Methods of strengthening peripheral skeletal muscles in patients in the ICU

Postgraduate Thesis uoadl:2875508 130 Read counter

Κατεύθυνση Καρδιοπνευμονική Αποκατάσταση και Αποκατάσταση Πασχόντων ΜΕΘ
Library of the School of Health Sciences
Deposit date:
Valasiadis Georgios
Supervisors info:
Σπυρίδων Ζακυνθινός, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Σπυρίδων Μεντζελόπουλος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αντωνία Κουτσούκου, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Μέθοδοι ενίσχυσης της δύναμης των περιφερικών σκελετικών μυών σε ασθενείς στη ΜΕΘ
Translated title:
Methods of strengthening peripheral skeletal muscles in patients in the ICU
Patients hospitalized in the ICU exhibit a syndrome described as Inten-sive Care Unit Acquired Weakness (ICUAW), a syndrome manifested by intense muscle weakness which results in both prolonging their resi-dence time in the ICU and their hospitalization time, as well as the delay or even the inability to return to work and to their daily life. The effects of ICUAW syndrome may last for months or even years after leaving the hospital. The management of ICUAW syndrome is symptomatic. An effort is made to keep patients as low as possible under mechanical ventilation, to take as few drugs as possible and to adjust their blood sugar levels. Bed ridden as well as mandatory restraint are additional aggravating fac-tors for the onset of the syndrome. Physiotherapists are responsible to prevent the appearance of the syndrome. Early mobilization and kinesio-therapy, Neuromuscular Electrical Stimulation (NMES) and the avoidance of as many as possible predisposing factors are the basic defense. Kine-siotherapy and mobilization have been shown to improve patient func-tionality and dyspnea. The stretching helps to maintain good muscle fiber state. Kinesitherapy and mobilization help reduce oxidative stress and the secretion of anti-inflammatory substances, prevent muscle shrinkage, muscle weakness and joints deformities. Kinesiotherapy and mobilization should always be done with respect to the patient's overall condition. The NMES application appears to have benefits but requires further investiga-tion of the parameters used, the different effect it has when it is totally passive or whether the patient is involved, its systemic effects in cellular level and which patients are most likely to benefit from it depending on the disease they suffer from
Main subject category:
Health Sciences
ICU aquired weakness, Skeletal muscles, Early mobilization, NMES
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