{"id":1238,"date":"2026-05-20T16:22:47","date_gmt":"2026-05-20T14:22:47","guid":{"rendered":"https:\/\/hus.usanamedical.com\/studies\/"},"modified":"2026-07-29T15:23:46","modified_gmt":"2026-07-29T13:23:46","slug":"studies","status":"publish","type":"page","link":"https:\/\/usanamedical.com\/en\/studies\/","title":{"rendered":"Studies"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Hero Sektion&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#254665&#8243; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#B8BBC9&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span class=\"eyebrow\">Clinically Proven<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; background_layout=&#8221;dark&#8221; max_width=&#8221;700px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Studies &amp; Clinical Evidence<\/h1>\n<p>Controlled movement of the joint soon after a surgery has been proven to speed up recovery and prevent stiffness. CPM therapy in particular is tried and tested in this regard.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;CPM Prinzip&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;3_5,2_5&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#E94E24&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span>Treatment Principle<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Why CPM Therapy Works<\/h2>\n<p>CPM stands for Continuous Passive Motion. The principle has been established for decades in the rehabilitation of knee and shoulder joints and is now also available for hallux.<\/p>\n<p>Controlled, passive movement of the joint immediately after the surgery distributes synovial fluid, promotes cartilage nutrition, and prevents adhesions. The joint remains mobile and healing is faster.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;30px|30px|30px|30px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#B8BBC9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/usanamedical.com\/wp-content\/uploads\/2026\/05\/icon-mobilisation.webp&#8221; alt=&#8221;Icon mobilisation&#8221; title_text=&#8221;icon-mobilisation&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;250px&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||30px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_text_color=&#8221;#778199&#8243; text_font_size=&#8221;14px&#8221; text_line_height=&#8221;1.4em&#8221; header_4_font=&#8221;|700||on|||||&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Schematic representation of passive joint mobilization \u2014 the principle of CPM therapy.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Grundlage&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(184,187,201,0.1)&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;120px||120px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#E94E24&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span>Reference Studies<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; text_orientation=&#8221;center&#8221; max_width=&#8221;700px&#8221; module_alignment=&#8221;center&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>The Scientific Basis<\/h2>\n<p>Clinical evidence regarding stiffness after immobilization, shorter recovery time with toe CPM and physical therapy after hallux surgeries, as well as the benefits of CPM therapy in general after joint interventions.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;50px|50px|50px|50px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#B8BBC9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#E94E24&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; hover_enabled=&#8221;0&#8243; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Akeson et al. (1987) <\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||20px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3>Stiffness After Immobilization<\/h3>\n<p>Already one week after immobilization, the lack of movement leads to shortening of the synovial membrane, adhesions of the synovial membrane, and long-term movement limitations.<\/p>\n<h3>One week<\/h3>\n<p>of immobilization is enough for the joint to stiffen<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_text_color=&#8221;#778199&#8243; text_font_size=&#8221;14px&#8221; text_line_height=&#8221;1.4em&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Akeson, W. H. et al. (1987).  Effects of immobilization on joints. Clinical Orthopaedics and Related Research.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;50px|50px|50px|50px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#B8BBC9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#E94E24&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Connor et al. (1995) <\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||20px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3>Toe CPM Shortens Rehabilitation Time<\/h3>\n<p>Motorized toe CPM devices shorten the rehabilitation time after MTP-I surgery by up to 10 days compared to physical therapy alone. Range of motion increases earlier and patients return to normal load-bearing sooner.<\/p>\n<h3>10 days<\/h3>\n<p>quicker return to full mobility<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_text_color=&#8221;#778199&#8243; text_font_size=&#8221;14px&#8221; text_line_height=&#8221;1.4em&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Connor, G. F. et al. (1995).  Continuous passive motion after MTP-I surgery. Foot &amp; Ankle International.