Introduction to IBT
It is always assumed that the first thing in any illness is to put the patient to bed. Hospital accommodation is always numbered in beds. Illness is measured by the length of time in bed. Doctors are assessed by their bedside manner. Bed is not ordered like a pill or a purge, but is assumed as the basis for all treatment. Yet we should think twice before ordering our patients to bed and realize that beneath the comfort of the blanket there lurks a host of formidable dangers.
In "Hymns Ancient and Modern," No. 23, Verse 3, we find: "Teach me to live that I may dread The grave as little as my bed."
It is my intention to justify placing beds and graves in the same category and to increase the amount of dread with which beds are usually regarded. I shall describe some of the major hazards of the bed. There is hardly any part of the body which is immune from its dangers. Respiratory System. The maintenance of one position allows the collection of bronchial secretions, which, stagnating in the bases, encourage the development of hypostatic pneumonia.
Further, the absence of exercise and the diminished respiratory excursion consequent on bed rest prevent the re-expansion of collapsed or diseased lung. Blood Vessels.-Thrornbosis and thrombo-embolism are some of the most disabling and lethal catastrophes that bed rest can bring to a patient. The absence of leg movements means that the venous blood lacks the helpful squeeze from the muscles which normally speeds its flow, and the flexion of the thighs (particularly when there is Fowler's position or a knee pillow) obstructs it the more.
One theory of phlebothrombosis is that it starts with endothelial damage caused by the weight of the leg on the bed compressing emptied calf veins. Thus it may well be said that thrombophlebitis is the internal counterpart of the bed-sore. We may one day regard a thrombosis to be as much a sign of nursing mismanagement as we do the ordinary bed-sore to-day.
It is significant that Hunter, Sneedon, and others, performing post-mortem examinations of the veins of the calf in middle-aged and elderly people who had been in bed a considerable time, found thrombosis of the calf veins in 530, of the cases.
Skin.-The frequency and dangers of bed-sores are too well known to need much comment. A large bed-sore in a heavy patient, especially an incontinent one, is a nightmare to the nursing staff, and the pressure points on the heels are often a source of great pain and misery to the patient even if the skin is still unbroken.
Muscles and Joints.-The contraction of some muscles and the stretching of others are complications of rest which may cause considerable crippling. Foot-drop is of course the commonest, and stiffness and flexion of the knee-joints probably the next.
The weakness and wasting of the general skeletal musculature and the restriction of the excursion of the, joints are often manifest in the hobbling, painful gait of the convalescent patient.
Bones.-When bones are not used the calcium drains from them, and this disuse osteoporosis can be a serious matter, especially in the elderly. Fractures for that reason may take longer to heal, and the absence of weight-bearing is another reason for delayed union. This is shown by George Perkins's recently published cases where the broken ends of bone, when splinted by a metal plate, did not heal until the plate accidentally broke and the resulting increase in weight-bearing led to rapid bony union. The advantages of the Smith-Petersen pin over older methods of managing intra-capsular fractures of the femur are largely due to the shorter time in bed.
Renal Tract.-The drain of calcium from the bones that I have just mentioned causes an increased liability to urinary calculi, and both kidney and bladder stones are sometimes in part due to bed rest. Far commoner than this is retention of urine. A patient, particularly a male, with a perfectly normal urinary tract can find difficulty in using a bottle-probably because of the horizontal position of the body coupled with the nervousness and embarrassment felt on attempting this unnatural, uncomfortable, and unfamiliar method of micturition. (the discharge of urine) In older people this difficulty may lead to acute retention with overflow or to simple incontinence.
Bed-sores may develop and keep the patient to bed, so initiating a vicious circle of bedridden incontinence. Prolonged incontinence leads to a deterioration of hygienic morale, and a patient may continue to be incontinent from sanitary sloth rather than urological disease. Getting a patient out of bed may turn him from an incontinent person to a clean one. Alimentary Tract.-This too is not immune from the bad effects of rest in bed. After a few days minor dyspepsias and heartburn may be noticed; the appetite is often lost.
