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Frührehabilitation an der Intensivstation

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Kompendium Physikalische Medizin und Rehabilitation

Zusammenfassung

Intensivpatienten haben unabhängig von ihrer Grundkrankheit viele körperliche Einschränkungen beginnend bei der Muskelatrophie bis zur sensomotorischen Deprivation, sowie Dekonditionierung und Einschränkung der Gelenksbeweglichkeit, welche primär durch physikalisch-rehabilitative Maßnahmen zu behandeln sind. Insofern stellt die Physikalische Medizin und Rehabilitation in Hinblick auf die Wiedererlangung der Funktionsfähigkeit einen wichtigen Behandlungsschritt in der Betreuung intensivmedizinischer Patienten dar. Primäres Ziel ist es funktionseinschränkende Folgezustände durch eine frühe Intervention zu vermeiden.

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Literatur

  • Akeson WH, Amiel D, Abel MF, Garfin SR, Woo SL (1987) Effects of immobilization on joints. Clin Orthop Relat Res 69(8):28–37

    Google Scholar 

  • Bobath B, Bobath K (1993) Die Hemiplegie Erwachsener. Thieme, Stuttgart

    Google Scholar 

  • Bohannon RW, Smith MB (1987) Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther 67:206–207

    CAS  PubMed  Google Scholar 

  • Boughton A, Ciesla N (1986) Physical therapy management of the head-injured patient in the intensive care unit. Top Acute Care Trauma Rehabil 1:1–18

    Google Scholar 

  • Chang AT, Boots RJ, Hodges PW, Thomas PJ, Paratz JD (2004) Standing with the assistance of a tilt table improves minute ventilation in chronic critically ill patients. Arch Phys Med Rehabil 85:1972–1976

    Article  PubMed  Google Scholar 

  • Clini E, Ambrosino N (2005) Early physiotherapy in the respiratory intensive care unit. Respir Med 99:1096–1104

    Article  PubMed  Google Scholar 

  • Coakley JH, Nagendran K, Honavar M, Hinds CJ (1993) Preliminary observations on the neuromuscular abnormalities in patients with organ failure and sepsis. Intensive Care Med 19:323–328

    Article  CAS  PubMed  Google Scholar 

  • Seze M de, Petit H, Wiart L, Cardinaud JP, Gaujard E, Joseph PA, Mazaux JM, Barat M (2000) Critical illness polyneuropathy. A 2-year follow-up study in 19 severe cases. Eur Neurol 43:61–69

    Article  PubMed  Google Scholar 

  • Demeurisse G, Demol O, Robaye E (1980) Motor evaluation in vascular hemiplegia. Eur Neurol 19:382–389

    Article  CAS  PubMed  Google Scholar 

  • Donatelli R, Owens-Burkhart H (1981) Effects of immobilization on the extensibility of periarticular connective tissue. JOSPT 3:67

    Article  Google Scholar 

  • Enneking WF, Horowitz M (1972) The intra-articular effects of immobilization on the human knee. J Bone Joint Surg Am 54:973–985

    CAS  PubMed  Google Scholar 

  • Gruther W, Benesch T, Zorn C, Paternostro-Sluga T, Quittan M, Fialka-Moser V, Spiss C, Kainberger F, Crevenna R (2008) Muscle wasting in intensive care patients: ultrasound observation of the M. quadriceps femoris muscle layer. J Rehabil Med 40:185–189

    Article  PubMed  Google Scholar 

  • Harrington D, Anker SD, Chua TP, Webb-Peploe KM, Ponikowski PP, Poole-Wilson PA, Coats AJ (1997) Skeletal muscle function and its relation to exercise tolerance in chronic heart failure. J Am Coll Cardiol 30:1758–1764

    Article  CAS  PubMed  Google Scholar 

  • Herridge MS, Cheung AM, Tansey CM, Matte-Martyn A, Diaz-Granados N, Al-Saidi F, Cooper AB, Guest CB, Mazer CD, Mehta S, Stewart TE, Barr A, Cook D, Slutsky AS (2003) One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med 348:683–693

    Article  PubMed  Google Scholar 

  • Hinder F, Ludemann P, Hinder S, Ringelstein EB, Van Aken H (1997) Prolonged muscle weakness in intensive care patients with special attention to the so-called intensive care polyneuromyopathy. Anaesthesist 46:211–219

    Article  CAS  PubMed  Google Scholar 

  • Katz RT (1996) Management of spasticity. In: Braddom RL (Hrsg) Physical Medicine and Rehabilitation. WB Saunders, Philadelphia, S 580–604

    Google Scholar 

  • Mackay LE, Bernstein BA, Chapman PE, Morgan AS, Milazzo LS (1992) Early intervention in severe head injury: long-term benefits of a formalized program. Arch Phys Med Rehabil 73:635–641

