| Abstrakt: |
In the Intensive Care Unit (ICU), the physiotherapists wield critical patients in order to prevent and treat, among others, musculoskeletal and pulmonary heart pathologies, being the kinesiotherapy a technique widely used. This research objective was to evaluate the impact of the frequency of daily kinesiotherapy in patients in the ICU's of the Hospital do Trabalhador in the city of Curitiba -- PR, between June and October 2010. Patients with less than 24 hours of admission, diagnostic of spinal cord injury, deep vein thrombosis, use of external fixation and/or amputation of limbs and not walking before ICU admission were excluded. In this study our sample was composed of 121 patients aged between 16 to 80 years that had been hospitalized for more than 24 hours and who had signed the properly survey named Informed Consent. This patients was randomized into one physiotherapy (FI) and three physiotherapy (F3), respectively receiving kinesiotherapy one and three times a day Through an evaluation form previously prepared, were evaluated in two principal moments motor function, duration of mechanical ventilation (MV), weaning and hospitalization. The kinesiotherapy was divided into three phases and the variables were analyzed among and within the groups. The F3 group presented the best value in the scale Measure of Functional Capacity (CFM), however both groups presented similar number of patients who walked and mobilized superior limbs, with similar number of steps and movements of superior limbs in a minute, although both groups presented increases when compared the first and the last evaluation. Both groups presented similar time of MV and time of weaning. However, the length of ICU staying was significantly lower for the F3 group, with a probable reduction in hospital costs. [ABSTRACT FROM AUTHOR] |
