Skip to main content
  • 852 Accesses

Abstract

Critical illness is associated with high morbidity and mortality outcomes, impact in functional status, and a relevant burden in healthcare costs.

Early physiotherapy in intensive care is increasingly recommended due to the evidence of beneficial effects on muscle strength, physical function, quality of life, ventilator-free days, and length of stay in the ICU and hospital.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Nordon-Craft A, et al. Intensive care unit-acquired weakness: implications for physical therapist management. Phys Ther. 2012;92:1494–506.

    Article  Google Scholar 

  2. Gosselink R, et al. Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on physiotherapy for critically ill patients. Intensive Care Med. 2008;34:1188–99.

    Article  CAS  Google Scholar 

  3. Kayambu G, et al. Physical therapy for the critically III in the ICU; a systematic review and meta-analysis. Crit Care Med. 2013;41(1):543–1554.

    Google Scholar 

  4. Denehy L, et al. Ten reasons why ICU patients should be mobilized early. Intensive Care Med. 2017;43(1):86–90.

    Article  Google Scholar 

  5. Lipshutz A, et al. Acquired neuromuscular weakness and early mobilization in the intensive care unit. Anesthesiology. 2013;118:202–15.

    Article  Google Scholar 

  6. Hashem M, et al. Early mobilization and rehabilitation in the ICU: moving back to the future. Respir Care. 2016;61(7):971–9.

    Article  Google Scholar 

  7. Ambrosino N, et al. Rehabilitation, weaning and physical therapy strategies in chronic critically ill patients. Eur Respir J. 2012;39:487–92.

    Article  CAS  Google Scholar 

  8. Griffiths RD, et al. Effect of passive stretching on the wasting of muscle in the critically ill. Nutrition. 1995;11(5):428–32.

    CAS  PubMed  Google Scholar 

  9. Hruska P. Early mobilization of mechanically ventilated patients. Crit Care Nurs Clin North Am. 2016;28(4):413–24.

    Article  Google Scholar 

  10. Hodgson CL, Tipping CJ. Physiotherapy management of intensive care unit-acquired weakness. J Physiother. 2016;63:4–10.

    Article  Google Scholar 

  11. Berg H, et al. Lower limb skeletal muscle function after 6 wk of bed rest. J Appl Physiol. 1997;82:182–8.

    Article  CAS  Google Scholar 

  12. Maffiuletti N, et al. Neuromuscular electrical stimulation for preventing skeletal-muscle weakness and wasting in critically ill patients: a systematic review. BMC Med. 2013;11:137.

    Article  Google Scholar 

  13. Pandey D, et al. Role of electrical muscle stimulation (EMS) for treatment or prevention of ICU-associated weakness. J Nov Physiother. 2016;6:6.

    Article  Google Scholar 

  14. Zorowitz R. ICU–acquired weakness—a rehabilitation perspective of diagnosis, treatment, and functional management. Chest. 2016;150(4):966–71.

    Article  Google Scholar 

  15. Hough C, et al. Manual muscle strength testing of critically ill patients: feasibility and interobserver agreement. Crit Care. 2011;15:R43.

    Article  Google Scholar 

  16. Dunn H, et al. Mobilization of prolonged mechanical ventilation patients: an integrative review. Heart Lung. 2017;46(4):221–33.

    Article  Google Scholar 

  17. Sommers J, et al. Physical therapy in the intensive care unit: an evidence based, expert driven, practical statement and rehabilitation recommendations. Clin Rehabil. 2015;29:1051–63.

    Article  Google Scholar 

  18. Gosselink R. Physiotherapy in the intensive care unit. Neth J Crit Care. 2011;15(2):66–75.

    Google Scholar 

  19. Jolliet P, et al. Effects of the prone position on gas exchange and hemodynamics in severe acute respiratory distress syndrome. Crit Care Med. 1998;26:1977–85.

    Article  CAS  Google Scholar 

  20. Vitacca M, et al. Physiological responses to arm exercise in difficult to wean patients with chronic obstructive pulmonary disease. Intensive Care Med. 2006;32(8):1159–66.

    Article  Google Scholar 

  21. Van’t Hul A, et al. Training with inspiratory pressure support in patients with severe COPD. Eur Respir J. 2006;27(1):65–72.

    Article  Google Scholar 

  22. Hodgson CL, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Crit Care. 2014;18(6):658.

    Article  Google Scholar 

  23. Dubb R, et al. Barriers and strategies for early mobilization of patients in intensive care units. Ann Am Thorac Soc. 2016;13:724–30.

    Article  Google Scholar 

  24. Barawid E, et al. The benefits of rehabilitation for palliative care patients. Am J Hosp Palliat Med. 2015;32(1):34–43.

    Article  Google Scholar 

Download references

Conflicts of Interest

The authors state that there is no conflict of interest related to this manuscript.

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Pestana, É. (2020). Rehabilitation in Critical Illness and Palliative Care. In: Esquinas, A., Vargas, N. (eds) Ventilatory Support and Oxygen Therapy in Elder, Palliative and End-of-Life Care Patients . Springer, Cham. https://doi.org/10.1007/978-3-030-26664-6_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-26664-6_24

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26663-9

  • Online ISBN: 978-3-030-26664-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics