Place de la kinésithérapie précoce dans la prise en charge des neuromyopathies acquises en réanimation

In the intensive care unit (ICU), multiple conditions may contribute to the development of neuromyopathy. This disease process may impair the short and long-term patient's physical and functional status and quality of life. Physiotherapy plays a major role in the prevention of complications (respiratory, muscular, articular, and vascular) resulting from bed rest and immobilization as well as in the resuscitation of patients with neuromuscular disease. Physiotherapy, when performed as soon as in the very first days of ICU stay, helps reducing the patient's functional loss and minimizes his risk of permanent disability. Early mobilization of mechanically ventilated patients suffering from respiratory failure as well as patients with severe sepsis has recently been shown to be beneficial and should thus be encouraged. However, there are still relatively few data evaluating the preventive and therapeutic effects of early mobilization or other specific physiotherapy techniques in patients with ICU-acquired neuromyopathy.