{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T02:01:29Z","timestamp":1774058489414,"version":"3.50.1"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\nHintergrund Die kontinuierliche passive Bewegung (CPM) der Schulter wird in der orthop\u00e4dischen Rehabilitation \u00fcberwiegend bei der postoperativen Mobilisierung des Schulterg\u00fcrtels angewandt. H\u00e4ufig erfolgt die Anwendung nach Rotatorenmanschettennaht (RM-Naht). Arbeitsunf\u00e4higkeit und Therapie von Schultererkrankungen verursachen bedeutende Kosten f\u00fcr das Solidarsystem in Deutschland.<\/jats:p><jats:p>\nMethode In einer Literaturanalyse wurden daher Studien sowie \u00dcbersichtsarbeiten zur CPM in wissenschaftlichen Datenbanken identifiziert und in Bezug auf das funktionelle Outcome insbesondere nach operativen Eingriffen am Schultergelenk analysiert. Die Qualit\u00e4t der Studien wurde mittels Cochrane Collaboration\u02bcs Risk of Bias Tool bewertet.<\/jats:p><jats:p>\nErgebnis Nach Rotatorenmanschetten-Naht wurde in klinischen Studien \u00fcberwiegend eine schnellere Verbesserung des Schmerzniveaus und der Schulter-Beweglichkeit bei Nutzung der CPM-Behandlung gegen\u00fcber anderen Behandlungsformen aufgezeigt. Bei Schultersteife konnten nur Arbeiten mit Anwendung der CPM in der konservativen Therapie gefunden werden, wobei ebenfalls \u00fcber eine Verbesserung des Schmerzniveaus berichtet wurde. Hinsichtlich des Einsatzes bei Schulter-Impingement, Humeruskopffraktur oder nach Implantation einer Schulterendoprothese konnten keine aussagekr\u00e4ftigen Studien gefunden werden. Die gesundheits\u00f6konomischen Effekte des Einsatzes von CPM werden kontrovers diskutiert. In den zur Verf\u00fcgung stehenden Arbeiten werden Ger\u00e4t- und Begleitkosten unterschiedlich bewertet.<\/jats:p><jats:p>\nSchlussfolgerung Die analysierten klinischen Studien zeigten insgesamt positive Effekte bei einer Nutzung der CPM-Therapie, d.\u2009h. eine schnellere Verbesserung des Schmerzniveaus und der Schulter-Beweglichkeit, im Rahmen der postoperativen Nachbehandlung des Schulterg\u00fcrtels nach Rotatorenmanschetten-Naht sowie der konservativen Behandlung der Schultersteife. Bei anderen Entit\u00e4ten sind bislang keine aussagekr\u00e4ftigen Arbeiten in der Literatur verf\u00fcgbar. Da die gesundheits\u00f6konomischen Effekte des Einsatzes von CPM bislang kontrovers betrachtet werden, sollten m\u00f6gliche gesundheits\u00f6konomische Vorteile des Einsatzes einer CPM-Behandlung durch nachfolgende Untersuchungen evaluiert werden.<\/jats:p>","DOI":"10.1055\/a-1500-8567","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T23:21:04Z","timestamp":1626304864000},"page":"364-373","source":"Crossref","is-referenced-by-count":3,"title":["Kontinuierliche passive Bewegungstherapie (CPM-Therapie) in der orthop\u00e4dischen Rehabilitation am Schultergelenk \u2013 eine Literatur\u00fcbersicht"],"prefix":"10.1055","volume":"60","author":[{"given":"Christoph","family":"Schulze","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Klinik und Poliklinik, Universit\u00e4tsmedizin Rostock"},{"name":"Zentrum f\u00fcr Sportmedizin der Bundeswehr, Warendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franziska","family":"Knaack","sequence":"additional","affiliation":[{"name":"Forschungslabor f\u00fcr Biomechanik und Implantattechnologie (FORBIOMIT), Orthop\u00e4dische Klinik und Poliklinik, Universit\u00e4tsmedizin Rostock"},{"name":"Institut f\u00fcr Sportwissenschaft, Universit\u00e4t Rostock"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Goosmann","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Klinik und Poliklinik, Universit\u00e4tsmedizin Rostock"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfram","family":"Mittelmeier","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Klinik und Poliklinik, Universit\u00e4tsmedizin Rostock"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rainer","family":"Bader","sequence":"additional","affiliation":[{"name":"Forschungslabor f\u00fcr Biomechanik und Implantattechnologie (FORBIOMIT), Orthop\u00e4dische Klinik und Poliklinik, Universit\u00e4tsmedizin Rostock"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.2106\/00004623-198062080-00002","article-title":"The biological effect of continuous passive motion on the healing of full-thickness defects in articular cartilage. An experimental investigation in the rabbit","volume":"62","author":"R B Salter","year":"1980","journal-title":"J Bone Joint Surg Am"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"683","DOI":"10.33549\/physiolres.933214","article-title":"Effect of continuous passive motion initiated after the onset of arthritis on inflammation and secondary hyperalgesia in rats","volume":"65","author":"K Nakabayashi","year":"2016","journal-title":"Physiol Res"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"11","DOI":"10.2106\/JBJS.M.00034","article-title":"Rehabilitation following arthroscopic rotator cuff repair: a prospective randomized trial of immobilization compared with early motion","volume":"96","author":"J D Keener","year":"2014","journal-title":"J Bone Joint Surg Am"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/1472-6947-7-16","article-title":"Utilization of the PICO framework to improve searching PubMed for clinical questions","volume":"7","author":"C Schardt","year":"2007","journal-title":"BMC Med Inform Decis Mak"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1002\/9780470712184","volume-title":"Cochrane Handbook for systematic reviews of interventions","author":"J Higgins","year":"2008"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1177\/1941738110370023","article-title":"Early Results of Concurrent Arthroscopic Repair of Rotator Cuff and Type II Superior Labral Anterior Posterior Tears","volume":"2","author":"J P Strickland","year":"2010","journal-title":"Sports Health"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"S131","DOI":"10.1016\/j.otsr.2012.05.003","article-title":"Immediate passive