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

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 - CPM vs PT vs DPT for Elbow Contractures

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON53066

Enrollment

Registered

2016-08-11

Start date

2017-04-25

Completion date

Unknown

Last updated

2026-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Elbow contracture Stiff elbow

Interventions

The following rehab protocols are compared: regime of CPM with PT versus regime of early motion PT supervised by an upper extremity specialized physical therapist versus outpatient delayed PT superv

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

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

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

Design outcomes

Primary

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

Measure

Time frame

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

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Secondary

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

Measure

Time frame

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

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Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)