![]() ![]() Even five years after hospital discharge, ICU survivors still report decreased capacity to perform vigorous exercise, as compared to their premorbid condition prior to critical illness. Following hospital discharge, ICU survivors have persistent functional impairment and decreased quality of life, attributed to proximal weakness, loss of muscular mass, and fatigue. ![]() Due to the nature of critical illness, medications (e.g., sedation) and devices (e.g., continuous renal replacement therapy) used in the ICU, patients spend a great amount of time immobilized in bed, leading to physical deconditioning and loss of functionality. Intensive care units (ICUs) and multi-disciplinary team management have evolved improving the survival of critically ill patients, but these patients still suffer from functional impairments after ICU discharge. (2014) Feasibility and safety of early combined cognitive and physical therapy for critically ill medical and surgical patients: the Activity and Cognitive Therapy in ICU (ACT-ICU) trial. Brummel NE, Girard TD, Ely EW, Pandharipande PP, Morandi A, et al. (2013) Exercise rehabilitation for patients with critical illness: a randomized controlled trial with 12 months follow up. Denehy L, Skinner EH, Edbrooke L, Haines K, Warrillow S, et al. Hanekom SD, Louw Q, Coetzee A (2012) The way in which a physiotherapy service is structured can improve patient outcome from a surgical intensive care: a controlled clinical trial. (2010) Electrical muscle stimulation prevents critical illness polyneuromyopathy: a randomized parallel intervention trial with consumer summary]. Routsi C, Gerovasili V, Vasileiadis I, Karatzanos E, Pitsolis T, et al. (2009) Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik AJ, et al. (2009) Early exercise in critically ill patients enhances short-term functional recovery. Burtin C, Clerckx B, Robbeets C, Ferdinande P, Langer D, et al. Nava S (1998) Rehabilitation of patients admitted to a respiratory intensive care unit. GUID: 6DB178B8-A473-4174-9E0A-2A1C08872EF5 Data Availability StatementÄata are from different studies whose authors may be contacted at their personal email addresses. ![]()
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