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mobility impairment

Etiology: - amputation - neurologic disorders - peripheral neuropathy [4] - spinal cord injury - paralysis - cerebral palsy - stroke - multiple sclerosis - muscle weakness - muscular dystrophy - deconditioning - sarcopenia - joint disease - arthritis - balance disorder - additional risk factors in the elderly [3] - older age - physical inactivity - obesity - chronic diseases - diabetes mellitus Complications: - functional incontinence - urge incontinence Management: - referral to physical therapy [3] - resistance training for muscle weakness - balance exercises for balance disorder - referral to occupational therapy - assess patient's environment & ability to adapt to it using assistive devices [3] - orthopedic cane - walker - wheelchair - prevention: - a structured, moderate-intensity physical activity program reduces mobility disability among vulnerable older adults [5]

Interactions

disease interactions

Related

mobility assessment

General

impairment

References

  1. University of Washington Mobility Impairments http://www.washington.edu/doit/Faculty/Strategies/Disability/Mobility/
  2. Fritel X et al. Mobility impairment is associated with urge but not stress urinary incontinence in community-dwelling older women: Results from the Ossebo study. BJOG 2013 Jun 10 PMID: 23750706
  3. Brown CJ, Flood KL. Mobility limitation in the older patient: a clinical review. JAMA. 2013;310:1168-1177 PMID: 24045741
  4. Ward RE et al. Sensory and motor peripheral nerve function and incident mobility disability. J Am Geriatr Soc 2014 Dec; 62:2273 PMID: 25482096
  5. Pahor M, Guralnik JM, Ambrosius WT et al Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. JAMA. 2014 Jun 18;311(23):2387-96. PMID: 24866862 Free PMC Article