Immobility And Rehabillitation

Question 1

What are the stats with physical immobility and morbidity/mortality?

Answer 1

4th largest cause of disease and disability

Direct contributor to 1/6 deaths in the UK

Question 2

What is sarcopenia?

Answer 2

Age related loss of muscle mass and function:

1. Low muscle mass
2. Low muscle strength or
3. Low physical performance

Question 3

What is osteopenia?

Answer 3

Age related loss of bone mass

Question 4

What’s wolff’s law?

Answer 4

Bone density directly proportionate to stress out on it

Question 5

What are some complications of immobility/bed rest?

Answer 5

Cardiopulmonary: decrease in blood volume, cardiac de conditioning (resting HR increases), postural hypotension, dvt, pneumonia

MSK:
Loss of strength, antigravity muscles affected a lot, increase in non-contractile tissue (stiff), risk of muscle/ligament/tendon contractures, loss of bone density

Renal/GI:
Calculi, UTI, loss of urgency, skin integrity- pressure sores, low appetite, stomach transit times slows, constipation