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Review
Physiotherapy in critically ill patients
Fisioterapia em pacientes gravemente doentes
N. Ambrosinoa,b,
Corresponding author
nico.ambrosino@gmail.com

Corresponding author.
, N. Janahc, G. Vaghegginia
a Pulmonary Rehabilitation and Weaning Center, Auxilium Vitae, Volterra, Italy
b Pulmonary Unit, University Hospital, Pisa, Italy
c Ratu Zaleha Hopital, Martapura, Banjar, Indonesia
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        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Prolonged stay in Intensive Care Unit &#40;ICU&#41; can cause muscle weakness&#44; physical deconditioning&#44; recurrent symptoms&#44; mood alterations and poor quality of life&#46; Physiotherapy is probably the only treatment likely to increase in the short- and long-term care of the patients admitted to these units&#46; Recovery of physical and respiratory functions&#44; coming off mechanical ventilation&#44; prevention of the effects of bed-rest and improvement in the health status are the clinical objectives of a physiotherapy program in medical and surgical areas&#46; To manage these patients&#44; integrated programs dealing with both whole-body physical therapy and pulmonary care are needed&#46; There is still limited scientific evidence to support such a comprehensive approach to all critically ill patients&#59; therefore we need randomised studies with solid clinical short- and long-term outcome measures&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Uma estadia prolongada na Unidade de Cuidados Intensivos &#40;UCI&#41; pode causar fraqueza muscular&#44; descondicionamento f&#237;sico&#44; sintomas recorrentes&#44; altera&#231;&#245;es de humor e m&#225; qualidade de vida&#46; A fisioterapia &#233;&#44; provavelmente&#44; o &#250;nico tratamento com potencial para aumentar nos cuida-dos a curto e longo prazo aos pacientes internados nestas unidades&#46; A recupera&#231;&#227;o das fun&#231;&#245;es f&#237;sicas e respirat&#243;rias&#44; retirar a ventila&#231;&#227;o mec&#226;nica&#44; preven&#231;&#227;o de efeitos do repouso na cama e melhoria do estado de sa&#250;de s&#227;o objectivos cl&#237;nicos de um programa de fisioterapia nas &#225;reas m&#233;dicas e cir&#250;rgicas&#46; Para tratar estes pacientes&#44; s&#227;o necess&#225;rios programas integrados que englobem tanto a fisioterapia global como os cuidados respirat&#243;rios necess&#225;rios&#46; A evid&#234;ncia cient&#237;fica para apoiar esta abordagem abrangente para todos os doentes cr&#237;ticos &#233; ainda limitada&#59; portanto&#44; s&#227;o necess&#225;rios estudos aleatorizados com medidas de resultados a curto e longo prazo&#46;</p>"
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Original language: English
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