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Advisor(s)
Abstract(s)
Disuse syndrome is a disorder that is most often associated with acute or chronic disease complications. Despite disuse syndrome may affect all organs and systems, the impact of range of motion limitations caused by immobility on functional capacity to perform activities of daily living is often very severe. Mobilization and active exercise have beneficial effects that counteract the impact of immobility on the body. Objective: This study aims to assess the effect of a mobilization and active exercise program on the range of motion of bedridden patients with disuse syndrome. Method: A quasi-experimental pre-post study was developed. The sample consisted of 26 persons that have been bedridden for more than six months at home. A mobilization and active exercise program was designed, fitting patients’ individual needs and implemented 2 times/ week for 2 months. Caregivers where trained to transfer the patient from bed to chair and to repeat active exercise every day. Data collection was performed before and after intervention, using the Barthel Index and a goniometer for range of motion evaluation. Results: 26 study participants, aged 77.19 ± 11.67 and bedridden for 18 months (18.73 ± 15.25) were enrolled, but only 24 completed the intervention program. There was a minimal difference in the sex distribution with 7.6% more women than men. The results showed a statistically significant increase on range of motion of the shoulder, elbow, wrist, hip and knee. There was statistical significance in plantar flexion but not on the dorsiflexion. Barthel Index score increased significantly (28.65±21.28vs31.46±23.28; p=0,035) after the mobilization and active exercise program. Conclusion: A mobilization and active exercise program implemented regularly may contribute to improve range of motion of bedridden patients with disuse syndrome.
Description
Keywords
Disuse Syndrome Goniometer Articular mobilization Active exercise
Citation
Fernandes, Teresa de Jesus; Mendes, Eugénia; Preto, Leonel; Novo, André (2015). Experience of a mobilization and active exercise program on the range of motion of bedridden patients with disuse syndrome. Jounal of Rehabilitation Medicine. ISSN 1650-1977. 47:8, p. 791-792
Publisher
Foundation Rehabilitation Information