Constipation occurs almost invariably, and even if not of grave significance is often a grievous worry to the patient. Its causes are, first, the absence of muscular movement; secondly, the change of environment (no one can say why this causes constipation, but it does); and, thirdly and most important, the difficulties of evacuating the bowel in a hospital bed-pan. On a bed-pan the patient is unable to use his abdominal muscles and his nearness to fellow-patients discomforts him. Precariously engaged in balancing himself, he sits there, poised unhappily above his own excrement in great dissatisfaction and distress.
The constipation of bed rest is most harmful in the aged, where retained scybala may lead to a diarrhoea which marks the underlying obstruction. Retention with overflow is nearly as common at the back as in front. Quite often complete intestinal obstruction can develop from retained faeces, and when enemata fail to shift the scybala digital removal has to be practised-a procedure as unpleasant for the evacuator as for the evacuee.
Nervous System.-It is well known that, particularly in the ataxic diseases such as disseminated sclerosis or tabes dorsalis, even a short spell in bed may produce a deterioration of 'mobility which takes weeks to overcome, and any length of time in bed may leave a patient bedridden many years before the natural course of the disease would have made him so.
Mental Changes.-Lastly, consider the mental changes, the demoralizing effects of staying in bed. At the start it may produce fussiness, pettiness, and irritability. The patient may acquire an exaggerated idea of the seriousness of his illness and think, " Surely I must be very ill if I am kept in bed ? " At a later stage a dismal lethargy overcomes the victim.
He loses the desire to get up and even resents any efforts to extract him from his supine stupor. The end result can be a comatose, vegetable existence in which, like a useless but carefully tended plant, the patient lies permanently in tranquil torpidity.
Even the insomnia and nocturnal restlessness so common in hospital patients may be related to the abuse of rest. Too much sleep during the day means too little sleep at night. You may notice that many patients who disturb the ward at night are flat on their backs snoring during the day. They lie in bed with nothing much to do, and we cannot blame them for taking frequent cat naps. I am sure that many hours of half-sleeping and dozing are less beneficial than a few hours of deep sleep, and I believe they encourage a certain confusion of mind.
So much for the commoner hazards of the bed. There are many I have omitted. I have not mentioned the loss of education in children who are long in bed, nor spoken of the dangerous dust that arises during bed-making, but even those evils I have outlined may help to show that rest in bed is anatomically, physiologically, and psychologically unsound.
Look at a patient lying long in bed.
What a pathetic picture he makes!
The blood clotting in his veins,
the lime draining from his bones,
the scybala 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.
I have painted a gloomy and unfair picture: it is not as bad as all that. There is much comfort and healing in the bed, and rest is essential in the management of many illnesses. My object has been to disclose the evils of overdose, and I want now to indicate briefly how some of them may be avoided or overcome.
DEC. 13, 1947 DANGERS OF GOING TO BED 967 968 DEC. 13, 1947 DANGERS OF GOING TO BED MEDICAL JOURNAL
First, bed rest should be prescribed and not assumed-that is to say, a sister should not confine the patient to bed without the doctor's ordering it. Secondly, doctors should revise their attitude to rest where it is unsound. In a chronic ward of which I once had charge I found a lady who had been in bed for 17 years with a diagnosis of nervous debility and whitlow. She had survived this remarkable hibernation with little damage, and though she was very upset when I ordered her up she became a different person when she was fully ambulant.
It may well be, too, that our attitude to rest in more acute cases could be modified. Rheumatic-fever cases are often kept flat on their backs for a considerable time, although there is no evidence that this modifies the incidence of heart complications and there is good evidence that the work of the heart is increased by the supine position.
Patients with coronary thrombosis traditionally have six weeks in bed, but the evidence that this diminishes the incidence of complications is slender. Indeed, Sir James Mackenzie, who had frequent angina after cardiac infarction in 1908, never spent more than a few days in bed, but continued playing golf till his exercise tolerance at last became too small. He lived an active and useful life for 17 years after his first attack.
John Powers, of Cooperstown, New York, reported on 100 consecutive patients who were allowed to sit in a chair and walk on the first day after major operations. He compared them with an equal number who remained in bed for 10 to 15 days and found fewer complications in the first group.
