Effectiveness of a bed positioning program for treating older adults with knee contractures who are institutionalized

Citation
P. Fox et al., Effectiveness of a bed positioning program for treating older adults with knee contractures who are institutionalized, PHYS THER, 80(4), 2000, pp. 363-372
Citations number
27
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
PHYSICAL THERAPY
ISSN journal
0031-9023 → ACNP
Volume
80
Issue
4
Year of publication
2000
Pages
363 - 372
Database
ISI
SICI code
0031-9023(200004)80:4<363:EOABPP>2.0.ZU;2-O
Abstract
Background and Purpose. Although contractures in patients in long-term care institutions are an important issue, there have been only a few studies th at have evaluated interventions for contractures. The purpose of this study was to determine the effectiveness of a bed positioning program (BPP) for the treatment of patients with knee flexion contractures. Subjects. Sir;tee n patients with a high level of cognitive and functional impairment (mean a ge=82 years, SD=6.48, range=71-93) in a chronic care hospital participated in the study. Methods. The BPP consisted of stretching a patient's knee int o extension and then securing and maintaining the position for a period of 40 minutes, 4 times per week. Participants were randomly assigned to 2 grou ps (n=8 in each group). One group received a BPP for 8 weeks, followed by 8 weeks of no intervention. The other group received the intervention in the reverse order. Once a week, participants were assessed for range of knee e xtension, knee pain, and skin integrity. Results. Twelve participants compl eted the study. There was no improvement in participants' range of knee ext ension during the intervention period. Overall, there was no difference in mean range of knee extension between the intervention period and the no-int ervention period. Conclusion and Discussion. The results of this study do n ot support the use of a BPP for treating patients with knee flexion contrac tures.