Skip Navigation
Skip to contents

ACC : Acute and Critical Care

OPEN ACCESS
SEARCH
Search

Search

Page Path
HOME > Search
10 "rehabilitation"
Filter
Filter
Article category
Keywords
Publication year
Authors
Funded articles
Review Articles
Pulmonary
Prolonged intensive care: muscular functional, and nutritional insights from the COVID-19 pandemic
Miguel Ángel Martínez-Camacho, Robert Alexander Jones-Baro, Alberto Gómez-González, Dalia Sahian Lugo-García, Pía Carolina Gallardo Astorga, Andrea Melo-Villalobos, Bárbara Kassandra Gonzalez-Rodriguez, Ángel Augusto Pérez-Calatayud
Acute Crit Care. 2024;39(1):47-60.   Published online February 2, 2024
DOI: https://doi.org/10.4266/acc.2023.01284
  • 2,313 View
  • 175 Download
AbstractAbstract PDF
During the coronavirus disease 2019 (COVID-19) pandemic, clinical staff learned how to manage patients enduring extended stays in an intensive care unit (ICU). COVID-19 patients requiring critical care in an ICU face a high risk of experiencing prolonged intensive care (PIC). The use of invasive mechanical ventilation in individuals with severe acute respiratory distress syndrome can cause numerous complications that influence both short-term and long-term morbidity and mortality. Those risks underscore the importance of proactively addressing functional complications. Mitigating secondary complications unrelated to the primary pathology of admission is imperative in minimizing the risk of PIC. Therefore, incorporating strategies to do that into daily ICU practice for both COVID-19 patients and those critically ill from other conditions is significantly important.
Basic science and research
Brain–computer interface in critical care and rehabilitation
Eunseo Oh, Seyoung Shin, Sung-Phil Kim
Acute Crit Care. 2024;39(1):24-33.   Published online January 12, 2024
DOI: https://doi.org/10.4266/acc.2023.01382
  • 2,184 View
  • 167 Download
AbstractAbstract PDF
This comprehensive review explores the broad landscape of brain–computer interface (BCI) technology and its potential use in intensive care units (ICUs), particularly for patients with motor impairments such as quadriplegia or severe brain injury. By employing brain signals from various sensing techniques, BCIs offer enhanced communication and motor rehabilitation strategies for patients. This review underscores the concept and efficacy of noninvasive, electroencephalogram-based BCIs in facilitating both communicative interactions and motor function recovery. Additionally, it highlights the current research gap in intuitive “stop” mechanisms within motor rehabilitation protocols, emphasizing the need for advancements that prioritize patient safety and individualized responsiveness. Furthermore, it advocates for more focused research that considers the unique requirements of ICU environments to address the challenges arising from patient variability, fatigue, and limited applicability of current BCI systems outside of experimental settings.
Trauma
Mobilization phases in traumatic brain injury
Tommy Alfandy Nazwar, Ivan Triangto, Gutama Arya Pringga, Farhad Bal’afif, Donny Wisnu Wardana
Acute Crit Care. 2023;38(3):261-270.   Published online August 1, 2023
DOI: https://doi.org/10.4266/acc.2023.00640
  • 5,208 View
  • 291 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract PDF
Mobilization in traumatic brain injury (TBI) have shown the improvement of length of stay, infection, long term weakness, and disability. Primary damage as a result of trauma’s direct effect (skull fracture, hematoma, contusion, laceration, and nerve damage) and secondary damage caused by trauma’s indirect effect (microvasculature damage and pro-inflammatory cytokine) result in reduced tissue perfusion & edema. These can be facilitated through mobilization, but several precautions must be recognized as mobilization itself may further deteriorate patient’s condition. Very few studies have discussed in detail regarding mobilizing patients in TBI cases. Therefore, the scope of this review covers the detail of physiological effects, guideline, precautions, and technique of mobilization in patients with TBI.

Citations

Citations to this article as recorded by  
  • Acute orthostatic responses during early mobilisation of patients with acquired brain injury - Innowalk pro versus standing frame
    Matthijs F Wouda, Espen I Bengtson, Ellen Høyer, Alhed P Wesche, Vivien Jørgensen
    Journal of Rehabilitation and Assistive Technologies Engineering.2024;[Epub]     CrossRef
Original Article
Nursing
Improving mobility in the intensive care unit with a protocolized, early mobilization program: observations of a single center before-and-after the implementation of a multidisciplinary program
Laptin Ho, Joe Hin Cheung Tsang, Emmanuel Cheung, Wing Yan Chan, Ka Wai Lee, Sweetie R Lui, Chung Yau Lee, Alfred Lok Hang Lee, Philip Koon Ngai Lam
Acute Crit Care. 2022;37(3):286-294.   Published online June 29, 2022
DOI: https://doi.org/10.4266/acc.2021.01564
  • 8,541 View
  • 388 Download
  • 1 Web of Science
  • 2 Crossref
AbstractAbstract PDFSupplementary Material
Background
Early intensive care unit (ICU) protocolized rehabilitative programs have been described previously, yet with differing starting time points and mostly on mechanically ventilated patients. We extended the concept to all admitted ICU patients and investigate the efficacy of early mobilization in improving mobility of the critically ill, address issues surrounding the timing and intensity of an early rehabilitative program.
Methods
Prospective cohorts of patients admitted consecutively before-and-after (control, n=92; intervention, n=90) the introduction of an early mobilization program in a single center, general hospital ICU. Improvement in mobility as assessed by ICU mobility score, on ICU admission and upon ICU discharge, was measured as a primary outcome.
Results
Those receiving early mobilization in the intensive care unit had higher ICU mobility score (2.63; 95% confidence interval, 0.65–4.61; P<0.001) upon discharge from the intensive care, with earlier out of bed mobilization on day 5 compared to the control group of day 21 (P<0.001). No differences were found in terms of mortality, intensive care hospitalization and subsequent hospitalization duration after discharge from ICU.
Conclusions
Here, we report that improvement in mobility score earlier in the course of intensive care hospitalization with the introduction of a protocolized early rehabilitative program.