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;50px|50px|50px|50px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#B8BBC9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#E94E24&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; hover_enabled=&#8221;0&#8243; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Frigg et al. (2019)<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||20px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3>Stiffness Persists Even with Minimally Invasive Surgery<\/h3>\n<p>Stiffness of the first MTP joint affects 7 to 38 percent of patients after hallux valgus surgery. This study was the first to compare the minimally invasive technique (MICA) with the open technique (scarf-Akin) in 98 patients over at least two years. The result: the stiffness rate was equally high in both groups, so the minimally invasive technique does not reduce the risk. The authors recommend prescribing physical therapy earlier than six weeks after surgery.<\/p>\n<h3>7 to 38 %<\/h3>\n<p>of patients develop stiffness, regardless of the surgical technique<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_text_color=&#8221;#778199&#8243; text_font_size=&#8221;14px&#8221; text_line_height=&#8221;1.4em&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Frigg A, Zaugg S, Maquieira G, Pellegrino A. Stiffness and Range of Motion After Minimally Invasive Chevron-Akin and Open Scarf-Akin Procedures. Foot &amp; Ankle International 2019;40(5):515-525.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;50px|50px|50px|50px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#B8BBC9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#E94E24&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; hover_enabled=&#8221;0&#8243; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Schuh et al. (2008) <\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Advantage of Physical Therapy After Hallux Surgery<\/h3>\n<p>Targeted motion therapy after bunion surgery clearly improves big toe function and the physiological gait pattern, and increases peak pressure, range of motion, and the AOFAS score.<\/p>\n<h3>Up to 4 x higher weight-bearing of the big toe after 6 months<\/h3>\n<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_text_color=&#8221;#778199&#8243; text_font_size=&#8221;14px&#8221; text_line_height=&#8221;1.4em&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Schuh, R. et al. (2008).  Effect of Physiotherapy on the Functional Improvement after Hallux Valgus Surgery. Z Orthop Unfall, 146, 630 to 635.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;50px|50px|50px|50px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#B8BBC9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#E94E24&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Schuh et al. (2009) <\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Advantage of Physical Therapy After Hallux Surgery<\/h3>\n<p>Physical therapy and gait training improve weight-bearing of the first ray during the stance phase. Within six months after surgery, the maximum force in the big toe increased significantly and patients resumed physiological weight-bearing of the foot.<\/p>\n<h3>6 months until weight-bearing of the first ray is restored<\/h3>\n<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_text_color=&#8221;#778199&#8243; text_font_size=&#8221;14px&#8221; text_line_height=&#8221;1.4em&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Schuh, R. et al. (2009).  Importance of Physical Therapy to Restore Weight Bearing of the First Ray During the Stance Phase. Phys Ther, 89, 934 bis 945.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;50px|50px|50px|50px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#B8BBC9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#E94E24&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Michael et al. (2005) <\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||20px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3>Effectiveness of CPM in General<\/h3>\n<p>A motorized shoulder CPM device combined with physical therapy led to patients achieving full active mobility around 12 days earlier than with physical therapy alone, as well as faster pain reduction.<\/p>\n<h3>12 days<\/h3>\n<p>earlier to full active mobility<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_text_color=&#8221;#778199&#8243; text_font_size=&#8221;14px&#8221; text_line_height=&#8221;1.4em&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Michael, J. W. P. et al. (2005).  Efficiency of a Postoperative Treatment after Rotator Cuff Repair with a Continuous Passive Motion Device (CPM). Z Orthop Unfall, 143, 438 to 445.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;50px|50px|50px|50px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#B8BBC9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#E94E24&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Garofalo et al. (2010) <\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Effectiveness of CPM in General<\/h3>\n<p>Four weeks of accompanying CPM use in the early rehabilitation phase after a shoulder surgery significantly improved both mobility and pain control compared to standard therapy alone.<\/p>\n<h3>Less pain<\/h3>\n<p>and more mobility in early rehabilitation<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_text_color=&#8221;#778199&#8243; text_font_size=&#8221;14px&#8221; text_line_height=&#8221;1.4em&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Garofalo, R. et al. (2010).  Effects of one-month continuous passive motion after arthroscopic rotator cuff repair. Musculoskelet Surg, 94 (Suppl 1), pp 79 to 83.<br \/>All<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;50px|50px|50px|50px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#B8BBC9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_font=&#8221;montserrat 700|||on|||||&#8221; text_text_color=&#8221;#E94E24&#8243; text_font_size=&#8221;16px&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; hover_enabled=&#8221;0&#8243; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Jaspers et al. 2018 <\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||20px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3>Effectiveness of CPM in General<\/h3>\n<p>A continuous passive motion device significantly improves range of motion and reduces pain and swelling after cruciate ligament reconstruction. Knee flexion improved in the first to sixth postoperative weeks, swelling subsided between the fourth and sixth weeks. <\/p>\n<h3>Weeks 1 to 6<\/h3>\n<p>Better knee flexion and reduced swelling after cruciate ligament surgery<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; text_text_color=&#8221;#778199&#8243; text_font_size=&#8221;14px&#8221; text_line_height=&#8221;1.4em&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Continuous Passive Motion (CPM) does improve range of motion, pain and swelling after ACL reconstruction: a systematic review and meta-analysis.,\u201c\/pubmed\/ 30321902\u2033,\u201cJaspers T, Taeymans J, Hirschm\u00fcller A.\u201c,\u201cZ Orthop Unfall 2018 Oct<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;gcid-5754a102-7a15-4d4b-9744-131c8ad4962e&#8221; custom_padding=&#8221;5vw||5vw||true|false&#8221; global_colors_info=&#8221;{%22gcid-5754a102-7a15-4d4b-9744-131c8ad4962e%22:%91%22background_color%22%93}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;5px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;50px|50px|30px|50px|false|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;#B8BBC9&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; custom_margin=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>What These Studies Demonstrate<\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;_initial&#8221; header_4_font=&#8221;|700||on|||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<table style=\"border-collapse:collapse; border:0; width:100%;\">\n<tbody>\n<tr>\n<td style=\"border:0; padding:16px 24px 16px 0; vertical-align:top;\">\u2713 Shorter recovery, faster return to physiological movement pattern<\/td>\n<td style=\"border:0; padding:16px 0 16px 24px; vertical-align:top;\">\u2713 Prevention of joint stiffness and long-term adhesions<\/td>\n<\/tr>\n<tr>\n<td style=\"border:0; padding:16px 24px 16px 0; vertical-align:top;\">\u2713 Promotion of joint mobility and synovial fluid distribution<\/td>\n<td style=\"border:0; padding:16px 0 16px 24px; vertical-align:top;\">\u2713 Ensuring surgical success through early mobilization<\/td>\n<\/tr>\n<tr>\n<td style=\"border:0; padding:16px 24px 16px 0; vertical-align:top;\">\u2713 Remobilization of already stiffened joints possible within 30 days<\/td>\n<td style=\"border:0; padding:16px 0 16px 24px; vertical-align:top;\">\u2713 Reduction of pain through even, controlled movement<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Testimonial&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_testimonial author=&#8221;Dr. G\u00e9rard Farkas&#8221; job_title=&#8221;Founder of Crossklinik (Basel), Member of the Executive Board | Specialist in Orthopedic Surgery and Traumatology of the Musculoskeletal System, Sports Medicine SEMS &#91;Sports &amp; Exercise Medicine Switzerland&#93;&#8221; quote_icon_color=&#8221;#778199&#8243; use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;72px&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;gcid-5754a102-7a15-4d4b-9744-131c8ad4962e&#8221; text_orientation=&#8221;center&#8221; custom_padding=&#8221;70px|70px|70px|70px|true|true&#8221; custom_css_main_element=&#8221;overflow: visible !important;||&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; global_colors_info=&#8221;{%22gcid-5754a102-7a15-4d4b-9744-131c8ad4962e%22:%91%22background_color%22%93}&#8221;]<\/p>\n<h3>Clinical Assessment<\/h3>\n<p>Patients report ease of use, clear instructions for use, noticeably increasing mobility and shortened recovery time. I recommend the device for broad clinical use in bunion correction postoperative treatment.<br \/><a href=\"\/wp-content\/uploads\/2026\/06\/Klinische-Beurteilung-Dr.-Farkas-zu-Hall-U-Sana-29.09.2025.pdf\" target=\"_blank\" rel=\"noopener\">Find out more<\/a><\/p>\n<p>[\/et_pb_testimonial][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Clinically ProvenStudies &amp; Clinical EvidenceControlled movement of the joint soon after a surgery has been proven to speed up recovery and prevent stiffness. CPM therapy in particular is tried and tested in this regard.Treatment PrincipleWhy CPM Therapy WorksCPM stands for Continuous Passive Motion. The principle has been established for decades in the rehabilitation of knee [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","slim_seo":{"title":"Studies - Hall-U-Sana","description":"Clinically Proven Studies &amp; Clinical Evidence Controlled movement of the joint soon after a surgery has been proven to speed up recovery and prevent stiffne"},"footnotes":""},"class_list":["post-1238","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/usanamedical.com\/en\/wp-json\/wp\/v2\/pages\/1238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/usanamedical.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/usanamedical.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/usanamedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/usanamedical.com\/en\/wp-json\/wp\/v2\/comments?post=1238"}],"version-history":[{"count":4,"href":"https:\/\/usanamedical.com\/en\/wp-json\/wp\/v2\/pages\/1238\/revisions"}],"predecessor-version":[{"id":1627,"href":"https:\/\/usanamedical.com\/en\/wp-json\/wp\/v2\/pages\/1238\/revisions\/1627"}],"wp:attachment":[{"href":"https:\/\/usanamedical.com\/en\/wp-json\/wp\/v2\/media?parent=1238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}