Critical Care Rehabilitation
Critical Care Rehabilitation - Related Videos
09:44
Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
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Cited by 135 •
2011
Survivors of acute respiratory distress syndrome (ARDS) and critical illness frequently develop long-lasting muscle weakness. Manual muscle testing (MMT) is a standardized clinical examination commonly used to measure strength of peripheral skeletal muscle groups. This video demonstrates MMT using the 6-point Medical Research Council scale.
10:38
Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Cited by 20 •
2019
Structured protocols are necessary to provide answers on research questions in critically ill patients. The Simple Intensive Care Studies (SICS) provides an infrastructure for repeated measurements in critically ill patients including clinical examination, biochemical analysis and ultrasonography. SICS projects have specific focus but the structure is flexible to other investigations.
14:28
Non-Invasive Monitoring of Microvascular Oxygenation and Reactive Hyperemia using Hybrid, Near-Infrared Diffuse Optical Spectroscopy for Critical Care
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Cited by 6 •
2024
We describe a protocol to non-invasively and continuously measure absolute microvascular blood flow index and blood oxygen saturation using a multi-modal device based on near-infrared diffuse optics. We then evaluate the metabolic rate of oxygen consumption and reactive hyperemia utilizing a vascular occlusion test.
05:52
Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
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Cited by 102 •
2018
Here, we present a protocol to develop and apply a mobile game-based virtual reality program for the recovery of upper limb dysfunction in patients with stroke. The present study shows that the mobile program is feasible and effectively promotes upper limb recovery in stroke patients.
13:44
Haptic/Graphic Rehabilitation: Integrating a Robot into a Virtual Environment Library and Applying it to Stroke Therapy
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Cited by 8 •
2011
Recently, a vast amount of prospects have come available for human-robot interactive systems. In this paper we outline the integration of a new robotic device with open source software that can rapidly make possible a library of interactive functionality. We then outline a clinical application for a neurorehabilitation application.
FAQs
Early mobilization and therapeutic exercise counter the loss of strength and conditioning associated with prolonged critical illness. Rehabilitation can begin with bed-based activity and advance toward functional tasks as recovery permits, rather than treating mobility as a single event. This progression helps limit weakness and deconditioning while supporting a safer return to daily activities.
Medical stability and recovery goals determine how rehabilitation is adjusted. A patient may need a different balance of activity, respiratory care, nutritional support, and cognitive or psychological interventions at different points in recovery. This individualized approach connects the intensity and type of support to current clinical needs, so functional goals remain aligned with the patient’s condition.
Physical recovery alone does not address all consequences of intensive care. Cognitive and psychological interventions target problems associated with delirium-related complications and the emotional or cognitive difficulties that may persist after discharge. Including these domains helps clinicians recognize post-intensive care syndrome more comprehensively and supports participation in rehabilitation and everyday activities.
The plan commonly progresses from bed-based activity to increasingly functional tasks, with therapeutic exercise and respiratory care incorporated as appropriate. Nutritional support and cognitive or psychological interventions can be added alongside physical work. Clinicians adjust this progression according to medical stability and recovery goals, allowing rehabilitation to continue as the patient moves through different phases of recovery.
A comprehensive plan considers more than mobility. Early mobilization, therapeutic exercise, respiratory care, nutritional support, and cognitive or psychological interventions address different contributors to recovery. Combining these elements allows care to respond to weakness, deconditioning, delirium-related complications, and loss of independence rather than focusing on a single impairment or isolated treatment.
Follow-up can be shaped by the impairments that remain after critical illness, including physical, cognitive, or psychological problems and reduced independence. The rehabilitation process provides a framework for progressing from basic activity toward daily function and for identifying continuing needs related to post-intensive care syndrome. This connection helps recovery planning extend beyond the intensive care setting.