Article

Critical illness polyneuropathy and myopathy (CIPNM) frequently develops in
patients hospitalized in intensive care units. The number of patients with CIPNM
admitted to inpatient rehabilitation is increasing.
The aim of this study was to
comprehensively evaluate the outcome of their rehabilitation. Twenty-seven
patients with CIPNM were included in the study. The diagnosis was established
clinically and confirmed electrophysiologically. Manual muscle testing was used
for the assessment of function. Activity was assessed using the functional
independence measure and two walking tests. The patients were also assessed using
an adapted International Classification of Functioning, Disability and Health
(ICF) checklist. All assessments were performed at admission and discharge.
Clinically important and statistically significant improvements were found in all
observed measures. High and significant correlations were found between the
measures, except between muscle strength and the results of walking tests.
Improvement in body functions during rehabilitation decreased as the time from
established diagnosis to the start of rehabilitation increased, but it was not
related to rehabilitation duration. Improvements in terms of the ICF mainly
corresponded to the gain in functional independence measure scores. Major
improvement regarding body functions and activities/participation was achieved in
patients with CIPNM with a relatively short rehabilitation. Rehabilitation of
such patients should start as early as possible once the diagnosis has been
established. Comprehensive assessment of such patients combining established
scales, objective clinical tests, and the ICF is recommended.

Langue : ANGLAIS