neuroreha 2013; 5(01): 21-25
DOI: 10.1055/s-0033-1337345
Schwerpunkt CIP – Critical-Illness-Polyneuropathie
Georg Thieme Verlag KG Stuttgart · New York

Therapieansätze bei auf Intensivstation erworbenen Schwächesyndrom

Jan Mehrholz
,
Simone Mückel
,
Katja Mehrholz
,
Marcus Pohl
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
28. Februar 2013 (online)

Zusammenfassung

Menschen mit einem auf Intensivstation erworbenen Schwächesyndrom befinden sich in einem besonderen Zustand als Folge der Intensivmedizin. Die Behandlung dieser Patienten findet mittlerweile nicht nur auf Intensivstationen statt, sondern auch auf Normalstationen und in neurologischen Rehabilitationskliniken. Zukünftig wird es immer mehr Menschen mit ITS-erworbenem Schwächesyndrom geben. Therapeuten in der Neurorehabilitation brauchen ein passendes Behandlungskonzept dieses komplexen Krankheitsbildes.

 
  • Literatur

  • 1 Bailey P, Thomsen GE, Spuhler VJ et al. Early activity is feasible and safe in respiratory failure patients. Crit Care Med 2007; 1: 139-145
  • 2 Burtin C, Clerckx B, Robbeets C et al. Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med 2009; 9: 2499-2505
  • 3 Doherty N, Steen CD. Critical illness polyneuromyopathy (CIPNM); rehabilitation during critical illness. Therapeutic options in nursing to promote recovery: a review of the literature Intensive Crit Care Nurs 2010; 6: 353-362
  • 4 Fan E. Critical illness neuromyopathy and the role of physical therapy and rehabilitation in critically ill patients. Respir Care 2012; 6: 933-944 discussion 944–946
  • 5 Frommelt P, Lösslein H. NeuroRehabilitation: Ein Praxisbuch für interdisziplinäre Teams. Berlin: Springer; 2010
  • 6 Geneen L, Mercer T, Salisbury L et al. Exercise rehabilitation for recovery from critical illness (Protocol). Cochrane Database of Systematic Reviews 2010; 8 Art. No.: CD008632 DOI: 10.1002/14651858.CD008632.
  • 7 Gerovasili V, Stefanidis K, Vitzilaios K et al. Electrical muscle stimulation preserves the muscle mass of critically ill patients: a randomized study. Crit Care 2009; 5 R161
  • 8 Griffiths RD, Palmer TE, Helliwell T et al. Effect of passive stretching on the wasting of muscle in the critically ill. Nutrition 1995; 5: 428-432
  • 9 Gosselink R, Bott J, Johnson M et al. Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Intensive Care Med 2008; 7: 1188-1199
  • 10 Kho ME, Truong AD, Brower RG et al. Neuromuscular Electrical Stimulation for Intensive Care Unit-Acquired Weakness: Protocol and Methodological Implications for a Randomized, Sham-Controlled, Phase II Trial. Phys Ther 2012;
  • 11 Martin AD, Smith BK, Davenport PD et al. Inspiratory muscle strength training improves weaning outcome in failure to wean patients: a randomized trial. Crit Care 2011; 2 R84
  • 12 Mehrholz J. Wichtig: Ausdauertraining bei Schlaganfall. Neuroreha 2012; 4: 178-183
  • 13 Mehrholz J, Burridge J, Kugle J et al. Physical rehabilitation for critical illness myopathy and neuropathy [registered protocol]. Cochrane Database of Systematic Reviews 2012; in review
  • 14 Morris PE, Griffin L, Berry M et al. Receiving early mobility during an intensive care unit admission is a predictor of improved outcomes in acute respiratory failure. Am J Med Sci 2011; 5: 373-377
  • 15 Nordon-Craft A, Moss M, Quan D et al. Intensive Care Unit-Acquired Weakness. Phys Ther 2012; Jan 26. [Epub ahead of print]
  • 16 Nordon-Craft A, Schenkman M, Ridgeway K et al. Physical therapy management and patient outcomes following ICU-acquired weakness: a case series. J Neurol Phys Ther 2011; 3: 133-140
  • 17 Pohl M, Mehrholz K, Mehrholz J. Rehabilitation bei Chronisch-Kritisch-Kranken. Intensiv- und Notfallbehandlung 2012; 3: 127-133
  • 18 Pohlman MC, Schweickert WD, Pohlman AS et al. Feasibility of physical and occupational therapy beginning from initiation of mechanical ventilation. Crit Care Med 2010; 11: 2089-2094
  • 19 Porta R, Vitacca M, Gile LS et al. Supported arm training in patients recently weaned from mechanical ventilation. Chest 2005; 4: 2511-2520
  • 20 Routsi C, Gerovasili V, Vasileiadis I et al. Electrical muscle stimulation prevents critical illness polyneuromyopathy: a randomized parallel intervention trial. Crit Care 2010; 2: R74-R74
  • 21 Schweickert WD, Pohlman MC, Pohlman AS et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet 2009; 9678: 1874-1882
  • 22 Thomsen GE, Snow GL, Rodriguez L et al. Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority. Crit Care Med 2008; 4: 1119-1124
  • 23 Zanotti E, Felicetti G, Maini M et al. Peripheral muscle strength training in bed-bound patients with COPD receiving mechanical ventilation: effect of electrical stimulation. Chest 2003; 1: 292-296