A Atuação Do Fisioterapeuta Na Reabilitação Respiratória No Paciente Em Pós Alta Covid-19: Uma Revisão Integrativa

Physiotherapy Intervention in Elderly Immobility Syndrome: Narrative Review

“…Group and the European Society of Intensive Medicine recommends the early initiation of passive and active exercises in critically ill hospitalized patients, indicating that early treatment is safe and that these ICU patients should be admitted as soon as possible. Among the exercise modalities considered are continuous passive motion to prevent muscle atrophy, as well as the use of bicycles, bed-mounted dynamometers, free weights, assisted and active activities, early walking, neuromuscular electrical stimulation, leg press, therabands, and others [7,8].…”

“…Early assessment and rehabilitation of critical patients are essential, depending on analgesia and sedation medication regimens, weaning regimens, and delirium control are crucial for treatment success. Bedside examination should be performed to measure muscle strength (MS), using the Medical Research Council Strength Scale or manual grip strength assessment [7][8][9][10]. These authors mention muscle groups performing the following actions: arm abduction, forearm flexion, wrist extension, thigh flexion, leg extension, and dorsiflexion.…”

“…The use of early rehabilitation protocols within the first 48 hours of hospitalization can be applied to achieve mobilization gains and prevent the development of IS. Attention should be paid to the use of muscle relaxants, to avoid confusion with MS [7].…”