Skip to main content
SpringerLink
Log in

Physiotherapie in der Intensivmedizin

  • Chapter
  • First Online:
Repetitorium Internistische Intensivmedizin

  • 95k Accesses

Zusammenfassung

Die Physiotherapie stellt ein wichtiges Mitglied des intensivmedizinischen Therapeutenteams dar. Der Stellenwert der Frühmobilisation und der Atemphysiotherapie hat in den letzten Jahren zunehmend an Bedeutung gewonnen. Eine hochqualitative Intensivmedizin erfordert daher eine konsequente frühzeitige Physiotherapie, um Sekundär- und Tertiärschäden zu vermeiden bzw. so gering wie möglich zu halten.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Abrams D, Javidfar J, Farrand E et al. (2014) Early mobilization of patients receiving extracorporeal membrane oxygenation: a retrospective cohort study. Crit Care 18 (1): R38

    Article  Google Scholar 

  • Bein T, Bischoff M, Brückner U et al. (2015) S2e-Leitlinie zur Lagerungstherapie und Frühmobilisation zur Prophylaxe oder Therapie von pulmonalen Funktionsstörungen. http://www.awmf.org/leitlinien/detail/ll/001-015.html

  • Castro AA, Calil SR, Freitas SA et al. (2013) Chest physiotherapy effectiveness to reduce hospitalization and mechanical ventilation length of stay, pulmonary infection rate and mortality in ICU patients. Respir Med 107 (1): 68–74

    Article  PubMed  Google Scholar 

  • Chang A et al. (2002) Ventilatory effects of neurophysiological facilitation and passive movement in patients with neurological injury. Aust J Physiother 48 (4): 305–310

    Article  PubMed  Google Scholar 

  • Chang et al. (2004) Standing with the assistance of a tilt table improves minute ventilation in chronic critical ill patients. Arch Phys Med Rehabil 85 (12): 1972–1976

    Article  PubMed  Google Scholar 

  • Damluji A, Zanni JM, Mantheiy E et al. (2013) Safety and feasibility of femoral catheters during physical rehabilitation in the intensive care unit. J Crit Care, 28 (4) 535: e539–515

    Article  Google Scholar 

  • Dean E, Ross J (1992) Discordance between cardiopulmonary physiology and physical therapy: towards a rational basis for practice. Chest 101: 1694–1698

    Article  CAS  PubMed  Google Scholar 

  • Deutsche Atemwegsliga, Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin (2007) Leitlinie zur Diagnostik und Therapie von Patienten mit chronisch obstruktiver Bronchitis und Lungenemphysem, Sonderdruck. Thieme, Stuttgart

    Google Scholar 

  • Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI) (2008) Lagerungstherapie zur Prophylaxe oder Therapie von pulmonalen Funktionsstörungen – S2e Leitlinie. Anästh Intensivmed 49: 1–24

    Google Scholar 

  • Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin (2008) S3 Leitlinie. Pneumologie 2008: 62: 449–479 [DOI 10,1055/s-2008–1038196]

  • Drexel H, Hildebrandt G, Schlegel KF, Weimann G (1988) Physikalische Medizin. Hippokrates, Stuttgart

    Google Scholar 

  • Ehrenberg H (2001) Atemtherapie in der Physiotherapie/Krankengymnastik, 2. Aufl. Pflaum, München

    Google Scholar 

  • Elliot L et al. (2005) Effect of posture on levels of arousal and awareness in vegetative and minimally conscious state patients: a preliminary investigation. J Neurol Neurosurg Psych 76: 298–299

    Article  Google Scholar 

  • Ferreira LL, Valenti VE, Vanderlei LC (2013) Chest physiotherapy on intracranial pressure of critically ill patients admitted to the intensive care unit: a systematic review. Rev Bras Ter Intensiva 25 (4): 327–333

