How To Use The Cpm Device (Intended Use); Fields Of Application; Therapy Objectives; Indications - DJO ARTROMOT-S4 Modo De Empleo

1. How to use the CPM device (Intended Use)

1.1 Fields of application

The ARTROMOT®-S4 is a motor-operated
Continuous Passive Motion (CPM) device
used to mobilize of the shoulder joint.
Here, the patient sits on the device chair
during therapy. The arm to be treated is
rested on the arm support assemblies (19,
20, 25) of the motion element (32), which is
mechanically adjusted so that the joint axes
of the motion element coincide with the
joint axes of the shoulder joint. After pro-
gramming the range of motion for the indi-
vidual motors (A, B and C), the motion ele-
ment moves the arm and thus the patient's
shoulder joint slowly and continuously in
the set, pain-free range of motion, without
the patient having to actively contract the
muscles. Movement of the shoulder joint
takes place exclusively passively through the
movement element.
Suitable for use in hospitals, clinics, general
practices and rental services as well as in the
patient's home, it is an important supple-
ment to medical and therapeutic treatment.

1.2 Therapy objectives

CPM therapy with the ARTROMOT®-S4 is
mainly used to prevent the negative effects
of immobilization, to allow patients to re-
gain painless mobility of joints at an early
stage and to promote healing and achieve a
positive functional result.
Other objectives of therapy include:
– improvement of joint metabolism
– prevention of joint stiffness
(arthrofibrosis)
– promotion of the regeneration and heal-
ing of cartilage and damaged ligaments
– faster hematoma/fluid resorption
– improved lymph and blood circulation
– thrombosis and embolism prophylaxis

1.3 Indications

The CPM device is indicated in the treat-
ment of most injuries and postoperative
conditions and diseases of the shoulder
joint. Examples:
– joint distortion and contusion
– arthrotomy and arthroscopy proce-
dures in combination with synovecto-
my, arthrolysis, or other intra-articular
interventions
– all types of arthoplasty
– mobilization of joints in anesthetized
patients
– surgically treated fractures, pseudoar-
throsis, if exercise-stable
– decompression surgery (acromioplasty)
– endoprosthetic implants
– soft tissue surgery in the armpit and the
shoulder girdle
– tumor surgery in the shoulder region

1.4 Contraindications

Do NOT use the ARTROMOT®-S4 on
patients with:
– acute inflammatory processes in the
joints, unless on the order of a physician
– spastic paralysis
– unstable osteosynthesis

1.5 Secondary effects

Currently, there is no evidence of desired or
undesired secondary effects resulting from
CPM therapy.
59