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FACTORS AFFECTING
MOBILITY
DEFINITIONS
• Mobility refers to a person’s ability to
move about freely.
• Immobility refers to the inability to move
about freely.
Factors Affecting Mobility & Immobility
1. Growth and Development
2. General physical Health
3. Musculoskeletal and nervous system disorders
4. Problems with other body systems
5. Life style
6. Personal Values and Attitudes
7. External Factors
Growth and development
•A person’s age and development of musculoskeletal
and nervous system affect posture, alignment and
body movements.
•Newborn: movements are reflexive and random.
Gross motor development precedes fine motor skills.
•1-5 years gross and fine motor skills are refined.
Immobility at this stage can impair the social and
motor development of children.
CONTD…
•6-12 years of age- refinement of motor skills continues and
exercise patterns for later life are generally determined.
•Adolescence- growth spurts and behaviors (e.g. carrying
heavy bags on one shoulder) may result in postural changes
that often persist into adulthood.
•Between 20-40 years of age generally have a few physical
changes affecting mobility except pregnant women. Weight
gain during pregnancy shifts center of gravity and lumbar
lordosis is increased. Both of them increase risk of falls,
back pain and fatigue.
CONTD…
•With advancing age muscle tone and bone density
decreases , joints lose flexibility, and bone mass
decreases, particularly in women who have
osteoporosis. All of these changes affect posture,
gait, and balance in old age.
Physical health
Poor general health, chronic or acute disease also
affect a persons general appearance, his endurance
and ability to perform ADL’s.
This is because of underlying pathology or treatment
regimen.
Musculoskeletal & nervous system disorders:
They interfere with bone formation and strength,
muscle function and joint mobility. It includes-
a) Congenital or acquired postural abnormalities
like hip dysplasia, club foot, torticollis (inclining
of head to one side), lordosis, kyphosis etc.
b) Congenital problems such as achondroplasia
(premature ossification leading to dwarfism),
osteogenesis imperfecta (excessively brittle
bones and multiple fractures both at birth and
later in life)
c) Diseases like Paget’s disease
CONTD..
d). Nutritional-related problems- Both under
nutrition and over nutrition can influence body
alignment and mobility. Poorly nourished people
may have muscle weakness and fatigue. Obesity
can distort movement and stress joints, adversely
affecting mobility
Inadequate calcium intake increase the risk of
osteoporosis and vitamin D synthesis and intake
increase the risk of rickets in children and
osteoporosis and osteomalacia in adults.
CONTD…
e.) Problems affecting joint mobility like arthritis,
dislocation, fracture, sprain, strain
f. ) Problems affecting central nervous system like
head and spinal cord injury, cerebrovascular
accident, Parkinsonism, multiple sclerosis
g.) Age related problems such as osteoporosis
Problems involving other body systems
Conditions like chronic obstructive pulmonary disease,
anemia, heart failure (interfere with tissue oxygenation
results in fatigue, muscle ache & reduced activity tolerance).
Limitations of movement/ activity restriction / bed rest may
be medically prescribed or is an important part of treatment
for many condition like fracture, myocardial infarction, post
operative etc. It helps in reducing metabolic and oxygen
needs, decreases pain, reduces edema and promote healing.
Lifestyle
•It includes factors like-
•Occupation which are sedentary
•Leisure activity preference - those which are
sedentary like watching TV, reading books, craft
•Cultural influences
•Gender
Personal values and attitudes
•Whether people value regular exercise or not is
often the result of family influences.
•Families that incorporate regular exercise in their
daily routine or spend time together in activities,
children learn to value physical activity.
•Values about physical appearance also influence
some people’s participation in regular exercise.
CONTD…
People who value a muscular build or physical
attractiveness may participate in regular exercise
programs to get the desired appearance.
Choice of physical activity or type of exercise is also
influenced by values. The design of individualized
exercise program will ensure greater adherence to it.
External factors
Many external factors also affect a person’s
mobility.
•Excessive high/ low temperatures and humidity
discourages physical activity
•Availability of recreational facilities
•Unsafe environment/ lack of good neighborhood
•Financial resources to go to gym, to purchase
exercise equipment's
•Availability of free time

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Factors affecting mobility.pptx

  • 2. DEFINITIONS • Mobility refers to a person’s ability to move about freely. • Immobility refers to the inability to move about freely.
