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Overview

The inability of the complete or one or lower extremities to move freely and consciously is referred to as immobility. Immobility may be caused by physical decline, but it can also be caused by illnesses or conditions that can lead to more discomfort, disability, and a worse quality of life. The immobile definition is as incapability of moving or being mobile. Immobility is defined as a person’s incapacity to move their body or one or more lower extremities independently and consciously.

Immobility is widespread among the elderly. Immobility in the elderly is influenced by physical, psychological, and environmental factors. Seniors who are unable to move are often plagued by a variety of ailments that limit their movement. Arthritis, osteoporosis, hip fractures, strokes, and Parkinson’s disease may all contribute to immaturity in old age. Orthostatic hypotension, which occurs as a result of immobility, may occur in a number of settings. The physician’s comprehensive history and thorough physical examination are the most important aspects of the evaluation procedure. As a result of this analysis, a list of existing issues should emerge, and therapy should be tailored to clearly address these concerns. If a multidisciplinary team conducts active treatment, immobility problems will become less prevalent and severe. Immobility difficulties will be less frequent and less severe if active therapy is used.

Physical exercise is often the most effective preventative therapy for preventing mobility-related health issues. Preventing immobility, on the other hand, remains a difficulty. 

If mobility is causing psychological problems, physiotherapy may be able to help establish a coaching style in immobile individuals. Those with physical conditions that make mobility difficult or impossible, on the other hand, may benefit from the following:

·       Maintaining joint integrity

·       Maintaining muscle length

·       Pressure sore prevention

·       In-bed exercises

The main goals of rehabilitation therapy techniques targeted at quickly improving bone mass and strength include muscle strength, mobility, and ambulation. The ability to restore weight-bearing stresses is required for both preserving bone mass and healing bone loss to deal with the issue of immobility.

Immobility and falls may be avoided by boosting exercise and activity, enhancing the hospital environment, and reducing the use of psychiatric drugs. Moreover, bed alarms and improved surveillance of those who are at risk of falling might assist them in preventing immobility.

Causes

The inability to move might be caused by a variety of different causes. Within the individual, there are psychological factors like anxiety about falling, physical changes such as cardiovascular, neurological, and musculoskeletal disorders, as well as associated pain; interpersonal factors include interactions with caregivers; and environmental causes include access to open, uncluttered areas for walking.

The inability of a patient to move might be the result of a multitude of causes, including accidents, medical diseases, or even their own mental state. Some medications may induce despair and anxiety, leading patients to refuse to get from their beds.

Parkinson’s illness, dementia, and Alzheimer’s disease, as well as damaged or shattered bones, depression and anxiety, arthritis and osteoporosis discomfort, muscle and joint pain, and malnutrition, all contribute significantly to immobility.

It is difficult to maintain an active lifestyle while you are in pain, regardless of the age. However, immobility often results in the development of new health issues in elderly people.

Following is the list of causes of immobility:

·       Amputations

·       Obesity

·       Depression

·       Aging process

·       Anxiety

·       Malnutrition

·       Terminal illnesses

·       Neurological conditions

Immobility is often associated with the following symptoms and signs:

·       Increased pain

·       Loss of muscle strength or mass

·       Loss of range of motion in joints

·       Balance issues

·       Osteoporosis

·       Decreased heart health

·       Low blood pressure when the person stands up after lying down or sitting

When to see a doctor

A person’s health may decline if they are unable to move. MMA’s qualified Physiotherapists provide treatment and advice to help patients maintain and improve their physical condition by following their suggestions. A physiotherapist’s participation in manual handling technique training may also enhance the health of the individuals with the issue of immobilization.

Immobility for lengthy periods of time may cause major health issues and degeneration, which can lead to life-threatening consequences or even death. Only a few of the more frequent and serious problems include pressure sores, venous thrombi, bone loss and muscle atrophy, contractures, lung infections, and pulmonary difficulties. It is crucial to seek medical attention in case of having the symptoms associated with immobility like blood pressure drop, muscle pain and loss of motion. In case of having issues with mobility you should immediately see your doctor.