Citations

Citations to this article as recorded by  
  • Early Active Mobilization during Mechanical Ventilation in the ICU

    New England Journal of Medicine.2023; 388(6): 572.     CrossRef
  • Yoğun Bakım Hastası İçin Erken Mobilizasyonun Önemi
    Ebubekir KAPLAN, Aylin AKTAŞ ÖZAKGÜL, Özkan SİR
    Sakarya Üniversitesi Holistik Sağlık Dergisi.2023; 6(3): 510.     CrossRef
Guideline
Pharmacology
2021 KSCCM clinical practice guidelines for pain, agitation, delirium, immobility, and sleep disturbance in the intensive care unit
Yijun Seo, Hak-Jae Lee, Eun Jin Ha, Tae Sun Ha
Acute Crit Care. 2022;37(1):1-25.   Published online February 28, 2022
DOI: https://doi.org/10.4266/acc.2022.00094
Correction in: Acute Crit Care 2023;38(1):149
  • 16,844 View
  • 1,689 Download
  • 12 Web of Science
  • 23 Crossref
AbstractAbstract PDF
We revised and expanded the “2010 Guideline for the Use of Sedatives and Analgesics in the Adult Intensive Care Unit (ICU).” We revised the 2010 Guideline based mainly on the 2018 “Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption (PADIS) in Adult Patients in the ICU,” which was an updated 2013 pain, agitation, and delirium guideline with the inclusion of two additional topics (rehabilitation/mobility and sleep). Since it was not possible to hold face-to-face meetings of panels due to the coronavirus disease 2019 (COVID-19) pandemic, all discussions took place via virtual conference platforms and e-mail with the participation of all panelists. All authors drafted the recommendations, and all panelists discussed and revised the recommendations several times. The quality of evidence for each recommendation was classified as high (level A), moderate (level B), or low/very low (level C), and all panelists voted on the quality level of each recommendation. The participating panelists had no conflicts of interest on related topics. The development of this guideline was independent of any industry funding. The Pain, Agitation/Sedation, Delirium, Immobility (rehabilitation/mobilization), and Sleep Disturbance panels issued 42 recommendations (level A, 6; level B, 18; and level C, 18). The 2021 clinical practice guideline provides up-to-date information on how to prevent and manage pain, agitation/sedation, delirium, immobility, and sleep disturbance in adult ICU patients. We believe that these guidelines can provide an integrated method for clinicians to manage PADIS in adult ICU patients.