    CAS  PubMed  Google Scholar 

  • Mancini DM, Walter G, Reichek N, Lenkinski R, McCully KK, Mullen JL, Wilson JR (1992) Contribution of skeletal muscle atrophy to exercise intolerance and altered muscle metabolism in heart failure. Circulation 85:1364–1373

    Article  CAS  PubMed  Google Scholar 

  • Medical Research Council scale. Aids to examination of the peripheral nervous system. Memorandum no. 45 London, Her Majesty‘s Stationary Office

    Google Scholar 

  • Minotti JR, Pillay P, Oka R, Wells L, Christoph I, Massie BM (1993) Skeletal muscle size: relationship to muscle function in heart failure. J Appl Physiol 75:373–381

    CAS  PubMed  Google Scholar 

  • Palmer M, Wyness MA (1988) Positioning and handling: important considerations in the care of the severely head-injured patient. J Neurosci Nurs 20:42–49

    Article  CAS  PubMed  Google Scholar 

  • Paternostro-Sluga T (1996) Elektrostimulation der Muskulatur mit nieder- und mittelfrequenten Strömen. In: Bühring M (Hrsg) Naturheilverfahren Loseblatt-Systeme. Springer, Berlin, Heidelberg, New York, S 1–11

    Google Scholar 

  • Paternostro-Sluga T, Fialka MV, Quittan M, Schramm W (2007) Physikalische Medizin und Rehabilitation in der Intensivmedizin. In: Van Aken H, Reinhart K, Zimpfer M, Welte T (Hrsg) Intensivmedizin. Thieme,, Stuttgart

    Google Scholar 

  • Quittan M, Wiesinger GF, Sturm B, Puig S, Mayr W, Sochor A, Paternostro T, Resch KL, Pacher R, Fialka-Moser V (2001) Improvement of thigh muscles by neuromuscular electrical stimulation in patients with refractory heart failure: a single-blind, randomized, controlled trial. Am J Phys Med Rehabil 80(3):206–214 (quiz 215-206, 224)

    Article  CAS  PubMed  Google Scholar 

  • Schonle PW (1995) The Early Rehabilitation Barthel Index – an early rehabilitation-oriented extension of the Barthel Index. Rehabilitation (Stuttg) 34:69–73

    CAS  Google Scholar 

  • Schwarz J, Planck J, Briegel J, Straube A (1997) Single-fiber electromyography, nerve conduction studies, and conventional electromyography in patients with critical-illness polyneuropathy: evidence for a lesion of terminal motor axons. Muscle Nerve 20:696–701

    Article  CAS  PubMed  Google Scholar 

  • Teasdale G, Jennett B (1974) Assessment of coma and impaired consciousness. A practical scale. Lancet 2:81–84

    Article  CAS  PubMed  Google Scholar 

  • Voss D, Ionta E, Myers G (1987) Propriozeptive Neuromuskuläre Fazilitation. Fischer, Stuttgart

    Google Scholar 

  • Watling SM, Dasta JF (1994) Prolonged paralysis in intensive care unit patients after the use of neuromuscular blocking agents: a review of the literature. Crit Care Med 22:884–893

    Article  CAS  PubMed  Google Scholar 

  • WHO (2001) International Classification of Functioning, Disability and Health (ICF)

    Google Scholar 

  • Ziegler TR, Gatzen C, Wilmore DW (1994) Strategies for attenuating protein-catabolic responses in the critically ill. Annu Rev Med 45:459–480

    Article  CAS  PubMed  Google Scholar 

  • Zifko UA (2000) Long-term outcome of critical illness polyneuropathy. Muscle Nerve Suppl 9:S49–S52

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Universitätsklinik für Physikalische Medizin und Rehabilitation, Medizinische Universität Wien, Währinger Gürtel 18–20, 1090, Wien, Österreich

    OA Dr. Karin Pieber

  2. MED22, Stadlauer Str. 62/OG 3, 1220, Wien, Österreich

    Dr. MSc Malvina Herceg

  3. Institut für Physikalische Medizin und Rehabilitation, Sozialmedizinisches Zentrum Ost-Donauspital, Langobardenstraße 122, 1220, Wien, Österreich

    Prim. Prof. Dr. Tatjana Paternostro-Sluga

Authors
  1. OA Dr. Karin Pieber
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  2. Dr. MSc Malvina Herceg
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  3. Prim. Prof. Dr. Tatjana Paternostro-Sluga
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Correspondence to Karin Pieber .

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Editors and Affiliations

  1. Univ.-Klinik für Physikalische Medizin u. Rehabilitation, Medizinische Universität Wien Physikalische Medizin u. Rehabilitation, Wien, Austria

    Richard Crevenna

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Pieber, K., Herceg, M., Paternostro-Sluga, T. (2017). Frührehabilitation an der Intensivstation. In: Crevenna, R. (eds) Kompendium Physikalische Medizin und Rehabilitation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49035-8_3

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  • DOI: https://doi.org/10.1007/978-3-662-49035-8_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49034-1

  • Online ISBN: 978-3-662-49035-8

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