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Effectiveness of passive mobilization on the deleterious effects of immobilization in patients with musculoskeletal problems: a systematic review.

作者信息

Pauletto Pâmela Andressa, Chico Fernanda Teixeira Furlan, Vieira Luiz Carlos Gracioli, Bertoncello Dernival, Buzanello Márcia Rosângela, de Carvalho Alberito Rodrigo, Bertolini Gladson Ricardo Flor

机构信息

Biosciences and Health Program, Universidade Estadual do Oeste do Paraná - UNIOESTE, Paraná, Brazil.

Physical Therapy Program, Universidade Federal do Triângulo Mineiro - UFTM, Uberaba, Brazil.

出版信息

J Man Manip Ther. 2025 Jun;33(3):173-182. doi: 10.1080/10669817.2024.2408500. Epub 2024 Sep 29.


DOI:10.1080/10669817.2024.2408500
PMID:40387860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12090268/
Abstract

INTRODUCTION: Joint immobilization may be necessary in some situations, such as in cases of fractures and osteomyoarticular injuries. However, it is known that there are several harmful effects of immobilization, which can cause muscle weakness, loss of motor function, reduced range of motion and increased local pain, and it is important to understand the possible forms of treatment to alleviate the effects of immobilization, focusing on passive mobilization. OBJECTIVE: To address articles that evaluate the effects of passive mobilization on immobilized patients. METHODOLOGY: The search was carried out in national and international electronic databases (PubMed, Pedro, Web of Science, Scopus, Embase, Lilacs and Cochrane), in addition to gray literature (Google Scholar, Open Gray and Livivo), using the following descriptors: PASSIVE MOBILIZATION and IMMOBILIZATION, being carried out blindly, by two main researchers, concluding the selection with 6 articles on the subject. RESULTS: The studies indicate that passive mobilization was able to reverse the negative aspects of immobilization in relation to the recovery of strength, range of movement, local pain and motor function, as its action provides tissue sliding, increasing circulation and the repair process tissue. CONCLUSION: Although the effects are smaller compared to active exercises, it can be considered that passive mobilization can mitigate the harmful effects of immobilization.

摘要

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本文引用的文献

[1]
Effect of single end-range and not end-range Maitland mobilization on pressure pain threshold and functional measures in knee osteoarthritis: randomised, controlled clinical trial.

Eur J Phys Rehabil Med. 2022-10

[2]
Passive motion of the lower extremities in sedated and ventilated patients in the ICU - a systematic review of early effects and replicability of Interventions.

PLoS One. 2022

[3]
A comparison of mobilization and mobilization with movement on pain and range of motion in people with lateral ankle sprain: A randomized clinical trial.

J Bodyw Mov Ther. 2021-7

[4]
Effect of belt electrode-skeletal muscle electrical stimulation on immobilization-induced muscle fibrosis.

PLoS One. 2021

[5]
The immediate effects of passive hip joint mobilization on hip abductor/external rotator muscle strength in patients with anterior knee pain and impaired hip function. A randomized, placebo-controlled crossover trial.

J Man Manip Ther. 2021-2

[6]
Morphological effects of whole-body vibration on remobilization of the tibialis anterior muscle of Wistar rats.

Anat Rec (Hoboken). 2020-11

[7]
The immediate effects of passive joint mobilisation on local muscle function. A systematic review of the literature.

Musculoskelet Sci Pract. 2020-2

[8]
RoB 2: a revised tool for assessing risk of bias in randomised trials.

BMJ. 2019-8-28

[9]
Alternatives to Traditional Cast Immobilization in Pediatric Patients.

J Am Acad Orthop Surg. 2020-1-1

[10]
Local Vibration Stimuli Induce Mechanical Stress-Induced Factors and Facilitate Recovery From Immobilization-Induced Oxidative Myofiber Atrophy in Rats.

Front Physiol. 2019-6-20

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