deliver therapeutic cold consistently and with targeted coverage. Cryotherapy wraps have integrated chambers that circulate cold water and pneumatic air in separate, dedicated loop systems. The cold water flows back through an ice reservoir in the control unit to maintain the desired temperature. At the same time, the pneumatic air provides a pumping effect that increases the flow of fluids. This action helps pump away excess edema to reduce swelling and increases blood flow to promote healing. Intermittent compression enhances the benefits of therapeutic cold by allowing it to penetrate deeper and last longer than other methods. The control unit allows you to create custom settings for each patient with a specific temperature, pressure level, and treatment time. There are also preset programs available so your patients can use the system on their own with the touch of a button. Cryotherapy Safety Using a cryotherapy system is safer than other methods because it allows you to have complete control. A soft fabric lining prevents the cold source from coming into direct contact with the skin, reducing the risk of cold burns. The temperature controls help prevent any issues associated with too much cooling. You can also control the treatment time so cold is not applied for too long. Unlike a whole-body chamber, a cryotherapy system provide…

4 Technologies to Boost Recovery After Knee Surgery
type: item
date: 2019-03-12T01:17:38Z
creator: david
subject: Knee
subject: Bracing
subject: GameReady
description: Recovery after knee surgery has come a long way in past decades. In addition to new surgical techniques, new recovery technologies can help you to return to normal activity more comfortably and as quickly as possible. While it’s not possible to completely avoid all pain, discomfort, and inconvenience, new technologies have made knee surgery recovery […] The post 4 Technologies to Boost Recovery After Knee Surgery appeared first on iHomeRehab.
encoded: Recovery after knee surgery has come a long way in past decades. In addition to new surgical techniques, new recovery technologies can help you to return to normal activity more comfortably and as quickly as possible. While it’s not possible to completely avoid all pain, discomfort, and inconvenience, new technologies have made knee surgery recovery less of a hassle . If you are planning a knee surgery or are currently in the recovery process, consider these five technologies to help you heal more quickly: 1. Cryotherapy Systems Applying cold to help reduce pain and swelling is not a new concept—ice packs have been around for decades. However, combining therapeutic cold with active compression can provide even more benefits, such as: Pain relief with reduced or no medication Deeper-penetrating and longer-lasting cold Easy-to-use systems that keep you dry Prevention of excess swelling with active pumping Slower cellular metabolism for less tissue damage Increased circulation of blood and nutrients Cryotherapy systems are safe enough to use on your own, so you can rent one for home use while you recover. 2. Contrast Therapy Systems Rapidly alternating between therapeutic heat and cold can also aid the recovery process. Historically, this was done to support knee surgery recovery by submerging the leg in hot and cold baths. This is obviously not convenient for anybody, even when doing it in a clinical setting. It can also be uncomfortable because you get wet, and you have to move between two baths in order to get treatment. Contrast therapy devices eliminate the inconvenience and discomfort by delivering heat and cold through adjustable body-conforming wraps. Therapeutic heat is applied to help increase blood flow, stimulate healing, and reduce pain and stiffness. This is quickly alternated with therapeutic cold to provide the cryotherapy benefits described above and to help prevent any swelling that might be triggered by heat therapy. 3. Active Compression Systems Act…

How to Treat a Pulled Back Muscle in 8 Steps
type: item
date: 2019-03-12T01:13:10Z
creator: david
subject: Back
subject: GameReady
description: A pulled back muscle is a very common injury. You can pull a back muscle by lifting a heavy item, throwing an object while twisting, or falling unexpectedly. Regardless of the cause, a pulled back muscle is painful, and you want to treat it as quickly as possible. A pulled muscle, in the back or […] The post How to Treat a Pulled Back Muscle in 8 Steps appeared first on iHomeRehab.
encoded: A pulled back muscle is a very common injury. You can pull a back muscle by lifting a heavy item, throwing an object while twisting, or falling unexpectedly. Regardless of the cause, a pulled back muscle is painful, and you want to treat it as quickly as possible. A pulled muscle, in the back or anywhere else in the body, is the common term for a muscle strain. When a muscle is strained, the fibers actually tear; sometimes the tear is minor, sometimes it’s a larger, more serious strain. SYMPTOMS OF A PULLED BACK MUSCLE The spine is divided into three major sections: the neck, upper back and shoulders, and lower back. The symptoms are different for pulled muscles in each of these areas. For a pulled muscle in the neck, you might experience: Pain in the neck and upper back area Limited range of motion in the neck Stiffness in the neck In shoulder and upper back injuries caused by pulled muscles, the common symptoms may include: Pain in the area between the spine and shoulder blade Muscle spasms in the upper back Knots and tightness in the upper back and shoulders Pain when moving the shoulders In lower back strain injuries, many people experience symptoms such as: Aching and stiffness in lower back muscles Pain that worsens with movement Pain that radiates to the hips and legs Limited range of motion Muscle spasms in lower back area CAUSES OF STRAIN IN LOWER BACK MUSCLES As one of the most common injuries among adults, lower back strain can occur due to a broad range of causes, including: Sudden impact from a fall, collision, or athletic activity Repetitive motion that causes stress on the muscles and joints Lifting while twisting, or lifting an object that is too heavy Poor posture or incorrect form when performing activities Weak or imbalanced muscles in the back and abdominals Excess weight that causes stress in lower back muscles Lower back muscle strain is typically diagnosed by a medical professional after performing a physical examination and evaluating your hi…

