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Showing posts with label flat bed rest. Show all posts
Showing posts with label flat bed rest. Show all posts

Sunday, October 22, 2017

how can i explain these abrupt changes.? we can all guess cant we. perhaps myelin transmission needs certain amount of blood flow, oxygen pressure reduction, cleansing for improved function. Your guess is as good as mine at this point. Like i keep saying we are just beginning an age of discovery. so much to learn, it will take the rest of my useful career, and i am thankful for that.
clearly such improvements in the moment, sometimes even before the procedure is completed will lead to doubts, especially by those who don't want to have been this wrong.



My money is on the improved tension and reduction in pressure in the venous return stimulating the cerebrospinal fluid flow. I.B.T addresses this using posture alone to change the pressure and increase the tension on the blood inside the veins, the evidence being the dramatic improvements in chronic venous insufficiency, oedema and varicose veins. Before and after Photographs available for evidence.

IBT has been shown right here in this forum to stimulate significant recovery in RR, PP and SP ms. Yet it is continually ignored? These results are very real and need to
To be taken into account.

IBT should be the very first intervention for all people with ms. And it is not just about how blood circulates, it addresses all circulation including blood flow, the cerebrospinal fluid circulation, lymph circulation and the circulation in the skin.

This simple postural therapy has also worked with spinal cord injury and Parkinsons's disease, neither of which are identified as associated with CCSVI.

Yet habitual unscientific adherence to flat bed rest which has been shown to be harmful in the literature time and time again that even in just a few hours of flat bed rest the body begins to shut down and the longer we remain flat the more damage to our body we do and this has been known and reported by doctors over the decades, while hospitals continue to use a horizontal model for recovery?

Insanity is to keep doing the same thing over and over again and expecting to get different results. This also applies to the insanity of sleeping flat and expecting to wake up to health improvements.

Sleeping flat for 24 hours has been shown to cause considerable problems for circulation. Maybe the cumulative effect of retiring to a flat bed each night is sufficient to cause neurological degeneration in people who are more susceptible to it's harmful effects?

Long before vascular stent and balloon surgery became an option, people with ms were finding remarkable improvements using Inclined Bed Therapy.

When I try to speak about it here, people but in and say on behalf of everyone reading this thread that we don’t want to hear it. Well I am not going to be silenced as long as there are people who need to learn about this safe and effective alternative to surgery.

In the unlikely event that IBT does not begin to work over 4 months then and only then should anyone consider a surgical approach and let’s face it there are many people on waiting lists who could at least put postural therapy to the test.
http://www.andrewkfletcher.com/index.php?option=com_agora&task=topic&id=69&Itemid=30

Dr Claude Francheschi advocates postural therapy as an answer to CCSVI and he now advises ms patients to sleep on an inclined bed.

The following paper is translated using Google translater which you might find interesting.

Venous insufficiency and splitting dynamics of hydrostatic pressure column

Sang Thrombose Vaisseaux. Volume 13, Number 5, 307-10, May 2001, Lexicon

Summary
Author (s): Claude Franceschi, cardiovascular center, St. Joseph Hospital, 185 rue Raymond Losserand, 75674 Paris Cedex 14 ..
Abstract: A better understanding of the pathophysiology of hemodynamic venous system is necessary not only for diagnosis but also to improving the treatment of venous insufficiency. The clinical and laboratory manifestations of venous insufficiency is the consequence of a hemodynamic disorder. This disorder can be defined as the inability of the system to ensure a unidirectional flow cardiopète venous flow and pressure responsive tissue drainage, temperature control and filling of the heart regardless of the conditions of posture and muscle activity. Given that symptoms are reduced and become worse clinostatism orthostasis, it is obvious that the conditions of posture and therefore the hydrostatic pressure determines the onset of symptoms such as regression of the disease. All this according to the laws of gravity that the hydrostatic pressure is almost zero and maximum clinostatism orthostasis. The venous pressure at the ankle also varies in supine and standing motionless in healthy subjects as venous insufficiency in the subject. But walking, it decreases much less in venous insufficiency than in healthy subjects. This shows that there is a way of controlling the hydrostatic pressure at idle but active rest while walking and lower efficacy in venous insufficiency than in healthy subjects. This phenomenon may be related to the action of the pump-valvulo muscle would split the column of hydrostatic pressure in the lower limb muscle activity. The most common hemodynamic disturbance responsible for venous insufficiency, is thus the result of a lack of what we call the dynamic fractionation column of hydrostatic pressure (FDPH).
http://www.john-libbey-eurotext.fr/fr/revues/medecine/stv/e-docs/00/03/D2/C8/article.phtml
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Add Your Inclined Therapy Experience and Progress from TIMS Here: http://andrewkfletcher.com/index.php?option=com_agora&task=forum&id=2&Itemid=30

Wednesday, February 10, 2010

Is Bed Rest An Effective Treatment Modality for Pressure Ulcers?

