Pré-habilitation, réhabilitation ?

Prehabilitation allows the optimisation of patients considered at high risk of postoperative complications. It takes into account four dimensions: medical, functional, nutritional and psychological. Benefits have been shown, although the expression of recommendations is as difficult as to the programs to be applied, because of their heterogeneity. Early rehabilitation applies to all intensive care unit patients, and more specifically for those with critical illness neuromyopathy. It allows a decrease in the duration of mechanical ventilation, hospital stay and delirium. It facilitates muscle recovery, distance to the 6-minute walking test, and quality of life. It must be early, while being anticipated. The physiotherapy's techniques used are many and varied. The physiotherapist must choose the appropriate technique according to the waking and functional situation of the patient, while respecting any contraindications. Thus, prehabilitation and rehabilitation have the same objective: to improve the functional state of the patient while evaluating the benefits and risks for the patient. Personalised care is essential to allow a better involvement of carers but especially the patient.