Repositorio
Institucional

Nasri Marzuca-Nassr, Gabriel

Guerra-Vega, Pablo

Cuyul-Vasquez, Ivan

Artigas-Arias, Macarena

Munoz-Cofre, Rodrigo

Curi, Rui

Physical Therapy Protocols to Attenuate Skeletal Muscle Atrophy in Critically ill Patients: Narrative Review

SOC CHILENA ANATOMIA

INTERNATIONAL JOURNAL OF MORPHOLOGY

en

To describe the physical therapy protocols used in critically ill patients to attenuate skeletal muscle atrophy. We conducted a search in PubMed and Embase from inception to November 2020. Observational or experimental studies published in English or Spanish that evaluated the effect of physical therapy protocols on the attenuation of skeletal muscle atrophy in critically ill patients through muscle strength or mass measurement were considered eligible. Studies were only included if they reported a detailed description of the dosing of the interventions. Seventeen studies met the eligibility criteria. We included randomised clinical trials (n = 16) and observational studies (n = 1). The total population of the included studies was 872 critically ill patients. The studies aimed to evaluate the reliability, safety or effectiveness of neuromuscular electrical stimulation (n = 10) protocols, early mobilisation (n = 3), ergometer training (n = 2), transfers in tilt table (n = 1), and blood flow restriction (n = 1). Physical therapy protocols are part of the critically ill patient's integral management. Strategies such as passive mobilisation, in-bed and out-of-bed transfers, gait training, ergometer training, and neuromuscular electrical stimulation substantially impact critically ill patients' prognoses and quality of life after hospital discharge.

artículo de revisión

Thanks to Dr. Helen M. Lowry for proofreading the article. Research received financial support from ANID FONDECYT -Chile (Grant Number 11180949) and Direccion de Investigacion (DIUFRO) of the Universidad de La Frontera (Grant Number DI21-0076). RC received financial support from FAPESP, CNPq, and CAPES during the preparation of this study.

Gracias a la Dra. Helen M. Lowry por corregir el artículo. La investigación recibió apoyo financiero de ANID FONDECYT -Chile (Subvención Número 11180949) y Dirección de Investigación (DIUFRO) de la Universidad de La Frontera (Subvención Número DI21-0076). RC recibió apoyo financiero de la FAPESP, el CNPq y la CAPES durante la preparación de este estudio.

10.4067/S0717-95022022000300640

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Bed Rest

Intensive Care Unit

Mechanical Ventilation

Muscular Atrophy

Physical Therapy

Rehabilitation

INTENSIVE-CARE-UNIT

NEUROMUSCULAR ELECTRICAL-STIMULATION

EARLY MOBILIZATION

EARLY REHABILITATION

ACQUIRED WEAKNESS

CRITICAL ILLNESS

BED REST

FUNCTIONAL RECOVERY

PHYSIOTHERAPY

HEALTH

Anatomía y Morfología

Reposo en cama

Unidad de cuidados intensivos

Ventilación mecánica

Atrofia muscular

Fisioterapia

Rehabilitación

UNIDAD DE CUIDADOS INTENSIVOS

ESTIMULACIÓN ELÉCTRICA NEUROMUSCULAR

MOVILIZACIÓN TEMPRANA

REHABILITACIÓN TEMPRANA

DEBILIDAD ADQUIRIDA

ENFERMEDAD CRÍTICA

RESTINO EN CAMA

RECUPERACIÓN FUNCIONAL

FISIOTERAPIA

SALUD

Medicina de Emergencia y de Cuidados Críticos

Otros Temas de Medicina Clínica

Fisiología

Physical Therapy Protocols to Attenuate Skeletal Muscle Atrophy in Critically ill Patients: Narrative Review

640

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artículo de revisión

version publicada

CC BY-NC 4.0

CC BY-NC 4.0

acceso abierto

acceso abierto

ANID-FONDECYT 11180949

DIUFRO DI21-0076

ANID FONDECYT 11180949

WOS:000830996700016