Post-intensive care unit rehabilitation: Reducing the long-term effects of muscle weakness
Journal Title: Αρχεία Ελληνικής Ιατρικής - Year 2015, Vol 32, Issue 6
Abstract
The development in treatment techniques and care of critically ill patients has contributed to their increased survival. The surviving patients present a wide range of complications (e.g., muscle atrophy and weakness, limited functional and physical ability, contractures, depression, anxiety, cognitive disorders) from prolonged stay in the intensive care unit (ICU). Early identification of those patients needing prolonged rehabilitation is essential. Early mobilization of patients is beneficial, but survivors need a personalized and intensive rehabilitation program even after leaving the hospital, as they may have significant limitation in mobility and functionality. Additional complications such as depression, anxiety, hallucinations, and cognition disorders make the application of exercise somewhat difficult. Various forms of exercise have been used to improve strength, endurance and physical fitness, such as electrical stimulation of the lower limbs, cycloergometer and programs of active exercise conducted either at home or in a rehabilitation center. This is a review of the therapeutic interventions used during and after the patients' hospital stay. Restoration of muscular function is a dynamic process which continues after discharge from the hospital, in a rehabilitation center or at home, and it results in achievement of the patient's functional independence and return to everyday life.
Authors and Affiliations
I. PATSAKI, V. GEROVASILI, G. SIDIRAS, C. ROUTSI, S. NANAS
Keywords
Related Articles
- EP ID EP122780
- DOI -
- Views 70
- Downloads 0
Personal and social parameters of breast and cervical cancer screening
Breast and cervical cancer are among the leading causes of female mortality in the world. Screening adherence plays a key role in breast and cervical cancer incidence and morbidity. Many factors are involved in women's a...
Biofilms, man, environment
Microorganisms do not οnly exist as free-floating cells, but are commonly attached to either an inert or a living surface (sessile bacteria). They produce an extracellular polymere and, with other components create compl...
Clinical manifestations of disturbances in granulopoiesis kinetics: Idiosyncratic agranulocytosis
This review covers the kinetics of granulopoiesis, the functions and apoptosis of the granulocytes and the metabolism of the granulocyte series, along with a report of the various different drugs that cause alterations i...
Macrocystic serous cystadenoma of the pancreas
No abstract available
Calcium pyrophosphate dihydrate crystal deposition disease (pseudogout)
No abstract available