Further, the early ambulant cases were back at work within 4.8 weeks as compared with 8.7 weeks in the control group. All these facts encourage us to review the traditional amounts of bed rest that we order our patients.
The third way of avoiding the dangers of bed lies in altering the equipment and arrangement of a ward. There should be a day-room attached to every ward and lockers for patients to keep their ordinary clothes in. Too often a sister puts all her patients back to bed as a housewife puts all her plates back in the plate-rack-to make a generally tidy appearance. Too often patients stay in bed because, shuffling round in slippers and dressing-gown, they are cold and uncomfortable. They would welcome a warm day-room with chairs and books.
Some heart cases ought to be allowed to spend most of the day in arm-chairs and to sleep the night in them if they feel much more comfortable that way. For those that have to be in bed a commode might be allowed as an alternative to a bed-pan in most cases. More liberal attention should be paid to breathing exercises, limb-moving, and occupational therapy both to prevent complications and to distract the patient from going to sleep out of sheer boredom.
"Teach us to live that we may dread Unnecessary time in bed.
Get people up and we may save Our patients from an early grave." Source: British Medical Journal http://www.bmj.com/content/2/4536/967
Who is Doctor Richard Asher? https://en.wikipedia.org/wiki/Richard_Asher#Notable_articles
Dare To Dream is Tony Moran's motto. Tony reveals how Inclined Bed Therapy (IBT) http://inclinedbedtherapy.com helped his dreams to come true when against all the odds he became the new Cruiserweight Boxing WBF World Champion. His opponent Sandy Robb is a 3 times ABA champion, who fought with everything he had over 12 gruelling rounds at a pace that any 32 year old boxer would be proud of. But Moran, who is now 42 and giving away 10 years to Robb, fought like a 25 year old and was as fit and active in round 12 as he was in the first round. He moved around the ring jabbing with precision and unleashing powerful combination punches that would have knocked out a lesser man.
During 12 rounds, https://youtu.be/F0FicS5TBus Moran under advice from Andrew K Fletcher, stood in the corner, ignoring the seconds advise to sit down, he also lowered his hands wherever possible due to a new understanding of how gravity plays a vital role in our circulation.Add a comment
Raising one end of your bed (the pillow or head end) can help treat many of the ailments of our age including even MS. That’s a theory called Inclined Bed Therapy or IBT and in 2010 we featured it in New Pathways. When I first heard about it I must admit I was slightly sceptical.
The theory is based on the idea that lying flat in bed at night can lead to poor blood circulation and consequent problems. Human beings, the theory goes, have for millennia been upright and when we lie flat in bed at night we unbalance our bodies in every sense of the word.
The chief exponent of this theory is former mechanical engineer Andrew Fletcher who explained in the 2010 feature that in scientific terms gravity helps circulate our blood, cerebrospinal and lymph fluids and that when we lie flat in bed at night, gravity can no longer help our circulation. Instead the heart has to exert extra pressure on the circulatory systems causing veins to narrow, bulge or twist – a phenomenon which has been documented in many illnesses including MS.
After visiting Andrew in his Paignton home in 2010 and listening to him explain Inclined Bed Therapy I was more impressed and decided to give it a go. So, after returning home, I got some old bricks from the garden and raised the head end of my bed by 4”. I never went the full 6”as recommended by Andrew due to pressure from my then live-in girlfriend who thought it was a “therapy too far” for her, but when we split up and I moved out, the first thing I bought was a new bed
At the back of my mind was a wish to give IBT another go, but to do things properly by using proper bed raisers and going up the full 6” . So, in January 2016 I started the whole process again, going up 4” for two months and then 6”. For the past four months my bed has been raised by the full 6” and I must admit to feeling better than I have felt for ages.
At this point I must add a word of caution by saying that I am also taking other treatments for my MS such as statins and high doses of vitamin D and biotin. For this reason I can’t say there’s any scientific proof that IBT has been responsible for my improvement or played any part in it, but I guess the acid test of whether I believe in IBT is whether my bed is still inclined, and the answer to that is “yes” - it is still on the furniture raisers. (see pictures)
So, looking back do I think Inclined Bed Therapy has worked for me? I would say that the answer is a qualified “yes”. I can’t say for certain it has alleviated the symptoms of MS but it is inexpensive, easy to do and as I said earlier my bed is still inclined.
