Behavioral Interventions And Its Effects On Health Prospects

1478 Words Nov 19th, 2015 6 Pages
Behavior patterns represent the single most prominent domain of influence over health prospects in the United States (McGinnis, Williams-Russo, & Knickman, 2002). Acceptance and commitment to change, person’s values, and patient education are among the positive behaviors that could ultimately lead towards a long-term success of patient/client towards health and wellness. While it is true that there are aspects of healthcare delivery system which include access, reimbursement and third party payer’s policy regarding maintenance and wellness programs, the lack of consensus on frequency and scope of such activities that poses a challenge towards changing behavior, we the physical therapists are the front liners in facilitating and assisting …show more content…
A strength of the TTM is that it treats behavior change as dynamic rather than an “all or nothing” phenomenon (Marshall, & Biddle, 2001). According to Crist et al. (2013), authors proposed that behavior change progresses through five stages: (1) pre-contemplation, (2) contemplation, (3) planning or preparation, (4) action, and (5) maintenance. Allow me to discuss how this model applied to this scenario in the acute setting. I was called for a physical therapy evaluation for this 54-year-old male, motivated gentleman, status post total hip replacement. This is a straightforward, simple, orthopedic case however, it is interesting to see that despite the muscle bulk this patient has shown in his upper extremity, trunk and lower extremity, it was noticeable to me that his left gluteus maximus/medius, quadriceps femoris, and gastrocsoleus have significantly atrophied secondary to disuse. Studies have shown that a period of disuse ranging from 10 and 42 days generally leads to a rate of muscle loss of approximately 0.5%-0.6% of total muscle mass per day, with a variable consequent decline in muscle strength ranging between 0.3% and 4.2% per day (Wall, Dirks, & von Loon, 2013). This type of atrophy can be reversed with exercise and better nutrition (Wall et al., 2013). Furthermore, they added that greater relative losses of muscle strength compared with mass are likely attributed to the associated declines in neuromuscular recruitment and function that also occur
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