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Abstract
ABSTRACT
The deconditioning syndrome is a frequent complication among prolonged hospital in-staying patients. It is composed by muscle atrophy which mainly affects type II fibers and it is associated with a neuromuscular junction damage. All this leads to many metabolic and systemic alterations, standing out mechanic ventilation weaning difficulty, fatigue, late return to daily activities and prolonged rehabilitation periods. The purpose was to describe the cardiovascular changes in Intensive Care Unit patients, once a guided physical activity protocol took place as part of the rehabilitation. It is a one year series of cases – descriptive study that took place in three polyvalent type – Intensive Care Units, with a sample of above 72 hours in-stay 23 patients which were having mechanical ventilation support simultaneously. As cardiovascular parameters where checked blood pressure and heart rate at three different times: before, during and after each one of the physical activity loads which were adjusted by a physical and sports medicine physician according to the clinical progress and registered according a 1 to 32 load scale. Cardiovascular data was analyzed with non-parametrical statistics. No significant differences were found; concluding that among in-stay critical care patients, idoneus specialist guided physical activity loads, have no considerable cardiovascular effect and can be kept as a part of a rehabilitation protocol. MÉD.UIS. 2016;29(2):161-73.
Keywords: Atrophy. Locomotion. Physical Conditioning, Human. Early Medical Intervention. Muscle Weakness.
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