Citations

Citations to this article as recorded by  
  • Potentially inappropriate medications with older people in intensive care and associated factors: a historic cohort study
    Karina Sichieri, Danilo Donizetti Trevisan, Ricardo Luís Barbosa, Silvia Regina Secoli
    Sao Paulo Medical Journal.2024;[Epub]     CrossRef
  • Psychiatric Consults Associated With Longer Length of Stay in Trauma Patients—A Retrospective Study
    Sanjay Balijepalli, Kathryn Mansuri, Cindy Gonzalez, Oveys Mansuri
    Journal of Surgical Research.2024; 293: 46.     CrossRef
  • Sleep in the intensive and intermediate care units: Exploring related factors of delirium, benzodiazepine use and mortality
    Adrienne E. van der Hoeven, Denise Bijlenga, Ernst van der Hoeven, Mink S. Schinkelshoek, Floor W. Hiemstra, Laura Kervezee, David J. van Westerloo, Rolf Fronczek, Gert Jan Lammers
    Intensive and Critical Care Nursing.2024; 81: 103603.     CrossRef
  • Cross-cultural adaptation and validation of the Indonesian version of the Critical-care Pain Observation Tool
    Luthfi Fauzy Asriyanto, Nur Chayati
    International Journal of Nursing Sciences.2024; 11(1): 113.     CrossRef
  • Postoperative Psychoses in Patients with Brain Gliomas
    O. S. Zaitsev, N. P. Ilyaev, O. A. Maksakova
    Psikhiatriya.2024; 21(7): 65.     CrossRef
  • Liberation from mechanical ventilation in critically ill patients: Korean Society of Critical Care Medicine Clinical Practice Guidelines
    Tae Sun Ha, Dong Kyu Oh, Hak-Jae Lee, Youjin Chang, In Seok Jeong, Yun Su Sim, Suk-Kyung Hong, Sunghoon Park, Gee Young Suh, So Young Park
    Acute and Critical Care.2024; 39(1): 1.     CrossRef
  • Prevalence and risk factors of delirium of older adults after cardiac surgery at the intensive care unit: A retrospective study
    Jeong-Ok Ryu, Gwi-Ryung Son Hong
    Journal of Korean Gerontological Nursing.2024; 26(1): 113.     CrossRef
  • Factors that influence critical care nurses’ management of sedation for ventilated patients in critical care: A qualitative study
    Danielle Macpherson, Anastasia Hutchinson, Melissa J. Bloomer
    Intensive and Critical Care Nursing.2024; 83: 103685.     CrossRef
  • Content analysis of NOC outcomes related to mechanical ventilation in people with COVID-19
    Erika Silva de Sá, Aline Batista Maurício, Larissa Giardini Bruni, Larissa Gabrielle Dias Vieira, Vinicius Batista Santos, Agueda Maria Ruiz Zimmer Cavalcante, Alba Lucia Bottura Leite de Barros, Viviane Martins da Silva
    Revista da Escola de Enfermagem da USP.2024;[Epub]     CrossRef
  • Análise de conteúdo de resultados NOC relacionados à ventilação mecânica em pessoas com COVID-19
    Erika Silva de Sá, Aline Batista Maurício, Larissa Giardini Bruni, Larissa Gabrielle Dias Vieira, Vinicius Batista Santos, Agueda Maria Ruiz Zimmer Cavalcante, Alba Lucia Bottura Leite de Barros, Viviane Martins da Silva
    Revista da Escola de Enfermagem da USP.2024;[Epub]     CrossRef
  • From the Intensive Care Unit to Recovery: Managing Post-intensive Care Syndrome in Critically Ill Patients
    Mfonido Ekong, Tejbir Singh Monga, Jean Carlo Daher, Mutyala Sashank, Setareh Reza Soltani, Nkiruka Lauretta Nwangene, Cara Mohammed, Fellipe Feijo Halfeld, Leen AlShelh, Fernanda Ayumi Fukuya, Manju Rai
    Cureus.2024;[Epub]     CrossRef
  • End‐of‐life care in the intensive care unit
    M. Tanaka Gutiez, N. Efstathiou, R. Innes, V. Metaxa
    Anaesthesia.2023; 78(5): 636.     CrossRef
  • The Profile of Early Sedation Depth and Clinical Outcomes of Mechanically Ventilated Patients in Korea
    Dong-gon Hyun, Jee Hwan Ahn, Ha-Yeong Gil, Chung Mo Nam, Choa Yun, Jae-Myeong Lee, Jae Hun Kim, Dong-Hyun Lee, Ki Hoon Kim, Dong Jung Kim, Sang-Min Lee, Ho-Geol Ryu, Suk-Kyung Hong, Jae-Bum Kim, Eun Young Choi, JongHyun Baek, Jeoungmin Kim, Eun Jin Kim, T
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • The relationship between the PRE-DELIRIC score and the prognosis in COVID-19 ICU patients
    Bilge Banu Taşdemir Mecit
    Journal of Surgery and Medicine.2023; 7(5): 343.     CrossRef
  • Systemic Nonsteroidal Anti-Inflammatories for Analgesia in Postoperative Critical Care Patients: A Systematic Review and Meta-Analysis of Randomized Control Trials
