FIGURE 3 - available via license: Creative Commons Attribution 4.0 International
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Source publication
Background
Early Mobility (EM) has been recognized as a feasible and safe intervention that improves functional outcomes in hospitalized patients. The International Classification of Functioning, Disability and Health (ICF) supports understanding of functioning and disability in multidimensional concepts and efforts have been taken to apply ICF in...
Context in source publication
Context 1
... Hospitalized Patient Mobility Questionnaire (HPMQ) was adapted from activity level categories from Bernhardt et al. (3) (HPMQ- Figure 3). This assessment was implemented to classify in scores patients' level of assistance during the performance of six hospital activities: bathing, feeding, sitting at the edge of the bed, changing from sitting to standing position, orthostatism, and walking. ...
Citations
... Regarding activity and participation outcomes, Lima et al. [33] suggested improvements in the ICF activity domain after the early mobility protocol without any assistive device chair, such as bathing (d510.3 to d510.2), sitting at the edge of the bed (d4153.2 to d4153.1), sit-to-stand raised (d4104.3 to d4104.2), and orthostatism (d4154.3 to d4154.2). ...
Purpose:
This report presents the adaptation of an assistive device chair for bedside sitting and its application in two patients with trunk control impairment in the acute stroke phase.
Materials and methods:
The device was built with polyvinylchloride (PVC) pipes and designed by a team of mechanical engineers and physiotherapists to maintain a prolonged sitting position with less demand from therapists. To test the device, two patients were followed up during the acute phase of stroke. Both patients underwent an early mobilization program (30 min, twice a day, for three days) with an assistive device chair for bedside sitting. Patients were evaluated using the National Institutes of Health Stroke Scale (NIHSS), Trunk Impairment Scale (TIS), and International Classification of Functioning, Disability, and Health (ICF) checklist (b: body function; d: activity and participation).
Results:
The adaptations generated the following equipment: 1) foldable, 2) three levels of backrest inclination, and 3) a safety anterior support or an activity table. Both patients showed clinical improvement after the intervention period, with NIHSS score reduction, TIS improvement, and greater functionality and independence on the ICF framework.
Conclusion:
The equipment with adaptations seems to be functional, easy to handle, and can potentially contribute to clinical and functional improvements in patients with trunk control deficits after stroke.