Andrew has repeatedly asked for a controled study to be conducted for people with ms. http://www.ms-uk.org/newpathways
PS It's easy to determine whether the bed is helping or not, simply return back to sleeping flat :)
Add a comment
How trees really raise water to their leaves! And Much More at: http://inclinedbedtherapy.com
These Simple experiments with water filled tubes not only show how trees and all plants use a simple flow and return system to circulate sap, they will help you to understand how gravity drives your circulation and why we need to pay careful attention to our posture when sleeping and sitting. Gravity supplies trees and plants with the force to raise water to impressive heights without any need for a pump. And yet until recently, that connection has not been linked to our own circulation?
We are not just talking about blood circulation. The flow of cerebrospinal fluid (CSF) throughout the huge network of nerves, from the top of your head to the tips of your toes is influenced by gravity! The direction damaged nerves grow and regenerate is linked to gravity! The flow of lymph in your lymphatic system depends on posture and gravity to effectively remove waste from your body, via the veins and venous return.
How we make use of this new understanding of circulation is surprisingly simple and costs nothing. Simply raising the head end of your bed 15cm / 6 inches will support and improve your circulation while you sleep. This is called Inclined Bed Therapy and these experiments were used to determine the 5 degree angle for both comfort and effect.
Andrew K Fletcher
INCLINED BED THERAPY A NEW ANGLE ON HEALTH
Sleeping on a bed inclined at five degrees has great benefits for circulation, metabolism and the immune system. It can also ease a range of conditions from Alzheimer's disease, diabetes and glaucoma
to migraines, multiple sclerosis and varicose veins.
by Jenny Hawke ©March 2016 NEXUS Magazine
Add a comment
Has Inclined Bed Therapy helped you, a member of your family or a friend, to recover from an illness?
Or has it improved your level of fitness?
IBT is all about sharing our experiences so that others can follow and learn how this simple free therapy can help improve conditions including: denbilitating migraines, sinus and breathing difficulties, heart palpitations and fibrilation, varicose veins, snoring, children wetting the bed, adult inconinence, back ache, fracture, sprains and injuries, skin conditions including psoriasis and acne, leg ulcers, oedema, Parkinson's Disease, Spinal cord injury, Multiple sclerosis, Liver failure, osteoporosis, cerebral palsy, and many more. Raising the head end of the bed works because our circulation requires gravity influencing it in the right direction while we sleep. You can read more about this exciting free none-invasive way of sleeping here: http://inclinedbedtherapy.com
Please help us to get the word out about IBT and reach many more people.
Share this image on your social media and help friends family and strangers to regain their health for FREE
Credit to Avalina Kresca for the artwork
Add a comment
It's simple! Raise the head end of your bed by 6 Inches (15cm) and reap the rewards of health and improved circulation, It costs nothing but a couple of books or bricks? perhaps a few pieces of wood? or Furniture raisers to take advantage of Gravity and it's role in circulation.
Some observed results:-
Improved Circulation and health throughout, Diabetic sensitivity reduced, Return of Sensation to numbed areas, Psoriasis and skin inflammations drastically reduced, Varicose Veins disappearing, Improved recovery and defences to common bugs, virus and germs, Improved recovery from DOMS after a hard workout,
huge improvements in people with Multiple Sclerosis Bed wetting stops, bladder and bowl control restored, people with Parkinson's Disease experienced huge improvements, people with spinal cord injuries have gained function and sensation below the injury site. Sleep apnoea greatly improved and vanished in some cases. back ache gone, migraines a thing of the past, lethargy gone, muscular atrophy reversed, osteoporosis reversed, insomnia cured, night time visits to the toilet greatly improved, no more cold hands and feet in bed, tremors gone,
but to name a few.... read the Testimonials to learn more and more things it is starting to affect? Can it help you? It has helped us!
We have recently started a campaign to help Andrew, who has been researching IBT for 20 years, to raise awareness and reach out to more people with health problems and people who would like to avoid getting the health problems!
