Elbow Injury Clinical Trial
— CPMOfficial title:
Preservation of Joint Function Using Postoperative Continuous Passive Motion (CPM) A Pilot Study
Verified date | July 2020 |
Source | Mayo Clinic |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This pilot study is designed to determine if the rehabilitative benefits of continuous passive motion (CPM) will help preserve/restore the joint function and significantly improve the rate of recovery of patients after the surgical release of elbow contractures better than standard physiotherapy and static splinting.
Status | Completed |
Enrollment | 60 |
Est. completion date | May 19, 2020 |
Est. primary completion date | May 19, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 13 Years and older |
Eligibility |
Inclusion Criteria: To be included, each patient must meet ALL of the following: 1. Lack of elbow flexion and/or extension, with or without pain. 2. The contracture must have been present for at least six months and failed to respond to non-surgical treatment. 3. Surgery to be performed will be arthroscopic capsulectomy or osteocapsular arthroplasty with removal of heterotopic ossification as necessary Exclusion Criteria: 1. Contraindication to use of CPM or regional brachial plexus block, such as bleeding diathesis, use of anticoagulants or severe restriction in shoulder range of movement. 2. Progressive or recalcitrant neuropathy or neuritis, except for isolated intermittent ulnar neuritis. 3. Pre-existing factors that might limit ability to completely participate in rehabilitations such as neuromuscular or psychosocial condition. 4. Progressive or recurrent contracture due to inflammatory disease such as rheumatoid arthritis, juvenile idiopathic arthritis or chondrolysis. 5. Altered anatomy that might limit elbow motion, independent of the condition being treated, such as dysplasia, malunion, osteonecrosis, and congenital deformity. 6. A reasonable restoration of motion and function cannot be expected. 7. Inadequate postoperative regional anesthesia 8. Intra-operative or postoperative complication that could affect outcome 9. Injury or disease in the postoperative period that could affect elbow function 10. Not possible to have postoperative physical therapy appointment 11. Significant portion of the procedure performed in an open manner 12. Women that know they are pregnant or breastfeeding 13. Current or prior septic arthritis |
Country | Name | City | State |
---|---|---|---|
United States | Mayo Clinic in Rochester | Rochester | Minnesota |
Lead Sponsor | Collaborator |
---|---|
Mayo Clinic |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Recurrence of elbow contracture | There will be an 80% statistical power to detect a difference of 2 points in the pre-surgery to post-surgery change in VAS pain between subjects in the two study arms. Similarly, there will be an 80% power to detect a difference of 16 degrees in the pre-surgery to post-surgery change in total arc of motion between the two study groups. There will be 80% power to detect a difference of at least 9 points on the pre-surgery to post-surgery difference in the DASH score. | 1 year | |
Secondary | Subsequent injury or disease of the affected elbow | There will be an 80% statistical power to detect a difference of 2 points in the pre-surgery to post-surgery change in VAS pain between subjects in the two study arms. Similarly, there will be an 80% power to detect a difference of 16 degrees in the pre-surgery to post-surgery change in total arc of motion between the two study groups. There will be 80% power to detect a difference of at least 9 points on the pre-surgery to post-surgery difference in the DASH score. | 1 year |
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