Suspension Therapy
Suspension Therapy
Suspension Therapy
Indication
1. Following open reduction internal fixation (ORIF)of an
intra-articular fracture when the fracture fragment is
stable/postdiaphyseal and metaphyseal fracture.
2. Capsulotomy ,arthroplasty ,
3. Ligament construction ,synovectomy, arthrotomy and
drainage of acute specific arthritis
4. Tendon reconstruction and burns
Benefits
1. CPM is effective in lessening the negative
effect of joint immobilization in conditions
such as
-arthritis ,
-contracture ,
-intra - articular fractures
2.decreases the frequency of post operative
complication
3.Improves the recovery rate and ROM
following surgical procedure
Procedure
1. The device may be applied to the involved
extremity immediately after surgery while
patient is still under anesthesia or with in 3
days if the bulky dressings prevent early
motion
2. The size and position of the motion arc for
joint is determined
Goals
1.To maximize the biologic benefits
stimulated through CPM
*8-24 hrs for minimum of 3weeks
2. To help relieve pain,stiffness, swelling.
Safety Consideration
To provide written CPM instructions to the
patients caretaker whenever possible.
Verbal explanation on the purpose of using of CPM
instructions on all setting indication on the device
Although demonstration and explanation on proper
limb positioning and limb relaxation
Instructions to avoid pressure while strapping the
limb to avoid circulatory and nerve irritation
problems
ASSISTED EXERCISES
SUSPENSION THERAPY
SUSPENSION
The technique is use to
free a body part from the
resistance of friction while it
is moving the part is
suspended in a sling
attached to a rope that is fix
to an appropriate point
above the body segment
Guthrie Smith
mesh
Fixed point
plinth
Storage trolley
Pulley rope
A pulley rope has a dog clip attached to one end
of the rope
which then passes over the wheel of a pulley
The rope then passes through the cleat and a
second dog clip.
This rope is 1.5m long.
This arrangement is used for reciprocal pulley
circuits:
with one sling supporting a limb, and the
ends of the sling attached to the two dog
clips, it is used for three-dimensional
movements of a limb,
i.e. abduction or adduction with flexion or
extension and medial or lateral rotation
Double rope
A double rope consists of a ring and clip from
which the rope is hung to create a
compensating device permitting a certain
amount of swivel on the rope.
The rope then passes through one side of a
cleat,
around a pulley wheel at the lower end, to the
case of which is attached to a dog clip,
Through the other end of the cleat and over
the wheel of an upper pulley which is attached
to the compensating device.
Slings
Single slings
Single slings are made of
canvas bound with soft
webbing and with a D ring at
each end.
Used open to support the
limbs
Can be folded in two, and as
a figure of eight to support the
hand or foot.
They measure 68 cm long by
Double slings
Double slings are broad slings measuring 68
cm long by 29 cm] wide with D rings at each
end
Used to support the pelvis or thorax or the
thighs together,
Three-ring slings
Three ring slings are webbing slings 71 cm
long by 3-4 cm wide with three D rings one
fastened at each end and one free in the
middle
The center ring is for attachment to the dog
clip
The webbing is slipped through the end D
rings to make two loops.
Head sling
A head sling is a short,
split sling with its two halves stitched
together at an angle to create a central slit.
This allows the head to rest supported at
the back under the lower and upper parts of
the skull,
in the side lying position leaves the ear free
Clips
Karabiner hooks of 70 mm or 100 mm
provide a convenient alternative means of
clipping two pieces of equipment together.
TYPES OF SUSPENSION
. Vertical fixation :
vertical fixation the rope is fixed so that it hangs
vertically above the centre of gravity of the part to be
suspended
The centre of gravity of each part of the body is, at the
junction of the upper and middle third.
Axial fixation:
a. This occurs when all the ropes supporting a
part are attached to one S hook
b. which is fixed to a point immediately above
the centre of the joint
c. The point of attachment of the all the rope supporting
the part is above the axis of the joint to be moved
d. The part will move on a flat plan parallel to the floor
this type of fixation allows for maximum movement of
the joint.
Applications:
Whenever using equipment the primary concerns must be
1. Goal
2. Proper mechanism of moving segment
3. Patient comfort and safety