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W\u00e4hrend der Einsatz von CPM nach Implantation von Knieendoprothesen bereits gut untersucht ist, fokussiert diese Studie die Nutzung von Bewegungsschienen nach Implantation einer Schulterendoprothese.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>In dieser retrospektiven Auswertung wurden 110 Patienten auf Ver\u00e4nderungen in der Schmerzwahrnehmung und Schmerzmitteleinnahme untersucht. Bei 45\u00a0Patientendatens\u00e4tzen konnten die Entwicklung des aktiven Bewegungsausma\u00dfes und die Vorf\u00fchrbarkeit von Sch\u00fcrzen- und Nackengriff nach Durchf\u00fchrung regelm\u00e4\u00dfiger CPM-Behandlung im Rahmen einer komplexen Anschlussheilbehandlung nach Implantation einer Schulterendoprothese untersucht werden. Zus\u00e4tzlich wurde der m\u00f6gliche Einfluss des Startzeitpunktes der CPM-Behandlung statistisch mittels Wilcoxon-Test f\u00fcr verbundene Stichproben und Korrelationsanalyse nach Pearson untersucht.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Bei der Anwendung von CPM als Komponente im rehabilitativen Behandlungskonzept konnte eine Reduktion der Schmerzwahrnehmung und des Schmerzmittelbedarfs, sowie eine Verbesserung des Bewegungsausma\u00dfes festgestellt werden. Ein signifikanter Zusammenhang mit dem zeitlichen Beginn der Therapie und dem Ergebnis am Ende der Rehabilitation konnte nicht gezeigt werden, aber die Anwendungsh\u00e4ufigkeit korrelierte positiv mit der Ver\u00e4nderung des Bewegungsausma\u00dfes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Die Ergebnisse dieser Studie weisen auf einen positiven Effekt der CPM-Schienentherapie nach Implantation einer Schulterendoprothese im Rahmen der Rehabilitation hin. Aufgrund des Studiendesigns ohne Kontrollgruppe ist eine klare Trennung zwischen einem Rehabilitationsverlauf ohne Intervention, dem Effekt einer multimodalen Therapie und dem spezifischen Effekt der CPM-Therapie nicht m\u00f6glich. Welchen Anteil am beobachteten Effekt auf die CPM-Schienentherapie zur\u00fcckzuf\u00fchren ist und welche eventuellen Vorteile gegen\u00fcber einer manuellen Mobilisierung oder einer rein funktionalen Be\u00fcbung bestehen, kann nicht beantwortet werden. Dieses und auch Aspekte der Wirtschaftlichkeit sollten in weiteren Studien \u00fcberpr\u00fcft werden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00132-026-04808-x","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T14:42:32Z","timestamp":1774017752000},"page":"567-573","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Einsatz von \u201econtinuous passive motion\u201c in der station\u00e4ren Anschlussheilbehandlung von Schulterendoprothesen\u00a0\u2013 eine retrospektive Untersuchung","Use of continuous passive motion in inpatient rehabilitation after shoulder replacement\u2014a\u00a0retrospective study"],"prefix":"10.1007","volume":"55","author":[{"given":"Christoph","family":"Schulze","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Peters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klara","family":"Tillack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"B\u00fcnzen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibylle","family":"Schl\u00fcter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"key":"4808_CR1","doi-asserted-by":"publisher","first-page":"734","DOI":"10.2519\/jospt.2007.2562","volume":"37","author":"S Boudreau","year":"2007","unstructured":"Boudreau\u00a0S, Boudreau\u00a0E, Higgins\u00a0LD et\u00a0al (2007) Rehabilitation following reverse total shoulder arthroplasty. 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