5 Home Remedies for a Sprained Ankle
type: item
date: 2019-03-12T01:06:34Z
creator: david
subject: Ankle
subject: GameReady
description: The American College of Sports Medicine estimates that approximately 9 million Americans suffer from sprained ankles each year. It’s one of the most common sports injuries, and it can happen to anybody who rolls or turns an ankle while doing something as simple as walking. In many cases, an ankle sprain does not require medical […] The post 5 Home Remedies for a Sprained Ankle appeared first on iHomeRehab.
encoded: The American College of Sports Medicine estimates that approximately 9 million Americans suffer from sprained ankles each year. It’s one of the most common sports injuries, and it can happen to anybody who rolls or turns an ankle while doing something as simple as walking. In many cases, an ankle sprain does not require medical intervention. However, a severe sprain or bone fracture should be treated by a physician. Common ankle sprain symptoms may include: Sudden pain after twisting or rolling the ankle Swelling Bruising Inability to walk with a normal gait Tenderness when touched Limited range of motion in the ankle joint In addition to these symptoms, an ankle fracture might also include: Pain and swelling that does not reduce after a day or two Inability to bear weight on the injured leg Numbness or weakness Reduced circulation If there is any doubt about whether your ankle is sprained or fractured, seek medical attention immediately. If you have a mild or moderate injury, consider these sprained ankle remedies: 1. RICE Every athlete and parent knows this age-old remedy for minor strains and sprains, and doctors recommend it because it works. Rest: Stay off the injury for a few days, and get ample rest. Ice: Apply cold to the ankle several times a day to help reduce pain and swelling. Compression: Apply a static or elastic compression bandage to limit swelling. Elevation: Reduce the flow of blood and other fluids by elevating the ankle above the heart. It might seem simple, but RICE therapy is truly effective. Start it as soon as possible after the ankle sprain occurs in order to control the body’s natural inflammatory response. 2. Cold Compression Therapy If you want to take RICE to the next level, consider renting a cold therapy system for home use. Cold compression therapy uses the same concepts as RICE therapy but adds modern technology to the mix. Instead of holding an ice pack on your ankle, a cold therapy system uses a body-conforming wrap with integrated…

How Long Does It Take to Recover After a Hip Surgery?
type: item
date: 2019-03-12T00:55:48Z
creator: david
subject: Hip
description: Although it is a major procedure, many people recover from hip surgery faster than you might expect. In many cases, you may return to normal activity in as few as three weeks, with 12 weeks generally being the longest expected recovery time. Being proactive during hip surgery recovery may help you recover faster […] The post How Long Does It Take to Recover After a Hip Surgery? appeared first on iHomeRehab.
encoded: Although it is a major procedure, many people recover from hip surgery faster than you might expect. In many cases, you may return to normal activity in as few as three weeks, with 12 weeks generally being the longest expected recovery time. Being proactive during hip surgery recovery may help you recover faster and get you back to your life as quickly as possible. Knowing what to expect after surgery can help you plan for your recovery and be prepared with techniques that support faster healing. Day of Surgery Depending on the type of surgery and your health, the procedure could take several hours and will likely require general anaesthesia. You should also expect to stay in the hospital for the first few days after surgery, so pack your bag accordingly. Surgery day can be a long one and might require some patience on your part, but it’s the first step to returning to your pre-injury activity level. Recovery tips: Ask your doctor to tell you the plan for the day so you know what to expect. Fill your prescriptions in advance. Pack a bag with enough items to support you for a few days. Possible exercises: Ankle pumps Ankle rotations Day After Surgery Surgery is traumatizing to the body, which is why you may experience some pain the following day. Your doctor will likely prescribe painkillers and any other medications necessary to help you recover. This might include antibiotics to prevent infection or blood thinners to prevent clots after surgery. A physical therapist might perform some passive motion exercises with you to start regaining mobility. Recovery tips: Take deep breaths to clear your lungs after anaesthesia. Communicate with your medical team about how you’re feeling. Be prepared with activities you can do in bed. Possible exercises: Ankle pumps Ankle rotations Bed-supported knee bends Abduction movements 1-2 Days After Surgery Physical therapy includes both passive motion exercises and starting to walk with an assistive device like a walker or crutches. A…

Signs & Symptoms of a Rotator Cuff Injury
type: item
date: 2019-03-12T00:49:25Z
creator: david
subject: Shoulder
subject: GameReady
description: Like many types of injury, a rotator cuff injury should be diagnosed and treated as soon as possible. If you’ve experienced this injury before, you probably know what to look for; but if you haven’t, we’ll help you recognize the symptoms so you can seek treatment and get on the path to recovery. Symptoms of […] The post Signs & Symptoms of a Rotator Cuff Injury appeared first on iHomeRehab.
encoded: Like many types of injury, a rotator cuff injury should be diagnosed and treated as soon as possible. If you’ve experienced this injury before, you probably know what to look for; but if you haven’t, we’ll help you recognize the symptoms so you can seek treatment and get on the path to recovery. Symptoms of Rotator Cuff Injury Acute rotator cuff injuries can be identified by sudden severe pain in the shoulder joint, often associated with a tearing sensation, and difficulty moving the arm. While acute injuries do happen, especially with athletes, chronic rotator cuff injuries are more typical. Some of the most common symptoms of a chronic rotator cuff injury include: Difficulty moving the shoulder through its full range of motion A deep, dull ache in the shoulder joint Difficulty sleeping or finding a comfortable position while lying down Weakness in the affected arm The primary risk factor for chronic rotator cuff injuries is repeated motion in the shoulder joint, especially with the arms raised overhead—for example, repeatedly swinging a tennis racquet to serve the ball, or keeping the arm elevated while hammering nails. The risk of injury also increases with age. When to Go to the Doctor If you have suffered an acute shoulder injury, see your doctor as soon as possible to get a proper diagnosis and treatment recommendations. If you think you have a chronic rotator cuff injury, see your doctor whenever pain persists for more than a few days or worsens. If you are unable to do activities you normally do, seek medical attention so you can start treatment and recovery. Be aware that some shoulder pain can be related to heart problems. If you have pain that is not associated with difficulty moving the shoulder joint, call your doctor immediately. Treatment Options for a Rotator Cuff Injury In very few cases, a rotator cuff injury can heal on its own with rest, cold therapy, compression, and physical therapy to bring you back to full range of motion. If persistent pain …

4 Things NOT to Do When You Have a Sprained Wrist
type: item
date: 2019-03-12T00:43:45Z
creator: david
subject: Hand/Wrist
subject: GameReady
description: Whether you get a sprained wrist from playing volleyball or slipping on the ice, the recovery process is the same. While your body is mending, there are things you can do to help speed up the healing process, and there are also activities you should try to avoid. This list of four things to avoid […] The post 4 Things NOT to Do When You Have a Sprained Wrist appeared first on iHomeRehab.
encoded: Whether you get a sprained wrist from playing volleyball or slipping on the ice, the recovery process is the same. While your body is mending, there are things you can do to help speed up the healing process, and there are also activities you should try to avoid. This list of four things to avoid doing when you have a sprained wrist is a good starting point, but as with any other type of injury, follow your doctor’s recommendations. 1. Don’t “shake it off.” Athletes, busy parents, and active people of all types are often tempted to “shake it off” or “tough it out,” but this is not a good idea if you want your wrist to heal as quickly as possible. Continuing to use your wrist after it is sprained may prolong your injury and lead to more pain and discomfort. It may be difficult, but the best thing to do is rest and give your body the chance to heal on its own. What you should do instead: Rest your body, especially your wrist, and stop any activity that causes pain. Consider immobilizing your wrist with a brace or splint to prevent movement in the joint. 2. Don’t overmedicate. Many people choose to take over-the-counter medications to help relieve the pain and swelling caused by a sprained wrist. This may generally be a good idea; however, taking too much medication may cause unwanted side effects and potentially be unsafe. Taking too much medication may also dull the pain to the point that your symptoms are masked. This is risky because it allows you to use your wrist when you should be resting it, potentially making the injury worse. As always, discuss your options with your healthcare professional. What you should do instead: Apply ice and elevate your wrist above the level of your heart. Take only the recommended amount of medication. If the pain persists for more than a few days or if your medication isn’t helping, talk to your doctor to ensure you have been properly diagnosed. 3. Don’t underestimate your injury. In most cases, a sprained wrist will heal on its ow…