gms | German Medical Science

Immobile people in hospital often get lifted, carried or pulled by nursing staff or transferred by technical aids from the bed onto the wheelchair. For the patient this quickly leads to induced inefficiency, combined with further physical and psychological damages, which do not only prolong hospitalisation and rehabilitation, but could alsolead to permanent damages of the locomotor system.

With the kinaesthetic mobilisation concept the exercise-stimulation in advanced cases can already be introduced in the clinic.

Hatch & Maietta (1987) developed on the base of cybernetic behaviour a model for further discussion not only for micromotion studies but also for planning, realisation,reflection and correction of movement activities and learning processes, in which the movement as a whole is getting looked at from six different perspectives, thekinaesthetic principles:

A movement activity is therefore a reaction to inner and outer experiences (interaction) which with the locomotor system (functional anatomy) can be carried out variably (human movement) dependant on the intended activity (human function)capability (effort) and environmental influences (environment).

A change in one of these 6 aspects of one movement means a change in the other aspects.

To successfully counteract bedsores and bed damages in patients, the Viv-Arte learning model for kinaesthetic mobilisation has been developed under the constructive kinaesthetic concept. It describes basic movement principalsaccording to the 6 kinaesthetic principals and their subissues. Thus, action schemata for the mobilisation depending on the patient's reqiurement factors, can be puttogether with separate components (movement- and controlling criteria) and adjusted to various aims.

With the confinement of a seriously ill patient the stationary treatment will be registered in the course of differentiated movement diagnostic investigation, his present movement recources, as well as the current illness related movementproblems. For the conservation and the advancement of his mobility, the nursing staff works out an individual activity schemata on the basis of the patient's core problemwith realistic aims. The necessary individual arrangements are integrated in the daily care.

The patient gets physiologically exercised, his muscels and joints get regularly activated. He will be encouraged to move on his own and he learns, with less pain and without being overchallenged, to master daily routines like getting up, personal hygiene, getting dressed, in an as much as possible independent and health enhanced way. Thus, the patient is animated at a very early stage, to work actively on his convalescence and for him, new future perspectives are opening up for a preferably independent and self determined life.