Quantitative Assessment of Bed Rise Difficulty in Young and Elderly Women

Alexander, Neil B.; Fry-Welch, D; Ward, Michael E.; Folkmier, Linda C.

doi:10.1111/j.1532-5415.1992.tb01960.x

Cited by 31 publications

(28 citation statements)

References 14 publications

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“…Healthy older women were also more likely to use a strategy of lateral trunk flexion and rotation with weight bearing through the elbow to increase their base of support (Alexander et al, 1995). These studies by colleagues (1995 &1992) support our contention that older individuals use different movement patterns for rising from a bed than younger individuals, but these studies did not include men, and they described only a few components of the overall movement strategies.…”

supporting

confidence: 69%

“…Grasping the leg to decrease the difficulty of getting out of bed was previously seen in individuals living in a retirement community who reported having trouble getting out of bed (Alexander et al, 1992). Legs-first seesaw is another strategy in which the momentum of the legs dropping off the edge of the bed may assist in lifting the trunk to an upright position with less activation of trunk muscles.…”

Section: Out Of Bed Movement Patternsmentioning

confidence: 99%

“…Ford-Smith & VanSant (1993) found that the most commonly used patterns were different among people in their 50's compared to people in their 30's. colleagues (1995 &1992) conducted studies comparing young and elderly women rising from supine to sitting on the edge of the bed. For this portion of getting out of bed, community dwelling older women were found to push more with their arms compared to healthy young women (Alexander et al, 1992).…”

mentioning

confidence: 99%

“…colleagues (1995 &1992) conducted studies comparing young and elderly women rising from supine to sitting on the edge of the bed. For this portion of getting out of bed, community dwelling older women were found to push more with their arms compared to healthy young women (Alexander et al, 1992). Healthy older women were also more likely to use a strategy of lateral trunk flexion and rotation with weight bearing through the elbow to increase their base of support (Alexander et al, 1995).…”

mentioning

confidence: 99%

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Movement Patterns Used by the Elderly When Getting Out of Bed

Mount

Kresge

Klaus

et al. 2006

Physical & Occupational Therapy In Geriatrics

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supporting

confidence: 69%

Section: Out Of Bed Movement Patternsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Movement Patterns Used by the Elderly When Getting Out of Bed

Mount

Kresge

Klaus

et al. 2006

Physical & Occupational Therapy In Geriatrics

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“…Patterns of rising are known to change with development 1) , and rising performance regresses with age 2) . Rising patterns in elderly individuals differ substantially from those in young adults 3,4) , and functional abilities of segmental movement and muscle strength may be reduced in elderly individuals compared to young adults 4) . Among elderly patients with hemiplegia who can rise independently from a supine position, approximately 83% of patients do so using a oneelbow support phase 5) .…”

Section: Introductionmentioning

confidence: 95%

Factors Associated with Hemiplegic Patients Requiring a Handgrip to Rise from a Supine Position

Sasaki

Onodera²,

Hanzawa

et al. 2005

J Phys Ther Sci

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Abstract. The present investigation aimed to clarify the physical functional abilities involved in the disturbance of smooth rising from a supine position in hemiplegic patients. The study compared task performance time and functional abilities between patients rising from a supine position with or without gripping the edge of the bed. Subjects comprising 21 hemiplegic patients were divided into 2 groups: those who needed to grip the edge of the bed to rise from a supine position (Group G, n=7); and those who did not (Group NG, n=14). The 2 groups displayed no significant differences in background characteristics other than age, with mean age for Group G significantly higher than that for Group NG. Rising performance time and 11 items for physical functional abilities were measured in all subjects. Rising performance time was significantly higher in Group G than in Group NG (p<0.05). Neck-trunk-pelvis motor function was lower (p<0.01), muscle tone was abnormal in more subjects (p<0.05) and strength of trunk rotation to the unaffected side was weak in more subjects (p<0.05) in Group G than in Group NG. No other physical functional abilities differed significantly between groups. These results suggest that patients rising from a supine position by gripping the edge of the bed display restricted task performance, and the main factors leading to a requirement for grip assistance seem to be abnormality and disability of trunk functions.

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Bed-exit alarm effectiveness

Capezuti

Brush

Lane

et al. 2009

Archives of Gerontology and Geriatrics

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This study describes the accuracy of two types of bed-exit alarms to detect bed-exiting body movements: pressure-sensitive and a pressure sensitive combined with infrared beam detectors (dual sensor system). We also evaluated the occurrence of nuisance alarms, or alarms that are activated when a participant does not attempt to get out of bed. Fourteen nursing home residents were directly observed for a total of 256 nights or 1,636.5 hours; an average of 18.3 ± 22.3 (± S.D.) nights/ participant for an average of 6.4 ± 1.2 hours/night. After adjusting for body movements via repeated measures, Poisson regression modeling, the least squares adjusted means show a marginally significant difference between the type of alarm groups on the number of true positives (mean/S.E.M. = 0.086/1.617) for pressure-sensitive vs. dual sensor alarm (0.593/1.238; p = 0.0599) indicating that the dual sensor alarm may have a higher number of true positives. While the dual sensor bed-exit alarm was more accurate than the pressure sensitive alarm in identifying bed-exiting body movements and reducing the incidence of false alarms, false alarms were not eliminated altogether. Alarms are not a substitute for staff; adequate staff availability is still necessary when residents need or wish to exit bed.

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Quantitative Assessment of Bed Rise Difficulty in Young and Elderly Women

Abstract: These data provide a reliable and valid method to characterize difficulty in rising from a bed and provide the basis for biomechanical analyses of the strength and joint ranges of motion required to rise from a bed.

Cited by 31 publications

References 14 publications

Movement Patterns Used by the Elderly When Getting Out of Bed

Movement Patterns Used by the Elderly When Getting Out of Bed

Factors Associated with Hemiplegic Patients Requiring a Handgrip to Rise from a Supine Position

Bed-exit alarm effectiveness

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