The following paper requires a thorough read:


Is Bed Rest An Effective Treatment Modality for Pressure Ulcers?
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Matching equipment to meets client needs.
VOLUME: 50
Issue Number:
10
author:
Linda Norton, OT Reg (ONT); and Dr. Gary Sibbald, BSc, MD, FRCPC (Med), FRCPC(Derm), MACP, DABD, MEd

Look at the patient lying long in bed.
What a pathetic picture he makes.
The blood clotting in his veins,
the lime draining from his bones,
the scybola stacking up in his colon,
the flesh rotting from his seat,
the urine leaking from his distended bladder,
and the spirit evaporating from his soul.
— Dr. Richard Asher, British Medical Journal, 1947




Conclusion
Practitioners often express concern that medical and scientific studies are difficult to interpret for clinical use; however, in terms of the complications of bed rest, agreement between all existing sources is remarkable. Although illness severity may leave no choice except bed rest, the rest itself is rarely what is of benefit. Practically every organ and body system promptly and progressively deteriorates when it is inactive (see Table 4).2
In this time of focusing on best practices and patient outcomes, examining the practice of bed rest is appropriate. If effort were directed at conducting a randomized control trial to reevaluate the practice of bed rest, assuming that bed rest could speed the healing of pressure sores, the complications of this treatment are so well documented that this practice cannot be considered “safe.”
Alternatives to bed rest include optimizing the nutritional status of the client and managing pressure and shear throughout the client’s daily activities. Managing pressure and shearing forces outside of the bed may be one way to improve client outcomes and quality of life. - OWM
http://www.o-wm.com/article/3194

Tuesday, December 22, 2009

Flat Bed Rest The truth is out there!

Someone else has done a search to compare bedrest publications and found the same damning evidence that I did all those years ago.

I suggest you download the pdf and read the whole paper and if you are still unconvinced about the validity of Inclined Therapy, I suggest you conduct your own search of the published papers.





Bed rest: a potentially harmful treatment needing more careful
evaluation

Chris Allen, Paul Glasziou, Chris Del Mar

Ideas about bed rest seem so entrenched that medical
practice has been slow to change—even when faced with
evidence of ineffectiveness. For example, a study of
protocols used after spinal puncture in 1998 found that
more than 80% of neurological units in the UK still
insist on bed rest" despite evidence from 17 years earlier
that bed rest has no value." There are also reports that
bed rest is still being over-prescribed after myocardial
infarction and cardiac catheterisation, and for acute low
back pain."-"
Bed rest after myocardial infarction was prescribed on
the basis of theoretical evidence of the supposed
workload put on the heart, and circumstantial evidence
on the appearance of old and new infarcts."" The value
of bed rest was questioned in 1938 because during the
2 months of forced bed rest more patients died of
pulmonary infarction, uraemia, and pneumonia than of
cardiac complications." Despite recommendations in
1944 for the period of bed rest to be cut to 2 weeks,'"
6 years later standard clinical practice still prescribed
4 weeks or more of bed rest.'' Since that time; largescale
clinical trials have shown that bed rest is
unnecessary,'"''^'''' and one showed that there is
significant danger associated with hospital bed rest after
myocardial infarction.™ In current clinical practice" only
12 h of bed rest is prescibed, with ambuiation in the
ward by day 3.
Rest is often imposed by symptoms (mainly weakness)
rather than the physician, and in that case there is little
choice. We have to distinguish the use of bed rest in the
management of those symptoms (palliation) from its use
to speed recovery (prescribed treatment). Perhaps the
patient is the best judge of the amount of rest required.
Advice given in 1944 seems curiously apt today, "The
physician must always consider complete bed rest as a
highly unphysiologic and definitely hazardous form of
therapy, to be ordered only for specific indications and
discontinued as early as possible".* The indications for
which bed rest should be prescribed, and for how long,
are yet to be defined.
Contributors
Chris Allen did the searches, assembled and analysed the tables, and
wrote the first draft. Paul Glasziou was responsible for the idea and
extracted and analysed the data for the tables. Chris Del Mar concieved
the idea and wrote subsequent drafts.