Case Report

Improved activities of daily living in a patient with subtrochanteric femur fracture through incorporation of continuous positive airway pressure therapy following convalescent rehabilitation

Hiroshi Kakuta, MD, Michio Yamaguchi, PT, Kazuyoshi Sugawara, PT, Naomi Kuge, PT, PhD, Hirofumi Imai, MD, Akira Rikimaru, MD, PhD, Hironao Yokomichi, MD, PhD, Takashi Sakamoto, MD, Ken Sugiyama, MD, PhD, Shin-Ichi Izumi, MD, PhD, Michio Hongo, MD, PhD
Jpn J Compr Rehabil Sci 8: 77-81, 2017

Objective: Sleep disorders interfere with activities of daily living (ADL) in elderly individuals. In Japan, at least 3 million people are estimated to have sleep apnea syndrome (SAS), and many potential patients are yet to be diagnosed and treated. In women, the incidence of SAS increases 2-4 fold after menopause due to reduced hormone levels. In addition, women rarely present with typical symptoms of SAS, such as daytime sleepiness and snoring, and thus they are not screened for SAS as often as men. This study aimed to evaluate the utility of continuous positive airway pressure therapy (CPAP) to improve ADL.
Methods: This report describes an elderly woman with dementia, depression, and angina who developed disuse syndrome after surgery for subtrochanteric fracture of the left femur, and was treated with CPAP and other general measures.
Results: The patient showed progressive improvement in ADL by the simplification of medications, management of general health, diagnosis of SAS, and incorporation of CPAP therapy following convalescent rehabilitation.
Conclusion: Activities of daily living can be improved in orthopedic patients with SAS by using CPAP and other general lifestyle measures.

Key words: convalescent rehabilitation, sleep apnea syndrome, continuous positive airway pressure therapy, subtrochanteric femur fracture, postoperative disuse syndrome

Contents (volume 8)