School of Rehabilitation Science, McMaster University, Institute for Applied Health Science, Room 403, 1400 Main Street West, Hamilton, Ontario L8S 1C7, Canada; Physiotherapy Department, Research Institute of St. Joe's Hamilton, 50 Charlton Avenue East, Hamilton, Ontario L8N 4A6, Canada.
Wellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, United Kingdom.
Crit Care Clin. 2023 Jul;39(3):479-502. doi: 10.1016/j.ccc.2023.01.003. Epub 2023 Feb 26.
Critically ill patients are at risk of post-intensive care syndrome, including physical, cognitive, and psychological sequelae. Physiotherapists are rehabilitation experts who focus on restoring strength, physical function, and exercise capacity. Critical care has evolved from a culture of deep sedation and bed rest to one of awakening and early mobility; physiotherapeutic interventions have developed to address patients' rehabilitation needs. Physiotherapists are assuming more prominent roles in clinical and research leadership, with opportunities for wider interdisciplinary collaboration. This paper reviews the evolution of critical care from a rehabilitation perspective, highlights relevant research milestones, and proposes future opportunities for improving survivorship outcomes.
危重症患者有发生 ICU 后综合征的风险，包括身体、认知和心理方面的后遗症。物理治疗师是专注于恢复力量、身体功能和运动能力的康复专家。重症监护已经从深度镇静和卧床休息的文化演变为唤醒和早期活动的文化；物理治疗干预措施已经发展到解决患者的康复需求。物理治疗师在临床和研究领导方面承担着更突出的角色，有机会进行更广泛的跨学科合作。本文从康复的角度回顾了重症监护的发展，强调了相关研究的里程碑，并提出了改善生存结果的未来机会。