    Chen Hsiang Ma, Kimberly B. Tworek, Janice Y. Kung, Sebastian Kilcommons, Kathleen Wheeler, Arabesque Parker, Janek Senaratne, Erika Macintyre, Wendy Sligl, Constantine J. Karvellas, Fernando G. Zampieri, Demetrios Jim Kutsogiannis, John Basmaji, Kimberle
    Critical Care Explorations.2023; 5(7): e0938.     CrossRef
  • Pain Control and Sedation in Neuro Intensive Critical Unit
    Soo-Hyun Park, Yerim Kim, Yeojin Kim, Jong Seok Bae, Ju-Hun Lee, Wookyung Kim, Hong-Ki Song
    Journal of the Korean Neurological Association.2023; 41(3): 169.     CrossRef
  • Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
    Yul Ha Lee, Hye-Ja Park
    Journal of Health Informatics and Statistics.2023; 48(3): 267.     CrossRef
  • Diagnostic Value of the Bispectral Index to Assess Sleep Quality after Elective Surgery in Intensive Care Unit
    Naricha Chirakalwasan, Pongpol Sirilaksanamanon, Thammasak Thawitsri, Somrat Charuluxananan
    Indian Journal of Critical Care Medicine.2023; 27(11): 795.     CrossRef
  • Sedation of patients in intensive care units. Guidelines
    V.I. Potievskaya, I.B. Zabolotskikh, I.E. Gridchik, A.I. Gritsan, A.A. Eremenko, I.A. Kozlov, A.L. Levit, V.A. Mazurok, I.V. Molchanov
    Anesteziologiya i reanimatologiya.2023; (5): 6.     CrossRef
  • Sedation for Patients with Sepsis: Towards a Personalised Approach
    José Miguel Marcos-Vidal, Rafael González, María Merino, Eva Higuera, Cristina García
    Journal of Personalized Medicine.2023; 13(12): 1641.     CrossRef
  • Performance, Knowledge, and Barrier Awareness of Medical Staff Regarding the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Critical Care Patients: A Cross-Sectional Study
    Hyo-Geun Song, Duckhee Chae, Sung-Hee Yoo
    Korean Journal of Adult Nursing.2023; 35(4): 379.     CrossRef
  • ICU-Induced Disability Persists With or Without COVID-19—This Is a Call for F to A Bundle Action*
    Heidi Engel
    Critical Care Medicine.2022; 50(11): 1665.     CrossRef
  • Actigraphy-Based Assessment of Sleep Parameters in Intensive Care Unit Patients Receiving Respiratory Support Therapy
    Jiyeon Kang, Yongbin Kwon
    Journal of Korean Critical Care Nursing.2022; 15(3): 115.     CrossRef
Review Article
Pulmonary
Pulmonary and Physical Rehabilitation in Critically Ill Patients
Myung Hun Jang, Myung-Jun Shin, Yong Beom Shin
Acute Crit Care. 2019;34(1):1-13.   Published online February 28, 2019
DOI: https://doi.org/10.4266/acc.2019.00444
  • 20,971 View
  • 1,245 Download
  • 36 Web of Science
  • 35 Crossref
AbstractAbstract PDF
Some patients admitted to the intensive care unit (ICU) because of an acute illness, complicated surgery, or multiple traumas develop muscle weakness affecting the limbs and respiratory muscles during acute care in the ICU. This condition is referred to as ICU-acquired weakness (ICUAW), and can be evoked by critical illness polyneuropathy (CIP), critical illness myopathy (CIM), or critical illness polyneuromyopathy (CIPNM). ICUAW is diagnosed using the Medical Research Council (MRC) sum score based on bedside manual muscle testing in cooperative patients. The MRC sum score is the sum of the strengths of the 12 regions on both sides of the upper and lower limbs. ICUAW is diagnosed when the MRC score is less than 48 points. However, some patients require electrodiagnostic studies, such as a nerve conduction study, electromyography, and direct muscle stimulation, to differentiate between CIP and CIM. Pulmonary rehabilitation in the ICU can be divided into modalities intended to remove retained airway secretions and exercise therapies intended to improve respiratory function. Physical rehabilitation, including early mobilization, positioning, and limb exercises, attenuates the weakness that occurs during critical care. To perform mobilization in mechanically ventilated patients, pretreatment by removing secretions is necessary. It is also important to increase the strength of respiratory muscles and to perform lung recruitment to improve mobilization in patients who are weaned from the ventilator. For these reasons, pulmonary rehabilitation is important in addition to physical therapy. Early recognition of CIP, CIM, and CIPNM and early rehabilitation in the ICU might improve patients’ functional recovery and outcomes.