Andrew has advocated for 19 years that placing babies in an inclined cot would eliminate sudden infant death syndrome. Using a pair of dad's boxer shorts tied to the sides of a cot / crib and placing baby inside them would prevent slipping down during the night.
We are asking for your support! Nominate us to
TED and help me tell my story to many more people in need of help.
Andrew K Fletcher Email:- andrew (A T) inclinedbedtherapy.com
Inclined Bed Therapy needs your Help, Have you Nominated Andrew K Fletcher for TED yet? please share!
Does inclined bed therapy work? Why does sleeping on a raised bed help to improve health? Can sleeping with your head tilted up 15 cm or 6 inches actually help to prevent disease? Can sleeping on an inclined bed help the body to get rid of disease?
We talk about all this and more with Andrew K. Fletcher. The health benefits of sleeping on an inclined bed are almost too numerous to count. It's pretty compelling when you start doing the research!
Let me know if you start experimenting with inclined bed therapy and what positive (or negative) health affects you have!
Thanks for listening to this show about inclined bed therapy from Mr. Andrew Fletcher himself!
Justin, Kate, Maggie and Charlee
On Extreme Health Radio we discuss, natural healing, alternative health practices, health, longevity, spirituality and personal development and growth. If you're into that, connect with us below we'd love to have you a part of our growing community! :)
Thanks in advance,
Justin and Kate
A truly remarkable scientific discovery explains what Your Doctor Should Know About Sleeping, sitting and circulation and advice about improving your health, well-being, strength and endurance without drugs. What are you waiting for?
Inclined bed therapy began 5 thousand years ago in Ancient Egypt and perhaps even further back. It involves tilting your bed, raising it on blocks, books, bricks, or furniture raisers by six inches / 15 cm or more depending on the length of your bed, to cause your bed frame to be tilted by around 5 degrees
Andrew's discovery in how gravity helps drive our circulation is unprecedented, yet eloquently simple to understand and is explained in great detail on this excellent Internet Radio Interview by Andy Young on Peoples Internet Radio.
Do you wake up feeling refreshed after a good nights sleep or like so many of us, do you struggle to get to sleep and find it uncomfortable and wake up feeling worse in the mornings?
Do you look in the mirror and see a healthy looking face when you get up or do you see puffy eyes?
Do you suffer from migraine headaches and find that the drugs are no use at all? You will find the reasons why in this interview.
Ever wondered how sap rises up tall trees and become confused by the explanations in the text books? Andrew brings a refreshing take on how sap circulates in all plants and trees by harnessing gravity, the very force that science suggests trees struggle against.
He explains how a simple experiment with 6mm bore plastic tubing caused water to flow up a cliff to 24 metres using only a pinch of salt and no pump whatsoever.
Answers to sudden infant death syndrome, parkinson's disease, multiple sclerosis, spinal cord injury, varicose veins, edema, back ache, mending broken bones quickly and recovering from a wide range of sports injuries requires gravity.
He also touches on how astronauts in space age ten times faster than here on Earth and enlightens us to how NASA pay $17,000 dollars to encourage young people to spend months on end confined to a bed that is tilted down to induce the same age acceleration faced by astronauts.
This really is a unique gem of an interview that will change how you look at all living species forever.
It will also change how you perceive your own posture, especially when you lay down in your flat bed
You will find Andrew in the forum at http://inclinedbedtherapy.com on Twitter: thinklateral and on Facebook He is happy to help answer all questions so please don't be shy ask away in the comments section.Add a comment
31-08-2015 - Sleep + Gravity + Health = Fascinating Radio Andrew K Fletcher Andy Young Inclined Bed Therapy
[Download mp3 ]
16-09-2014 - Andrew Fletcher on One Radio Network, with Patrick Timpone
[Download mp3] (75mb) (Right click and 'Save Link As')
Audio issue (one side only) fixed in mp3 file.
23-06-2014 - Andrew Fletcher on One Radio Network, with Patrick Timpone
[Download mp3] (49mb) (Right click and 'Save Link As')
Audio issue (one side only) fixed in mp3 file.
09-12-2014 - Andrew Fletcher talking to Clive de Carle
[Download mp3] (114mb) (Right click and 'Save Link As')