Neuromuscular weakness and impaired physical function are common and long-lasting complications experienced by intensive care unit (ICU) survivors. There is growing evidence that implementing rehabilitation therapy, shortly after ICU admission, improves physical function and reduces healthcare utilization. Recently, there is increasing interest and utilization of Extracorporeal Membrane Oxygenation (ECMO) to support patients with severe respiratory failure. Patients receiving ECMO are at great risk for significant physical impairments and pose unique challenges for delivering rehabilitation therapy. Consequently, there is a need for innovative examples of safely and feasibly delivering active rehabilitation to these patients. We describe three patients with respiratory failure requiring ECMO who received physical rehabilitation to illustrate and discuss relevant feasibility and safety issues.
Source: http://ptjournal.apta.org/cgi/content/short/ptj.20120336v1?rss=1
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