Citations

Citations to this article as recorded by  
  • Novel Method for Sealing Tracheostomies Immediately after Decannulation—An Acute Clinical Feasibility Study
    Rasmus Ellerup Kraghede, Karen Juelsgaard Christiansen, Alexander Emil Kaspersen, Michael Pedersen, Johanne Juel Petersen, John Michael Hasenkam, Louise Devantier
    Biomedicines.2024; 12(4): 852.     CrossRef
  • Clinical impact of rehabilitation and ICU diary on critically ill patients: A systematic review and meta‐analysis
    Tomohiro Ishinuki, Ling Zhang, Keisuke Harada, Hiroomi Tatsumi, Nobuaki Kokubu, Yoshika Kuno, Kanon Kumasaka, Rina Koike, Toshio Ohyanagi, Hirofumi Ohnishi, Eichi Narimatsu, Yoshiki Masuda, Toru Mizuguchi
    Nursing in Critical Care.2023; 28(4): 554.     CrossRef
  • Enteral nutrition management in critically ill adult patients and its relationship with intensive care unit-acquired muscle weakness: A national cohort study
    Ignacio Zaragoza-García, Susana Arias-Rivera, María Jesús Frade-Mera, Joan Daniel Martí, Elisabet Gallart, Alicia San José-Arribas, Tamara Raquel Velasco-Sanz, Eva Blazquez-Martínez, Marta Raurell-Torredà, Sebastien Kenmoe
    PLOS ONE.2023; 18(6): e0286598.     CrossRef
  • THE EFFECTIVENESS OF PASSIVE EXERCISES ON ARTERIAL BLOOD GASES IN MECHANICALLY VENTILATED SUBJECTS FROM INTENSIVE CARE UNITS
    Delia-Claudia STAN, Iosif SANDOR
    Studia Universitatis Babeş-Bolyai Educatio Artis Gymnasticae.2023; 67(4): 183.     CrossRef
  • Pulmonary rehabilitation in the intensive care unit using surface electromyography in a patient with diaphragmatic injury: A case report
    Ho Jeong Shin, Myung Hun Jang, Myung Jun Shin, Jun Woo Lee
    Turkish Journal of Physical Medicine and Rehabilitation.2023; 69(2): 248.     CrossRef
  • Enhancing pulmonary function and arterial blood gas readings through immediate chest physiotherapy among extubated patients in ICU
    Fadia Ahmed Abdelkader Reshia, Basma Salameh, Nourah Alsadaan, Mohammed Alqahtani, Ahmad Ayed, Maysa Fareed Kassabry, Asmaa Ibrahem Abo Seada
    Journal of International Medical Research.2023;[Epub]     CrossRef
  • The effects of respiratory exercises on partial pressures of gases and anxiety in the acute phase of COVID-19 infection
    Vesna Grbovic, Natasa Markovic, Predrag Bogojevic, Jovana Nikolic, Jelena Milosevic, Stefan Simovic, Ivan Cekerevac, Aleksandra Jurišić-Škevin, Nebojša Zdravkovic, Sara Mijailovic, Natasa Zdravkovic
    Physiotherapy Theory and Practice.2022; 38(13): 2736.     CrossRef
  • Reliability and validity of the Korean version of the Functional Status Score for the ICU after translation and cross-cultural adaptation
    Jong Geol Do, Gee Young Suh, Yu Hui Won, Won Hyuk Chang, Stephanie Hiser, Dale M. Needham, Chi Ryang Chung
    Disability and Rehabilitation.2022; 44(24): 7528.     CrossRef
  • The Investigation of Pulmonary Function Changes of COVID-19 Patients in Three Months
    Lingyan Ye, Guifei Yao, Shuangxiang Lin, Yicheng Fang, Xi Chen, Liangxing Wang, Susu He, Gu Xiaoqing
    Journal of Healthcare Engineering.2022; 2022: 1.     CrossRef
  • Intensive care‐related cognitive impairment: A biopsychosocial overview
    Jamie L. Tingey, Nickolas A. Dasher, Aaron E. Bunnell, Amy J. Starosta
    PM&R.2022; 14(2): 259.     CrossRef
  • Awakening in extracorporeal membrane oxygenation as a bridge to lung transplantation
    Su Hwan Lee
    Acute and Critical Care.2022; 37(1): 26.     CrossRef
  • The impact of physical medicine and rehabilitation consultation on clinical outcomes in the surgical intensive care unit
    Onuma Chaiwat, Benjaporn Sathitkarnmanee, Piyapat Dajpratham, Chayanan Thanakiattiwibun, Sunit Jarungjitaree, Suchera Rattanamung
    Medicine.2022; 101(9): e28990.     CrossRef
  • Role of Physiotherapyin Respiratory Rehabilitation and Managing COVID-19 Patients in All Stages of the Disease
    Petty Miyanda
    Journal of Preventive and Rehabilitative Medicine.2022; 4(1): 21.     CrossRef
  • The validity, reliability and feasibility of four instruments for assessing the consciousness of stroke patients in a neurological intensive care unit compared
    Xiaoxiang Yan, Lingjun Xiao, Meixin Liao, Jiajian Huang, Zhijie He, Tiebin Yan
    BMC Medical Research Methodology.2022;[Epub]     CrossRef
  • Functional assessment and rehabilitation protocol in acute patients affected by SARS-CoV-2 infection hospitalized in the Intensive Care Unit and in the Medical Care Unit
    Susanna RICOTTI, Lucia PETRUCCI, Gabriella CARENZIO, Ettore CARLISI, Giuseppe DI NATALI, Annalisa DE SILVESTRI, Claudio LISI
    European Journal of Physical and Rehabilitation Medicine.2022;[Epub]     CrossRef
  • Therapeutic Potential of Electromyostimulation (EMS) in Critically Ill Patients—A Systematic Review
    Maryam Balke, Marc Teschler, Hendrik Schäfer, Pantea Pape, Frank C. Mooren, Boris Schmitz
    Frontiers in Physiology.2022;[Epub]     CrossRef
  • Efficacy of Physiotherapy Interventions on Weaning in Mechanically Ventilated Critically Ill Patients: A Systematic Review and Meta-Analysis
    Lorenzo Lippi, Alessandro de Sire, Francesco D’Abrosca, Biagio Polla, Nicola Marotta, Luigi Mario Castello, Antonio Ammendolia, Claudio Molinari, Marco Invernizzi
    Frontiers in Medicine.2022;[Epub]     CrossRef
  • Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure
    Haijin Lv, Haiqing Zheng, Jianrong Liu, Qing Cai, Yuji Ren, Huimin Yi, Yang Yang, Xiquan Hu, Guihua Chen
    Liver Research.2022; 6(3): 121.     CrossRef
  • Case report: Personalized adapted motor activity in a COVID-19 patient complicated by critical illness polyneuropathy and myopathy