    Article  PubMed  PubMed Central  Google Scholar 

  • Freiling M (2004) Ist-Zustand der Physiotherapie auf deutschen Intensivstationen. Intensivmed 41: 54–63

    Article  Google Scholar 

  • Friedrich O, Hund E (2006) Critical illness myopathie bei IST-Patienten. Anaesthesist 55: 1271–1280

    Article  CAS  PubMed  Google Scholar 

  • Gärtner U, Roth G (2000) Physiotherapie in der Intensivmedizin. Pflaum, München

    Google Scholar 

  • Göhring H (2001) Atemtherapie – Therapie mit dem Atem. Thieme, Stuttgart

    Google Scholar 

  • Gosselink R, Schrever K, Cops P, Witvrouwen H, de Ley P, Troosters T, Lerut A, Deneffe G (2000) Incentive spirometry does not enhance recovery after thoracic surgery. Critical Care Medicine Mar 28 (3): 679–683

    Article  CAS  Google Scholar 

  • Gosselink R, Clerckx B, Robbeets C, Vanhullebusch T, Vanpee G, Segers J (2011) Physiotherapy in the Intensive Care Unit. Neth J Crit Care 15 (2): 66–75

    Google Scholar 

  • Gosselink R, Needham D, Hermans G (2012) ICU-based rehabilitation and its appropriate metrics. Curr Opin Crit Care 18 (5): 533–539

    Article  PubMed  Google Scholar 

  • Gutenbrunner C, Weimann G (2003) Krankengymnastische Methoden und Konzepte. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Hashim AM, Joseph LH, Embong J et al. (2012) Tilt table practice improved ventilation in a patient with prolonged artificial ventilation support in intensive care unit. Iran J Med Sci 37 (1): 54–57

    PubMed  PubMed Central  Google Scholar 

  • Hodgson C, Needham D, Haines K et al. (2014) Feasibility and inter-rater reliability of the ICU Mobility Scale. Heart Lung 43 (1): 19–24

    Article  PubMed  Google Scholar 

  • Kayambu G, Boots R, Paratz J (2013) Physical therapy for the critically ill in the ICU: a systematic review and meta-analysis. Crit Care Med, 41 (6): 1543–1554

    Article  PubMed  Google Scholar 

  • King M, Phillips DM, Gross D et al (1983) Enhanced tracheal mucus clearance with high frequency chest wall compression. Am Rev Respir Dis 128: 511–515

    Article  CAS  PubMed  Google Scholar 

  • Koch SM et al (1996) Effect of passive range of motion on intracranial pressure in neurosurgical patients. J Crit Care 11: 176–179

    Article  CAS  PubMed  Google Scholar 

  • Kress JP (2009) Clinical trials of early mobilization of critically ill patients. Crit Care Med 37: 442–447

    Article  Google Scholar 

  • Lippert-Grüner M (2002) Frühstimulation. Ein multimodaler Therapieansatz in der Behandlung mit Komapatienten. Pflaum, München

    Google Scholar 

  • Lombardi F, Taricco M, De Tanti A, Telaro E, Liberati A (2002) Sensory stimulation for brain injured individuals in coma or vegetative state: results of ac Cochrane systematic review. Clin Rehabil 16: 464–72

    Article  PubMed  Google Scholar 

  • Naue Wda S, Forgiarini Junior LA, Dias AS, Vieira SR (2014) Chest compression with a higher level of pressure support ventilation: effects on secretion removal, hemodynamics, and respiratory mechanics in patients on mechanical ventilation. J Bras Pneumol, 40 (1): 55–60

    Article  PubMed  Google Scholar 

  • Needham DM (2008) Mobilizing patients in the intensive care unit: improving neuromuscular weakness and physical funktion. JAMA 300: 1685–1690

    Article  CAS  PubMed  Google Scholar 

  • Norrenberg M et al (1995) Oxygen consumption can increase during passive leg mobilization. Intensiv Care Med 21: 177

