scholarly journals Impact of a Rehabilitation Protocol and a Dedicated Therapist in the Intensive Care Unit on Physical Function and Activities of Daily Living

2020 ◽  
Vol 5 (0) ◽  
pp. n/a
Author(s):  
Ryosuke Matsuki ◽  
Noriaki Kojima ◽  
Koki Watanabe ◽  
Akira Hotta ◽  
Yohei Kubori ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Activities Of Daily Living ◽  
Physical Function ◽  
Daily Living ◽  
Rehabilitation Protocol

Special issue on music therapy in the Neonatal Intensive Care Unit Back to normal?

2021 ◽  
Vol 13 (2) ◽  
pp. 81-83
Author(s):  
Mark Ettenberger ◽  
Joanne V. Loewy
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Music Therapy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Neonatal Intensive Care ◽  
Living Will ◽  
Special Issue ◽  
To Come

2020 will most certainly be a memorable year. The COVID-19 pandemic has seemingly altered our lives and our perspectives on participating in activities of daily living will likely shift in the years to come. While the pain, struggle and horror of the pandemic has affected so many, our thoughts lie particularly with those who passed away, their families and friends, and carers – both professional and personal – around the globe...

Neurological complications in COVID-19: a single case study of rehabilitation treatment

2021 ◽  
Vol 28 (8) ◽  
pp. 1-12
Author(s):  
Lorenzo Casertano ◽  
Rae Nathanson ◽  
Clare C Bassile ◽  
Lori Quinn
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Activities Of Daily Living ◽  
Upper Extremity ◽  
Daily Living ◽  
Single Case ◽  
Inpatient Rehabilitation ◽  
Sensory Loss ◽  
Rehabilitation Unit

Background/aims: COVID-19 is a global pandemic, which has seen over 198 million cases as of August 2021. This case study highlights the rehabilitation of a young patient with respiratory and neurologic sequalae of COVID-19 across the continuum of care, from the intensive care unit to the inpatient rehabilitation unit. Case description: A 45-year-old woman, with past medical history of fibromyalgia and morbid obesity, presented with complaints of shortness of breath. She tested positive for SARS-CoV-2, was transferred to the intensive care unit, and was intubated for 17 days. The day after extubation, she experienced worsened mental status; computed tomography and magnetic resonance imaging scans revealed bilateral strokes. On hospital day 21, she was transferred to the stroke step-down unit. On hospital day 24, she recovered some cognitive ability and movement of her lower extremities. On hospital day 30, she was admitted to the inpatient rehabilitation unit. Examination by occupational and physiotherapists found motor and sensory impairments of multiple peripheral nerves, including musculocutaneous, axillary and radial nerves. Interventions included passive range of motion, sitting balance, transfer training, rigid taping, upper extremity strengthening and functional training (gait, stair, activities of daily living). Her activities of daily living performance was limited by upper extremity weakness, sensory loss and pain. Conclusions This case highlights the medical, neurological and functional implications of COVID-19 on patients after prolonged hospitalisation. The plan of care was informed by collaboration between rehabilitation disciplines. Causes of her injuries are unclear but could include positioning, brachial plexus injuries, or post-critical illness syndrome. Further research on the evaluation and care of patients with COVID-19 that result in profound neurological impairments is warranted.

scholarly journals Activities of daily living (Barthel Index) at discharge from the intensive care unit

Critical Care ◽  
2010 ◽  
Vol 14 (Suppl 1) ◽  
pp. P439 ◽  
Author(s):  
CB Kancir ◽  
PK Korsgaard
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Activities Of Daily Living ◽  
Barthel Index ◽  
Daily Living

scholarly journals Does enhanced physical rehabilitation following intensive care unit discharge improve outcomes in patients who received mechanical ventilation? A systematic review and meta-analysis

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e026075 ◽  
Author(s):  
Shunsuke Taito ◽  
Kota Yamauchi ◽  
Yasushi Tsujimoto ◽  
Masahiro Banno ◽  
Hiraku Tsujimoto ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Meta Analysis ◽  
Physical Rehabilitation ◽  
Icu Discharge ◽  
Grade Approach

ObjectiveWe aimed to determine whether enhanced physical rehabilitation following intensive care unit (ICU) discharge improves activities-of-daily-living function, quality of life (QOL) and mortality among patients who received mechanical ventilation in the ICU.DesignSystematic review and meta-analysis using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.Data sourcesMEDLINE, Embase, CENTRAL, PEDro and WHO International Clinical Trials Registry Platform searched through January 2019.Eligibility criteria for selecting studiesWe included randomised controlled trials assessing the effect of post-ICU rehabilitation designed to either commence earlier and/or be more intensive than the protocol employed in the control group. Only adults who received mechanical ventilation for >24 hours were included.Data extraction and synthesisTwo independent reviewers extracted data and assessed risk of bias. Standard mean differences (SMDs) with 95% CIs were calculated for QOL, and pooled risk ratios (RRs) with 95% CIs are provided for mortality. We assessed heterogeneity based on I² and the certainty of evidence based on the GRADE approach.ResultsTen trials (enrolling 1110 patients) compared physical rehabilitation with usual care or no intervention after ICU discharge. Regarding QOL, the SMD (95% CI) between the intervention and control groups for the physical and mental component summary scores was 0.06 (–0.12 to 0.24) and −0.04 (−0.20 to 0.11), respectively. Rehabilitation did not significantly decrease long-term mortality (RR 1.05, 95% CI 0.66 to 1.66). The analysed trials did not report activities-of-daily-living data. The certainty of the evidence for QOL and mortality was moderate.ConclusionsEnhanced physical rehabilitation following ICU discharge may make little or no difference to QOL or mortality among patients who received mechanical ventilation in the ICU. Given the wide CIs, further studies are needed to confirm the efficacy of intensive post-ICU rehabilitation in selected populations.PROSPERO registration numberCRD42017080532.

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