  • 3. Factors Affecting Mobility & Immobility 1. Growth and Development 2. General physical Health 3. Musculoskeletal and nervous system disorders 4. Problems with other body systems 5. Life style 6. Personal Values and Attitudes 7. External Factors
  • 4. Growth and development •A person’s age and development of musculoskeletal and nervous system affect posture, alignment and body movements. •Newborn: movements are reflexive and random. Gross motor development precedes fine motor skills. •1-5 years gross and fine motor skills are refined. Immobility at this stage can impair the social and motor development of children.
  • 5. CONTD… •6-12 years of age- refinement of motor skills continues and exercise patterns for later life are generally determined. •Adolescence- growth spurts and behaviors (e.g. carrying heavy bags on one shoulder) may result in postural changes that often persist into adulthood. •Between 20-40 years of age generally have a few physical changes affecting mobility except pregnant women. Weight gain during pregnancy shifts center of gravity and lumbar lordosis is increased. Both of them increase risk of falls, back pain and fatigue.
  • 6. CONTD… •With advancing age muscle tone and bone density decreases , joints lose flexibility, and bone mass decreases, particularly in women who have osteoporosis. All of these changes affect posture, gait, and balance in old age.
  • 7. Physical health Poor general health, chronic or acute disease also affect a persons general appearance, his endurance and ability to perform ADL’s. This is because of underlying pathology or treatment regimen.
  • 8. Musculoskeletal & nervous system disorders: They interfere with bone formation and strength, muscle function and joint mobility. It includes- a) Congenital or acquired postural abnormalities like hip dysplasia, club foot, torticollis (inclining of head to one side), lordosis, kyphosis etc. b) Congenital problems such as achondroplasia (premature ossification leading to dwarfism), osteogenesis imperfecta (excessively brittle bones and multiple fractures both at birth and later in life) c) Diseases like Paget’s disease
  • 9.
  • 10. CONTD.. d). Nutritional-related problems- Both under nutrition and over nutrition can influence body alignment and mobility. Poorly nourished people may have muscle weakness and fatigue. Obesity can distort movement and stress joints, adversely affecting mobility Inadequate calcium intake increase the risk of osteoporosis and vitamin D synthesis and intake increase the risk of rickets in children and osteoporosis and osteomalacia in adults.
  • 11. CONTD… e.) Problems affecting joint mobility like arthritis, dislocation, fracture, sprain, strain f. ) Problems affecting central nervous system like head and spinal cord injury, cerebrovascular accident, Parkinsonism, multiple sclerosis g.) Age related problems such as osteoporosis
  • 12. Problems involving other body systems Conditions like chronic obstructive pulmonary disease, anemia, heart failure (interfere with tissue oxygenation results in fatigue, muscle ache & reduced activity tolerance). Limitations of movement/ activity restriction / bed rest may be medically prescribed or is an important part of treatment for many condition like fracture, myocardial infarction, post operative etc. It helps in reducing metabolic and oxygen needs, decreases pain, reduces edema and promote healing.
  • 13. Lifestyle •It includes factors like- •Occupation which are sedentary •Leisure activity preference - those which are sedentary like watching TV, reading books, craft •Cultural influences •Gender
  • 14. Personal values and attitudes •Whether people value regular exercise or not is often the result of family influences. •Families that incorporate regular exercise in their daily routine or spend time together in activities, children learn to value physical activity. •Values about physical appearance also influence some people’s participation in regular exercise.
  • 15. CONTD… People who value a muscular build or physical attractiveness may participate in regular exercise programs to get the desired appearance. Choice of physical activity or type of exercise is also influenced by values. The design of individualized exercise program will ensure greater adherence to it.
  • 16. External factors Many external factors also affect a person’s mobility. •Excessive high/ low temperatures and humidity discourages physical activity •Availability of recreational facilities •Unsafe environment/ lack of good neighborhood •Financial resources to go to gym, to purchase exercise equipment's •Availability of free time