    Article  Google Scholar 

  • Norrenberg M, Vincent JL (2000) A profile of European intensive care units physiotherapists. Intensive Care Med 26 (7): 841–844

    Article  Google Scholar 

  • Oczenski W, Andel H, Werba A (2006) Atem – Atemhilfen, 7. Aufl. Thieme, Stuttgart

    Google Scholar 

  • Parry SM, Berney S, Warrillow S et al (2014) Functional electrical stimulation with cycling in the critically ill: a pilot case-matched control study. J Crit Care 29 (4): 695 e691–697

    Article  Google Scholar 

  • Pfausler B (2003) Neuromuskuläre Symptome bei ITS-Patienten. Intensiv-News, Ausgabe 6.

    Google Scholar 

  • Pfeifer K, Sudeck G, Brüggemann S, Huber G (2010) Bewegungstherapie in der medizinischen Rehabilitation – Wirkungen, Qualität, Perspektiven. Rehabilitation 4: 224–236

    Article  Google Scholar 

  • Schenker A (2000) Analytische Atemtherapie Untersuchung, Analyse und Behandlung in der Atemtherapie. Edition Phi

    Google Scholar 

  • Schweickert WD, Pohlman MC, Pohlman AS et al (2009) Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet 373: 1874–1882

    Article  PubMed  Google Scholar 

  • Sommers J, Engelbert RH, Dettling-Ihnenfeldt D, Gosselink R, Spronk PE, Nollet F, van der Schaaf M (2015) Physiotherapy in the intensive care unit: an evidence-based, expert driven, practical statement and rehabilitation recommendations. Clinical rehabilitation 29 (11):1051-1063 [doi:10.1177/0269215514567156]

    Article  PubMed  PubMed Central  Google Scholar 

  • Sricharoenchai T, Parker, AM, Zanni JM et al (2014) Safety of physical therapy interventions in critically ill patients: a single-center prospective evaluation of 1110 intensive care unit admissions. J Crit Care 29 (3): 395–400

    Article  PubMed  Google Scholar 

  • Taito S, Shime N, Ota K, Yasuda H (2016) Early mobilization of mechanically ventilated patients in the intensive care unit. Journal of intensive care 4:50 [doi:10.1186/s40560-016-0179-7] Vanpee G, Hermans G, Segers J, Gosselink R (2014) Assessment of limb muscle strength in critically ill patients: a systematic review. Crit Care Meds 42 (3): 701–711

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Klinikum der Universität München, Marchioninistr. 15, 81377, München, Deutschland

    M. T. Geier

  2. Klinik III für Innere Medizin, Klinikum der Universität zu Köln, Kerpenerstr. 62, 50937, Köln, Deutschland

    G. Michels

  3. Badstr. 73, 72108, Horb am Neckar, Deutschland

    M. Grote

  4. Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Klinikum der Universität München, Marchioninistr. 15, 81377, München, Deutschland

    S. Wilke

  5. Klinik und Institut für Physikalische und Rehabilitative Medizin, Paracelsus Medizinische Privatuniversität Nürnberg, Breslauerstr. 201, 90471, Nürnberg, Deutschland

    S. R. Schwarzkopf

Authors
  1. M. T. Geier
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Michels
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Grote
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Wilke
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. S. R. Schwarzkopf
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Klinik III für Innere Medizin, Universität zu Köln, Köln, Germany

    Guido Michels

  2. Klinik I für Innere Medizin, Universität zu Köln, Köln, Nordrhein-Westfalen, Germany

    Matthias Kochanek

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag GmbH Deutschland

About this chapter

Cite this chapter

Geier, M.T., Michels, G., Grote, M., Wilke, S., Schwarzkopf, S.R. (2017). Physiotherapie in der Intensivmedizin. In: Michels, G., Kochanek, M. (eds) Repetitorium Internistische Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53182-2_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-53182-2_21

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53181-5

  • Online ISBN: 978-3-662-53182-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation