Continuous Passive Motion and Physical Therapy (CPM) versus Physical Therapy (PT) versus Delayed Physical Therapy (DPT) after Surgical Release for Elbow Contractures; A Prospective Randomized Controlled Trial

Recruiting

Conditions: Elbow contracture
Stiff elbow
10023213
10005944

Registration Number: NL-OMON53066

Lead Sponsor: Amphia Ziekenhuis

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 90

Inclusion Criteria

Open or arthroscopic surgical treatment received
Age between 18 and 65 years
More than 6 months after trauma
Unsuccessful conservative treatment
Flexion-extension arc less than 100 degrees

Exclusion Criteria

Inflammatory diseases
Patients with any other elbow pathology
Abnormalities on the X-ray
Wound problems

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>Objective of current study is to compare continuous passive motion with<br /><br>physical therapy (CPM) versus early motion supervised physical therapy (PT)<br /><br>versus outpatient delayed physical therapy (DPT) as rehabilitation protocol<br /><br>after surgery for posttraumatic elbow contractures in a prospective randomized<br /><br>controlled trial, comparing elbow range of motion at 8 weeks, 5 months and 1<br /><br>year after treatment.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary objectives are QALYs and overall patient- (PROMs) and physician-based<br /><br>functional recovery measured with the Mayo Elbow Performance Index (MEPI),<br /><br>Quick-DASH, Oxford Elbow Score (OES) and VAS. These measurements are collected<br /><br>at baseline, 8 weeks, 5 months and 1 year after treatment. Tertiary outcome<br /><br>concerns patient perceived disability according to standardized measurements to<br /><br>evaluate the influence of depression and pain on clinical outcome CES-D (Center<br /><br>for Epidemiologic Studies Depression Scale) as well as the Pain Catastrophizing<br /><br>Scale (PCS) and SF-36. These measurements are collected at baseline, 8 weeks,<br /><br>5 months and 1 year after treatment.</p><br>