neuroreha, Table of Contents neuroreha 2013; 5(01): 21-25DOI: 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 Recommend Article Abstract Buy Article 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. Full Text References 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 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