    Oscar Crisafulli, Marta Baroscelli, Luca Grattarola, Giuseppe Tansini, Cristian Zampella, Giuseppe D’Antona
    Frontiers in Physiology.2022;[Epub]     CrossRef
  • Letter to the Editor: Comparison Between Inspiratory Muscle Training and Early Mobilization on Weaning of Mechanical Ventilation
    Rodrigo Torres-Castro, Gonzalo Rivera-Lillo, Jordi Vilaró, Homero Puppo
    Archives of Physical Medicine and Rehabilitation.2021; 102(3): 556.     CrossRef
  • The Feasibility of High-Intensity Interval Training in Patients with Intensive Care Unit-Acquired Weakness Syndrome Following Long-Term Invasive Ventilation
    Simon Wernhart, Jürgen Hedderich, Svenja Wunderlich, Kunigunde Schauerte, Eberhard Weihe, Dominic Dellweg, Karsten Siemon
    Sports Medicine - Open.2021;[Epub]     CrossRef
  • Could Physical Therapy Interventions Be Adopted in the Management of Critically Ill Patients with COVID-19? A Scoping Review
    Carlos Bernal-Utrera, Ernesto Anarte-Lazo, Juan Jose Gonzalez-Gerez, Elena De-La-Barrera-Aranda, Manuel Saavedra-Hernandez, Cleofas Rodriguez-Blanco
    International Journal of Environmental Research and Public Health.2021; 18(4): 1627.     CrossRef
  • Feasibility of subacute rehabilitation for mechanically ventilated patients with COVID-19 disease: a retrospective case series
    Simone Pancera, Luca N. C. Bianchi, Roberto Porta, Silvia Galeri, Maria Chiara Carrozza, Jorge H. Villafañe
    International Journal of Rehabilitation Research.2021; 44(1): 77.     CrossRef
  • Clinical Characteristics and Early Interventional Responses in Patients with Severe COVID-19 Pneumonia
    Susu He, Lina Fang, Lingzhen Xia, Shuangxiang Lin, Junhui Ye, Dinghai Luo, Kaijian Xia
    Computational and Mathematical Methods in Medicine.2021; 2021: 1.     CrossRef
  • Step-by-step inpatient rehabilitation for critical illness after coronavirus disease 2019
    Dae-Won Gwak, Jong-Moon Hwang
    Medicine.2021; 100(23): e26317.     CrossRef
  • The Effect of Physical Therapy on Regional Lung Function in Critically Ill Patients
    Christine Eimer, Katharina Freier, Norbert Weiler, Inéz Frerichs, Tobias Becher
    Frontiers in Physiology.2021;[Epub]     CrossRef
  • Post–Intensive Care Syndrome in Covid-19 Patients Discharged From the Intensive Care Unit
    Sevda Gardashkhani, Mehdi Ajri-Khameslou, Mehdi Heidarzadeh, SeyedMohammad Rajaei Sedigh
    Journal of Hospice & Palliative Nursing.2021; 23(6): 530.     CrossRef
  • The Role of Physical Therapy in the Intensive Care Unit
    Zofia Kosson, Marek Paśnicki, Marcin Kołacz
    Emergency Medical Service.2021; 8(3): 171.     CrossRef
  • Rehabilitación pulmonar en fase hospitalaria y ambulatoria
    N. Carvajal Tello, A. Segura Ordoñez, A.J. Arias Balanta
    Rehabilitación.2020; 54(3): 191.     CrossRef
  • Guidance for the management of adult patients with coronavirus disease 2019
    Jie-Ming Qu, Chen Wang, Bin Cao
    Chinese Medical Journal.2020; 133(13): 1575.     CrossRef
  • Recommendations for respiratory rehabilitation in adults with coronavirus disease 2019
    Hong-Mei Zhao, Yu-Xiao Xie, Chen Wang
    Chinese Medical Journal.2020; 133(13): 1595.     CrossRef
  • Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience
    Renato Fraga Righetti, Mirian Akemi Onoue, Flavia Vanessa Aurea Politi, Débora Trigo Teixeira, Patricia Nery de Souza, Claudia Seiko Kondo, Eliana Vieira Moderno, Igor Gutierrez Moraes, Ana Lígia Vasconcellos Maida, Laerte Pastore, Felipe Duarte Silva, Ch
    Clinics.2020; 75: e2017.     CrossRef
  • Approach to critical illness myopathy and polyneuropathy in the older SARS-CoV-2 patients
    Brendan McClafferty, Ibrahim Umer, Gary Fye, Douglas Kepko, Ricci Kalayanamitra, Zainab Shahid, Devyani Ramgobin, Alice Cai, Andrew Groff, Abani Bhandari, Chander Shekher Aggarwal, Ravi Patel, Dhirisha Bhatt, Hyma Polimera, Nitasa Sahu, Ramarao Vunnam, Re
    Journal of Clinical Neuroscience.2020; 79: 241.     CrossRef
  • COVID-19 Pandemic: A Physiotherapy Update
    Paolo Pedersini, Jorge Hugo Villafañe, Camilo Corbellini, Marcos Roberto Tovani-Palone
    Electronic Journal of General Medicine.2020; 18(1): em264.     CrossRef
  • Muscle weakness assessment in older intensive care unit patients
    Amanda Colombo Peteck Lopes, Paulo Henrique Coltro, Vagner José Lopes, Sandra Mari Pistore Fiori, Jaqueline Santana Knapik, Tatiane Caroline Boumer
    Geriatrics, Gerontology and Aging.2020; 14(3): 166.     CrossRef
Case Report
Pulmonary
Central extracorporeal membrane oxygenation and early rehabilitation for persistent severe pulmonary hypertension following pulmonary endarterectomy
Gil Myeong Seong, Sang-Bum Hong, Jin Won Huh, Chae-Man Lim, Younsuck Koh, Jae Won Lee, Sung-Ho Jung, Duck-Woo Park, Jae Seung Lee
Acute Crit Care. 2019;34(2):158-164.   Published online November 7, 2018
DOI: https://doi.org/10.4266/acc.2016.01032
  • 5,963 View
  • 122 Download
  • 1 Web of Science
  • 2 Crossref
AbstractAbstract PDF
Chronic thromboembolic pulmonary hypertension is potentially curable with a pulmonary endarterectomy. However, approximately 20% of patients have persistent pulmonary hypertension after pulmonary endarterectomy, which is a major risk factor for postoperative death. Here, we report a 34-year-old woman who suffered persistent severe pulmonary hypertension following a successful pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. Extracorporeal membrane oxygenation (ECMO) and atrial septostomy were successfully performed as rescue treatments, and active rehabilitation during ECMO was prescribed to facilitate recovery.

