PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Early Ambulation”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources
PubMed1978

The physiologic basis for early ambulation after myocardial infarction.

Early ambulation is a recommended component of care for appropriately selected patients with uncomplicated myocardial infarction, which is feasible, safe, and cost-effective. Benefits of this approach include the prevention of cardiovascular "deconditioning" and other complications of prolonged bed rest, the prevention or reduction of anxiety and depression, the enhancement of physical work capacity and of self-image and self-confidence at the time of hospital discharge, and the lessening of total disability as assessed at followup examination. Economic advantages to be derived are those of permitting a shorter hospitalization, a more effective hospital bed utilization, and an earlier and more complete return to work.

Early Ambulation↗
PubMed1975

Value of early ambulation in patients with and without complications after acute myocardial infarction.

A prospective, controlled, randomized study was done to compare the effect of early and late ambulation in hospitalized patients with acute myocardial infarction. All patients surviving longer than the first five days were studied; 64 patients were mobilized on day six and discharged on day 12, and 65 were mobilized on day 13 and discharged on day 19. Follow-up observation lasted from six to 52 weeks. Of patients without complications until day six, eight out of 32 in the early and 16 of 35 in the late groups manifested complications during the follow-up period (p smaller than 0.05). Of those who had complications before day six, seven of 32 and 26 of 30 still had or acquired new complications until last seen (p small than 0.0001). The number of serious complications in the two groups was eight and 24 respectively (p smaller than 0.001). We conclude that early ambulation is beneficial irrespective of complications on admission.

Activities of Daily Living↗
PubMed1976

Prevention of lower extremity venous thrombosis by early mobilization. Confirmation in patients with acute myocardial infarction by 125I-fibrinogen uptake and venography.

To determine the effects of early ambulation on peripheral venous thrombosis in the coronary care unit, 29 patients with acute myocardial infarction had daily 125I-fibrinogen point counting of both legs using a standard portable technique in the first 3 to 7 days after admission. Twenty-one patients underwent early ambulation during the initial 3 days, while 8 remained at complete bed rest for 5 days. Only 2 of 21 early ambulated patients had positive fibrinogen point counts, in contrast to 5 of 8 nonambulated patients (P less than 0.01). With heart failure, only 2 of 9 ambulated patients had positive point counts, compared with 4 of 5 nonambulated patients (P less than 0.05). In 16 patients undergoing venography, point counts were confirmed in 6 positive and 10 negative findings. These results show that the high frequency of peripheral venous thrombosis in immobilized acute myocardial infarction patients, particularly those with heart failure, can be effectively reduced by early ambulation.

Acute Disease↗
PubMedDate not supplied

Closed intramedullary nailing of the femur. Küntscher technique with reaming.

Closed intramedullary reaming and nailing with a prebent cloverleaf nail provides a biomechanically ideal method of internal fixation for femoral fractures. With a properly trained surgical team and careful technical control, all the theoretical advantages of this technique can be realized. These include a very high union rate, minimal risk of infection, early mobilization, and shortened hospitalization. Reaming and insertion of the nail is performed through a starting point at the junction of the base of the femoral neck and trochanter. When reaming is done, the nail can be sufficiently large to withstand the forces of early ambulation, thereby allowing an early return to normal function for most patients. In comminuted fractures an intramedullary nail can be used as an internal splint. In conjunction with traction and/or guarded weight-bearing and/or cast-brace, this procedure can assure earlier and more anatomic union and earlier return to function. In 300 fresh femoral fractures treated with closed intramedullary nailing, most patients had early and nearly anatomic union with excellent knee function and maintenance of muscle strength. Significant complications included one non-union, which required renailing, and 19 malunions, most of which were relatively minor. Because the procedure is technically demanding and requires extensive special equipment, it is best suited for use in trauma centers.

Adolescent↗
PubMed1977

Rehabilitation program following polycentric total knee arthroplasty.

A rehabilitation program which has been used successfully in improving the postoperative range of motion of patient undergoing total knee arthroplasty is outlined. The specific objectives are strong quadriceps setting, straight leg raising, flexion of the knee to at least 90 degrees, and extension of the knee to 0 degrees. The program emphasizes the importance of early institution of exercises and early ambulation.

Aftercare↗