著者
Ryoichi Nishida Kasumi Yoshii
出版者
The Society of Physical Therapy Science
雑誌
Journal of Physical Therapy Science (ISSN:09155287)
巻号頁・発行日
vol.35, no.6, pp.488-491, 2023 (Released:2023-06-01)
参考文献数
14

[Purpose] To assess the effects of continuous rehabilitation on intensive care unit-acquired weakness in a patient who underwent open-heart surgery. [Participant and Methods] This case report describes a 78-year-old female patient who developed intensive care unit-acquired weakness after open-heart surgery. She underwent cardiac surgery, via a thoracotomy, for valvular disease and angina pectoris. Her Medical Research Council sum score at the time of rehabilitative intervention was 28 points, indicating intensive care unit-acquired weakness. Rehabilitation was continued, and the patient’s physical function was evaluated over time. [Results] Continuous rehabilitation improved the patient’s grip strength, knee extension muscle strength, 6-minute walk test performance, and Short Physical Performance Battery score. [Conclusion] Although few reports have been published on rehabilitation for patients with intensive care unit-acquired weakness, our case suggests that appropriate rehabilitative intervention according to the severity of the condition and continuous rehabilitation may improve the patients’ activities of daily living and physical function.

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心臓外科術後のICU-AWの理学療法 case report 一定数、術後合併症で悩ましい経験をしますが、このような症例の多くはRCTや多施設観察研究からは除外されます 細かい介入方法や負荷量設定まで記載されており、非常に参考になります 240日フォローアップされているのも貴重 https://t.co/u6TozkPOCk https://t.co/aDmA5qzsPH

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