Download PDF
neuroreha 2015; 07(03): 105-108
DOI: 10.1055/s-0035-1564285
Schwerpunkt Frühmobilisation
Georg Thieme Verlag KG Stuttgart · New York

Folgen von Bettruhe und Immobilisation

Klaus Starrost
1   Schön Klinik München Schwabing, Parzivalplatz 4; 80804 München
,
Martin Lotze
2   Ernst Moritz Arndt Universität Greifswald, Walter-Rathenau-Str. 46; 17475 Greifswald
› Author Affiliations
Further Information

Publication History

Publication Date:
10 September 2015 (online)

    Permissions and Reprints

Zusammenfassung

Immobilisation findet sich in unterschiedlicher Ausprägung in allen Teilen der Rehabilitationskette. Die Bandbreite reicht von Bettruhe, die den Großteil des Tages einnimmt, bis hin zur Immobilisation durch Nichtgebrauch. Der folgende Artikel beleuchtet, welche Auswirkungen Bettruhe und Immobilisation auf verschiedene Körperfunktionen der Patienten haben.

 

  • Literatur

  • 1 Agrawal K, Chauhan N. Pressure ulcers: Back to the basics. Indian J Plast Surg 2012; 45 (2) 244-254
    Article in Thieme ConnectGoogle Scholar
  • 2 Dinse HR. Immobilization impairs tactile perception and shrinks somatosensory cortical maps. Curr Biol 2009; 19 (10) 837-842
    CrossrefGoogle Scholar
  • 3 English KL, Paddon-Jones D. Protecting muscle mass and function in older adults during bed rest. Curr Opin Clin Nutr Metab Care 2010; 13 (1) 34-39
    CrossrefGoogle Scholar
  • 4 Gill TM, Allore H, Guo Z. The deleterious effects of bed rest among community-living older persons. J Gerontol A Biol Sci Med Sci 2004; 59: 755-761
    CrossrefPubMedGoogle Scholar
  • 5 Gruther W, Benesch T, Zorn C et al. Muscle wasting in intensive care patients: Ultrasound observation of the M. quadriceps femoris muscle layer. J Rehabil Med 2008; 40: 185-189
    CrossrefGoogle Scholar
  • 6 Janssen I. Influence of sarcopenia on the development of physical disability: The Cardiovascular Health Study. J Am Geriatr Soc 2006; 54: 56-62
    CrossrefGoogle Scholar
  • 7 Kortebein P, Ferrando A, Lombeida J et al. Effect of 10 days of bed rest on skeletal muscle in healthy older adults. Jama 2007; 297: 1772-1774
    Google Scholar
  • 8 Langer N, Hänggi J, Müller NA et al. Effects of limb immobilization on brain plasticity. Neurology 2012; 78 (3) 182-188
    CrossrefGoogle Scholar
  • 9 LeBlanc AD, Schneider VS, Evans HJ et al. Regional changes in muscle mass following 17 weeks of bed rest. J Appl Physiol 1992; 73: 2172-2178
    Google Scholar
  • 10 Liepert J, Tegenthoff M, Malin JP. Changes of cortical motor area size during immobilization. Electroencephalogr Clin Neurophysiol 1995; 97 (6) 382-386
    CrossrefGoogle Scholar
  • 11 Lissek S, Wilimzig C, Stude P et al. Immobilization impairs tactile perception and shrinks somatosensory cortical maps. Curr Biol 2009; 19 (10) 837-842
    CrossrefGoogle Scholar
  • 12 McGavock JM, Hastings JL, Snell PG et al. A forty-year follow-up of the Dallas Bed Rest and Training study: The effect of age on the cardiovascular response to exercise in men. J Gerontol A Biol Sci Med Sci 2009; 64A (2) 293-299
    CrossrefGoogle Scholar
  • 13 Methias K. The treatment of postural hypotension. J Neurol Neurosurg Psychiatry 1998; 65: 285-289
    CrossrefGoogle Scholar
  • 14 Paddon-Jones D, Sheffield-Moore M, Cree MG et al. Atrophy and impaired muscle protein synthesis during prolonged inactivity and stress. J Clin Endocrinol Metab 2006; 91: 4836-4841
    CrossrefGoogle Scholar
  • 15 Reid CL, Campbell IT, Little RA. Muscle wasting and energy balance in critical illness. Clin Nutr 2004; 23 (2) 273-280
    CrossrefGoogle Scholar
  • 16 Rosenkranz K, Seibel J, Kacar A et al. Sensorimotor deprivation induces interdependent changes in excitability and plasticity of the human hand motor cortex. J Neurosci 2014; 34 (21) 7375-7382
    CrossrefGoogle Scholar
  • 17 Sacks O. Der Tag, an dem mein Bein fortging. Reinbek bei Hamburg: Rowohlt; 1991
    Google Scholar
  • 18 Stuempfle KJ, Drury DG. The physiological consequences of bed rest. Journal of Exercise Physiology online 2007; 10 (3)
    Google Scholar
  • 19 Tanjo S, Bartl M. Atmungstherapie auf dem Vormarsch: Ein Konzept mit Flow. neuroreha 2015; 7: 132-137
    Google Scholar
  • 20 Weibull A, Flondell M, Rosén B et al. Cerebral and clinical effects of short-term hand immobilisation. Eur J Neurosci 2011; 33 (4) 699-704
    CrossrefGoogle Scholar
  • 21 Yu S, Umapathysivam K, Visvanathan R. Sarcopenia in older people. Int J Evid Based Health 2014; 12 (4) 227-2243
    Google Scholar