Physical Therapy Protocols to Attenuate Skeletal Muscle Atrophy in Critically ill Patients: Narrative Review

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dc.contributor.authorGuerra Vega, Pablo
dc.contributor.authorCuyul Vasquez, Ivan
dc.contributor.authorArtigas Arias, Macarena
dc.contributor.authorMunoz Cofre, Rodrigo
dc.contributor.authorCuri, Rui
dc.contributor.authorNasri Marzuca Nassr, Gabriel
dc.date2022
dc.date.accessioned2022-09-01T18:19:21Z
dc.date.available2022-09-01T18:19:21Z
dc.description.abstractTo 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.
dc.identifier.citationINTERNATIONAL JOURNAL OF MORPHOLOGY,Vol.40,640-649,2022
dc.identifier.urihttps://repositoriodigital.uct.cl/handle/10925/4701
dc.language.isoen
dc.publisherSOC CHILENA ANATOMIA
dc.sourceINTERNATIONAL JOURNAL OF MORPHOLOGY
dc.subject.englishBed Rest
dc.subject.englishIntensive Care Unit
dc.subject.englishMechanical Ventilation
dc.subject.englishMuscular Atrophy
dc.subject.englishPhysical Therapy
dc.subject.englishRehabilitation
dc.titlePhysical Therapy Protocols to Attenuate Skeletal Muscle Atrophy in Critically ill Patients: Narrative Review
dc.typeReview
uct.indizacionSCI
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