Physical therapy protocols to attenuate skeletal muscle atrophy in critically ill patients: narrative review

Translated title
Protocolos de terapia física para atenuar la atrofia del músculo esquelético en pacientes críticos: revisión narrativa

Abstract
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.
Reference
Guerra-Vega P, Cuyul-Vásquez I, Artigas-Arias M, Muñoz-Cofre R, Curi R, Marzuca-Nassr GN. Physical therapy protocols to attenuate skeletal muscle atrophy in critically ill patients: narrative review. Int. J. Morphol. 2022 Mar;40(3):640-649
Link to cite this reference
https://repositorio.butantan.gov.br/handle/butantan/4401
Issue Date
2022


Files in This Item:

Existing users please Login
art_16_403.pdf
Description:
Size: 339.17 kB
Format: Adobe PDF
Embargoed until January 1, 2999    Request a copy
Show full item record

The access to the publications deposited in this repository respects the licenses from journals and publishers.