motion versus immobilization after endoscopic supraspinatus tendon repair: A prospective randomized study","volume":"98","author":"J Arndt","year":"2012","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1007\/s12306-010-0058-7","article-title":"Effects of one-month continuous passive motion after arthroscopic rotator cuff repair: Results at 1-year follow-up of a prospective randomized study","volume":"94","author":"R Garofalo","year":"2010","journal-title":"Musculoskelet Surg"},{"key":"ref12","first-page":"214","article-title":"Early Results of Continuous Passive Motion After Rotator Cuff Repair","volume":"25","author":"M G Raab","year":"1996","journal-title":"Am J Orthop"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.2106\/00004623-199807000-00009","article-title":"Continuous Passive Motion after Repair of the Rotator Cuff","volume":"80","author":"P C Lastayo","year":"1998","journal-title":"J Bone Jt Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1055\/s-2005-836806","article-title":"Effektivit\u00e4t der postoperativen Behandlung mittels motorisierter Bewegungsschienen (CPM) bei Patienten mit Ruptur der Rotatorenmanschette","volume":"143","author":"J Michael","year":"2005","journal-title":"Z F\u00fcr Orthop"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1097\/MRR.0b013e3283103aac","article-title":"Continuous passive motion provides good pain control in patients with adhesive capsulitis","volume":"32","author":"U Dundar","year":"2009","journal-title":"Int J Rehabil Res"},{"key":"ref16","first-page":"217","article-title":"The Clinical Results of Conservative Treatment of Frozen Shoulder Using Continuous Passive Motion","volume":"18","author":"H J Chung","year":"2015","journal-title":"Methods"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"779","DOI":"10.3233\/BMR-160689","article-title":"Continuous passive motion in adhesive capsulitis patients with diabetes mellitus: A randomized controlled trial","volume":"29","author":"A A Ekim","year":"2016","journal-title":"J Back Musculoskelet Rehabil"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/00016470310013716","article-title":"Kinesthetic sense of the shoulder in patients with impingement syndrome","volume":"74","author":"A Machner","year":"2003","journal-title":"Acta Orthop Scand"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1093\/ptj\/72.12.929","article-title":"Treatment of Limited Shoulder Motion: A Case Study Based on Biomechanical Considerations","volume":"72","author":"P W McClure","year":"1992","journal-title":"Phys Ther"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1177\/0363546514544698","article-title":"Early Versus Delayed Passive Range of Motion Exercise for Arthroscopic Rotator Cuff Repair: A Meta-analysis of Randomized Controlled Trials","volume":"43","author":"K-V Chang","year":"2015","journal-title":"Am J Sports Med"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1016\/j.jse.2012.01.025","article-title":"Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physical therapy protocol","volume":"21","author":"D J Cuff","year":"2012","journal-title":"J Shoulder Elbow Surg"},{"key":"ref23","first-page":"485","article-title":"Passive mobilization after arthroscopic rotator cuff repair is not detrimental in the early postoperative period","volume":"81","author":"P-J De Roo","year":"2015","journal-title":"Acta Orthop Belg"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1177\/0363546511434287","article-title":"Is Early Passive Motion Exercise Necessary After Arthroscopic Rotator Cuff Repair?","volume":"40","author":"Y-S Kim","year":"2012","journal-title":"Am J Sports Med"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1016\/j.jse.2012.01.025","article-title":"Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physical therapy protocol","volume":"21","author":"D J Cuff","year":"2012","journal-title":"J Shoulder Elbow Surg"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1007\/s00132-017-3402-x","article-title":"Impingement-Syndrome der Schulter","volume":"46","author":"M Beirer","year":"2017","journal-title":"Orthop"},{"key":"ref27","first-page":"450","article-title":"Influence of Operative and Conservative Therapy on the Ability to Work of Patients With Subacromial Impingement: A Prospective Clinical Comparative Study","volume":"155","author":"C Schulze","year":"2017","journal-title":"Z Orthopadie Unfallchirurgie"},{"key":"ref28","first-page":"302","volume-title":"Konservative Therapie und Rehabilitation von Schultererkrankungen: mit dem Plus im Web; Zugangscode im Buch","author":"P Magosch","year":"2012","edition":"1. Aufl"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"2656","DOI":"10.1007\/s11999-009-0766-1","article-title":"Actual knee motion during continuous passive motion protocols is less than expected","volume":"467","author":"J E Bible","year":"2009","journal-title":"Clin Orthop"},{"key":"ref30","first-page":"227","article-title":"Motion characteristics of motorized knee splints","volume":"19","author":"B St\u00fcnitz","year":"1993","journal-title":"Unfallchirurgie"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1177\/0363546511434287","article-title":"Is Early Passive Motion Exercise Necessary After Arthroscopic Rotator Cuff Repair?","volume":"40","author":"Y-S Kim","year":"2012","journal-title":"Am J Sports Med"}],"container-title":["Die Rehabilitation"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1500-8567.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T23:44:59Z","timestamp":1638834299000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1500-8567"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,14]]},"references-count":27,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2021,12,6]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1500-8567","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0034-3536","1439-1309"],"issn-type":[{"value":"0034-3536","type":"print"},{"value":"1439-1309","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,14]]}}}