Muscles of patients with chronic obstructive pulmonary disease in the intensive care unit: a critical issue for the physiotherapist

Abstract

Muscles of patients with chronic obstructive pulmonary disease suffer from structural changes that have consequences for their strength and stamina. Changes to patients’ muscles in the intensive care unit represent a poor prognosis factor. Standard methods of evaluation are used to assess peripheral muscle function, in order to quantify the deficit and implement a rehabilitation strategy as early as possible. The aim of physiotherapy treatment is to maintain the function and condition of the patients’ muscles. Methods used include neuromuscular electrical stimulation, repositioning of the body, passive and active mobilisation, muscle strengthening exercises as well as early rehabilitation.