Citations

Citations to this article as recorded by  
  • Transatrial balloon atrial septostomy to facilitate weaning off venoarterial ECMO after pulmonary endarterectomy
    Koray Ak, Gökhan Arslanhan, Yakup Tire, Sinan Tosun, Alper Kararmaz, İsmail Hanta, Bedrettin Yıldızeli
    The International Journal of Artificial Organs.2022; 45(10): 883.     CrossRef
  • Cardiac Rehabilitation in Heart Failure
    Kyeong-hyeon Chun, Seok-Min Kang
    International Journal of Heart Failure.2021; 3(1): 1.     CrossRef
Original Article
Pulmonary
Feasibility of Immediate in-Intensive Care Unit Pulmonary Rehabilitation after Lung Transplantation: A Single Center Experience
Joo Han Song, Ji-Eun Park, Sang Chul Lee, Sarang Kim, Dong Hyung Lee, Eun Kyoung Kim, Song Yee Kim, Ji Cheol Shin, Jin Gu Lee, Hyo Chae Paik, Moo Suk Park
Acute Crit Care. 2018;33(3):146-153.   Published online August 31, 2018
DOI: https://doi.org/10.4266/acc.2018.00129
  • 6,854 View
  • 145 Download
  • 4 Web of Science
  • 2 Crossref
AbstractAbstract PDF
Background
Physical function may influence perioperative outcomes of lung transplantation. We investigated the feasibility of a pulmonary rehabilitation program initiated in the immediate postoperative period at an intensive care unit (ICU) for patients who underwent lung transplantation.
Methods
We retrospectively evaluated 22 patients who received pulmonary rehabilitation initiated in the ICU within 2 weeks after lung transplantation at our institution from March 2015 to February 2016. Levels of physical function were graded at the start of pulmonary rehabilitation and then weekly throughout rehabilitation according to criteria from our institutional pulmonary rehabilitation program: grade 1, bedside (G1); grade 2, dangling (G2); grade 3, standing (G3); and grade IV, gait (G4).
Results
The median age of patients was 53 years (range, 25 to 73 years). Fourteen patients (64%) were males. The initial level of physical function was G1 in nine patients, G2 in seven patients, G3 in four patients, and G4 in two patients. Patients started pulmonary rehabilitation at a median of 7.5 days (range, 1 to 29 days) after lung transplantation. We did not observe any rehabilitation-related complications during follow-up. The final level of physical function was G1 in six patients, G3 in two patients, and G4 in 14 patients. Fourteen of the 22 patients were able to walk with or without assistance, and 13 of them maintained G4 until discharge; the eight remaining patients never achieved G4.
Conclusions
Our results suggest the feasibility of early pulmonary rehabilitation initiated in the ICU within a few days after lung transplantation.

Citations

Citations to this article as recorded by  
  • Post-operative, inpatient rehabilitation after lung transplant evaluation (PIRATE): A feasibility randomized controlled trial
    Benjamin J Tarrant, Elizabeth Quinn, Rebecca Robinson, Megan Poulsen, Louise Fuller, Greg Snell, Bruce R Thompson, Brenda M Button, Anne E Holland
    Physiotherapy Theory and Practice.2023; 39(7): 1406.     CrossRef
  • Early Gait Function After Lung Transplantation in Patients With and Without Pretransplant Extracorporeal Membrane Oxygenation Support
    Junghwa Do, Hyojin Lim, Kyung Cheon Seo, Suyoung Park, HyeRin Joo, Junghoon Lee, Eunjae Ko, Jaehwal Lim, Ho Cheol Kim, Dongkyu Oh, Sang-Bum Hong, Won Kim
    Transplantation Proceedings.2023; 55(3): 616.     CrossRef
Case Report
Surgery
Critical Illness Neuromyopathy Complicating Cardiac Surgery
Wan Ki Baek, Young Sam Kim, Joung Taek Kim, Byoung-Nam Yoon
Acute Crit Care. 2018;33(1):51-56.   Published online July 11, 2017
DOI: https://doi.org/10.4266/acc.2016.00255
  • 6,285 View
  • 151 Download
  • 2 Crossref
AbstractAbstract PDF
Critical illness neuromyopathy (CINM) is a sporadically reported disease in the setting of an intensive care unit developing in the process of managing a critical illness. The disease primarily affects the motor and sensory axons and results in severe limb weakness rendering ventilator weaning extremely difficult. We report a case of CINM after cardiac valve surgery. Quadriplegia developed after the operation and resolved slowly over the following 2 months. The patient was discharged home free of neurologic symptoms.

