Article

Patients admitted to the intensive care unit (ICU) can develop a condition
referred to as "ICU-acquired weakness." This condition is characterized by
profound weakness that is greater than might be expected to result from prolonged
bed rest. Intensive care unit-acquired weakness often is accompanied by
dysfunction of multiple organ systems. Individuals with ICU-acquired weakness
typically have significant activity limitations, often requiring physical
assistance for even the most basic activities associated with bed mobility. Many
of these individuals have activity limitations months to years after
hospitalization. The purpose of this article is to review evidence that guides
physical rehabilitation of people with ICU-acquired weakness. Included are
diagnostic criteria, medical management, and prognostic indicators, as well as
criteria for beginning physical rehabilitation, with an emphasis on patient
safety. Data are presented indicating that rehabilitation can be implemented with
very few adverse effects. Evidence is provided for appropriate measurement
approaches and for physical intervention strategies. Finally, some of the key
issues are summarized that should be investigated to determine the best
intervention guidelines for individuals with ICU-acquired weakness.

Langue : ANGLAIS