Consequences of immobilization and disuse: a short review

Júnior, Francisco Fleury Uchôa Santos; Nonato, Dayanne Terra Tenório; Cavalcante, Francisco Sales Ávila; Soares, Paula Matias; Ceccatto, Vânia Marilande

doi:10.14419/ijbas.v2i4.1104

Cited by 5 publications

(5 citation statements)

References 34 publications

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“…Approximately 3.4% of older adults, having previously fallen victim to immobilisation, will develop pneumonia, while 1 in 100 individuals will experience inflammation of the urinary tract, deep vein thrombosis, or pressure ulcers, as far as general statistical estimates are concerned [50,51]. The key symptoms accompanying individual immobilisation are summarised in Table 3 [25,48,[52][53][54][55][56][57][58][59][60].…”

Section: Consequences Of Immobilisation and Ismentioning

confidence: 99%

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Rehabilitation in Older Adults Affected by Immobility Syndrome, Aided by Virtual Reality Technology: A Narrative Review

Zak,

Wasik,

Sikorski

et al. 2023

JCM

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Individual mobility deficit in older adults induces a variety of medical conditions, diminishing their functional capacity in pursuing activities of daily living. In immobility syndrome patients, such conditions are prone further deterioration through a drastically reduced scope of physical activity, owing mostly to poor self-motivation and the monotonous character of conventional rehabilitation regimens. As evidenced by published research, virtual reality technology solutions in rehabilitation management actually add significantly to patients’ self-motivation, while promoting their active involvement in therapy through visual, auditory, and kinaesthetic stimuli. Effective rehabilitation training aided by virtual reality solutions helps patients acquire specific physical and cognitive skills to be subsequently emulated in the real-world environment. The extra added advantage lies in facilitating such training within patients’ own home environments, combined with online monitoring of their progress, when not personally supervised by a physiotherapist, which also boosts the overall cost effectiveness of the therapeutic management itself. This narrative review appears to be the very first one principally focused on critically comparing individual immobilisation with immobility syndrome, especially through the application of the Authors’ own substantial hands-on therapeutic experience in managing various rehabilitation schemes, specifically aided by diverse virtual reality technology solutions.

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Section: Consequences Of Immobilisation and Ismentioning

confidence: 99%

“…Table 3. Immobilisation symptoms, stratified by their respective systems within the body [25,48,[52][53][54][55][56][57][58][59][60].…”

Section: Consequences Of Immobilisation and Ismentioning

confidence: 99%

Rehabilitation in Older Adults Affected by Immobility Syndrome, Aided by Virtual Reality Technology: A Narrative Review

Zak,

Wasik,

Sikorski

et al. 2023

JCM

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“…This is important, because pain and fear of complications are known sources of reduced exercise activity and use of the affected limb in BCS [56]. Disuse is a source of gradual reductions in muscular strength [57] and joint motion [58], which would likely be more pronounced over time. Collectively these aspects provide possible explanations for the lower ROM and MIMS observed in the current study.…”

Section: Plos Onementioning

confidence: 99%

Absolute and relative reliability of pain sensitivity and functional outcomes of the affected shoulder among women with pain after breast cancer treatment

et al. 2020

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Breast cancer survivors (BCS) are often characterized by decreased pressure pain thresholds (PPT), range of motion (ROM) and strength in and around the shoulder affected by the treatment. This intra-rater reliability study was to establish the relative and absolute reliability of PPT's, active ROM and maximal isokinetic muscle strength (MIMS) of the affected shoulder in BCS with persistent pain after treatment. Methods Twenty-one BCS participated in the study. The PPTs of 17 locations and pain intensity were assessed using a pressure algometer and a numeric rating scale. The ROM was measured using a universal goniometer and MIMS was measured using an isokinetic dynamometer. Relative reliability was estimated using intra class correlation coefficient (ICC), and absolute reliability using standard error of measurement (SEM). Minimum detectable change (MDC) was calculated from SEM. Results The ICCs for PPTs ranged from 0.88-0.97, with SEM values ranging from 12.0 to 28.2 kPa and MDC ranging from 33.2 to 78.2 kPa. The ICCs for ROM ranged from 0.66-0.97, with SEM values ranging from 3.0 to 7.5˚and MDC ranging from 8.4 to 20.8˚. Finally, ICCs for MIMS ranged from 0.62-0.92, with SEM values ranging from 0.03 to 0.07 Nm/Kg FFM and MDC ranging from 0.09 to 0.19 Nm/kg FFM. Conclusion The results of this study indicate that PPTs, ROM and MIMS can be measured reliably on the affected shoulder in BCS with pain after treatment. This offer the possibility of using these measures to assess the effectiveness of interventions in this population.

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“…When a person becomes dependent as a result of their inability to perform the activities of daily life, they need the support of another person. 30 It has been stated that the clinical situations which bring about dependence in patients are very varied, but the foremost of these is cerebrovascular illnesses. 25,26,31 When patients become dependent, they may end up in a quieter place, using medical equipment such as a urinary catheter, a tracheostomy cannula, or a percutaneous endoscopic gastrostomy catheter.…”

Section: Discussionmentioning

confidence: 99%

The Effect on Home Caregivers of a Family Support Program Based on a Nurse-Led Case Management Model: A Randomized Controlled Pilot Trial

Tanrikulu,

Dikmen

2023

Home Health Care Management & Practice

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Home caregivers have a large amount of responsibility, and many have difficulty in fulfilling their care-giving roles. Previous studies have shown that when caregivers are supported socially, psychologically, and culturally, there is a positive improvement in caregivers’ coping skills, quality of live, and a decrease in health problems. The purpose of this study was to evaluate the effect of a family support program based on the nurse-led case management model on home caregivers by measuring quality of life, caregiver burden, and family functionality level. In this study 27 home caregivers were randomly divided into intervention and control groups. The family support program based on a 5-stage nurse-led case management model was administered for the caregivers in the intervention group (n = 13) for 6 months. The caregivers in the control group (n = 14) were monitored by home health services through routine follow-ups. Baseline and postintervention assessments included the Zarit Caregiver Burden Scale, the World Health Organization Quality of Life–Brief Turkish Form, and the Family APGAR Scale. It was found out that there was a statistically significant difference among caregiver burden, quality of life, and family functionality level total scores of caregivers in the intervention and control groups ( p < .05). A family support program based on nurse-led case management model has a supportive role for caregivers, where web-based education and counseling services are available, patients and their relatives are monitored by a multidisciplinary health team, and their educational needs are met.

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Consequences of immobilization and disuse: a short review

Cited by 5 publications

References 34 publications

Rehabilitation in Older Adults Affected by Immobility Syndrome, Aided by Virtual Reality Technology: A Narrative Review

Rehabilitation in Older Adults Affected by Immobility Syndrome, Aided by Virtual Reality Technology: A Narrative Review

Absolute and relative reliability of pain sensitivity and functional outcomes of the affected shoulder among women with pain after breast cancer treatment

The Effect on Home Caregivers of a Family Support Program Based on a Nurse-Led Case Management Model: A Randomized Controlled Pilot Trial

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