Citations

Citations to this article as recorded by  
  • Quadriplegia after Mitral Valve Replacement in an Infective Endocarditis Patient with Cervical Spine Spondylitis
    Ji Min Lee, Seon Yeong Heo, Dong Kyu Kim, Jong Pil Jung, Chang Ryul Park, Yong Jik Lee, Gwan Sic Kim
    Journal of Chest Surgery.2021; 54(3): 218.     CrossRef
  • Perforated Toxic Megacolon: The Dreaded Complication in IBD
    Kanmani Murugesu, PremanandanN Sivadasan, Michael Arvind, WilsonLiew Wei Xin
    World Journal of Colorectal Surgery.2020; 9(4): 70.     CrossRef
Original Article
Neurology
The Effect of Electrical Muscle Stimulation and In-bed Cycling on Muscle Strength and Mass of Mechanically Ventilated Patients: A Pilot Study
Kyeongyoon Woo, Jeongmin Kim, Hye Bin Kim, Hyunwoo, Choi, Kibum Kim, Donghyung Lee, Sungwon Na
Acute Crit Care. 2018;33(1):16-22.   Published online February 14, 2017
DOI: https://doi.org/10.4266/acc.2017.00542
  • 9,413 View
  • 340 Download
  • 11 Web of Science
  • 10 Crossref
AbstractAbstract PDF
Background
Critically ill patients experience muscle weakness, which leads to functional disability. Both functional electrical stimulation (FES) and in-bed cycling can be an alternative measure for intensive care unit (ICU) patients who are not feasible for active exercise. The aim of this study was to examine whether FES and in-bed cycling have a positive effect on muscle mass in ICU patients.
Methods
Critically ill patients who received mechanical ventilation for at least 24 hours were included. After passive range of motion exercise, in-bed cycling was applied for 20 minutes, and FES was applied for 20 minutes on the left leg. The right leg received in-bed cycling and the left leg received both FES and in-bed cycling. Thigh circumferences and rectus femoris cross-sectional area (CSA) were assessed with ultrasonography before and after the intervention. Muscle strength was assessed by Medical Research Council scale.
Results
A total of 10 patients were enrolled in this study as a pilot study. Before and after the intervention, the CSA of right rectus femoris increased from 5.08 ± 1.51 cm2 to 6.01 ± 2.21 cm2 , which was statistically significant (P = 0.003). The thigh circumference was also increased and statistically significant (P = 0.006). There was no difference between left and right in regard to FES application. There is no significant change in muscle strength before and after the intervention (right and left, P = 0.317 and P = 0.368, respectively).
Conclusions
In-bed cycling increased thigh circumferences rectus femoris CSA. Adding FES did not show differences.

Citations

Citations to this article as recorded by  
  • Ultrasound for measurement of skeletal muscle mass quantity and muscle composition/architecture in critically ill patients: A scoping review on studies' aims, methods, and findings
    Júlia Lima, Estéfani Foletto, Rafaella C.B. Cardoso, Charlles Garbelotto, Aline P. Frenzel, Juliana U. Carneiro, Larissa S. Carpes, Thiago G. Barbosa-Silva, Maria Cristina Gonzalez, Flávia M. Silva
    Clinical Nutrition.2024; 43(1): 95.     CrossRef
  • Current Concepts in Early Mobilization of Critically Ill Patients Within the Context of Neurologic Pathology
    Thaís Ferreira Lopes Diniz Maia, Paulo André Freire Magalhães, Dasdores Tatiana Silva Santos, Jorge Luiz de Brito Gomes, Paulo Adriano Schwingel, Aline de Freitas Brito
    Neurocritical Care.2024;[Epub]     CrossRef
  • Human skeletal muscle size with ultrasound imaging: a comprehensive review
    Masatoshi Naruse, Scott Trappe, Todd A. Trappe
    Journal of Applied Physiology.2022; 132(5): 1267.     CrossRef
  • Assisted mobilisation in critical patients with COVID-19
    M. Polastri, F. Daniele, F. Tagariello
    Pulmonology.2021;[Epub]     CrossRef
  • Rehabilitation Therapy after the COVID-19 Era: Focused on Cardiopulmonary Rehabilitation
    Hyung Ik Shin
    Annals of CardioPulmonary Rehabilitation.2021; 1(1): 17.     CrossRef
  • Rehabilitation Programs for Bedridden Patients with Prolonged Immobility: A Scoping Review Protocol
    Vitor Parola, Hugo Neves, Filipa Margarida Duque, Rafael A. Bernardes, Remy Cardoso, Carla A. Mendes, Liliana B. Sousa, Paulo Santos-Costa, Cândida Malça, Rúben Durães, Pedro Parreira, João Apóstolo, Arménio Cruz
    International Journal of Environmental Research and Public Health.2021; 18(22): 12033.     CrossRef
  • Non-paretic lower limb muscle wasting during acute phase is associated with dependent ambulation in patients with stroke
    Masafumi Nozoe, Masashi Kanai, Hiroki Kubo, Miho Yamamoto, Shinichi Shimada, Kyoshi Mase
    Journal of Clinical Neuroscience.2020; 74: 141.     CrossRef
  • Intensive Care Unit-Acquired Weakness: Not Just Another Muscle Atrophying Condition
    Heta Lad, Tyler M. Saumur, Margaret S. Herridge, Claudia C. dos Santos, Sunita Mathur, Jane Batt, Penney M. Gilbert
    International Journal of Molecular Sciences.2020; 21(21): 7840.     CrossRef
  • Problems with Rehabilitation for Critically ill Patients
    Masaji Nishimura
    The Japanese Journal of Rehabilitation Medicine.2019; 56(1): 48.     CrossRef
  • Exploring the Potential Effectiveness of Combining Optimal Nutrition With Electrical Stimulation to Maintain Muscle Health in Critical Illness: A Narrative Review
    Selina M. Parry, Lee‐anne S. Chapple, Marina Mourtzakis
    Nutrition in Clinical Practice.2018; 33(6): 772.     CrossRef

ACC : Acute and Critical Care