Consequences of bed rest

Research output: Contribution to journalArticle

Abstract

Bed rest is frequently prescribed for critically ill patients because it is assumed to be beneficial for preventing complications, for conserving scarce metabolic resources, and for providing patient comfort. Furthermore, higher levels of physical activity in critically ill patients have been assumed to be impractical or not feasible. Bed rest has been prescribed in the past for several other clinical conditions including acute flares of rheumatoid arthritis, cavitary tuberculosis, acute myocardial infarction, and acute low back pain. However, randomized, controlled, clinical trials failed to demonstrate beneficial effects of bed rest in most of these conditions. Bed rest can cause several complications that may delay or prevent recovery from critical illnesses including disuse muscle atrophy, joint contractures, thromboembolic disease, and insulin resistance. Recent studies demonstrated the feasibility and safety of physical medicine programs in critically ill patients including those with acute respiratory failure requiring mechanical ventilation. Other physical medicine tools, such as neuromuscular electrical stimulation and passive stretching of muscles, may also reduce some complications of bed rest.

Original languageEnglish (US)
JournalCritical Care Medicine
Volume37
Issue numberSUPPL. 10
DOIs
StatePublished - Oct 2009

Fingerprint

Bed Rest
Critical Illness
Physical and Rehabilitation Medicine
Atrophic Muscular Disorders
Muscle Stretching Exercises
Disease Resistance
Muscular Atrophy
Feasibility Studies
Contracture
Low Back Pain
Artificial Respiration
Respiratory Insufficiency
Electric Stimulation
Insulin Resistance
Rheumatoid Arthritis
Tuberculosis
Motor Activity
Randomized Controlled Trials
Myocardial Infarction
Safety

Keywords

  • Bed rest
  • Critical illness
  • Disuse atrophy
  • Insulin resistance
  • Mobility
  • Physical medicine
  • Respiratory failure
  • Thromboembolic disease
  • Weakness

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Consequences of bed rest. / Brower, Roy G.

In: Critical Care Medicine, Vol. 37, No. SUPPL. 10, 10.2009.

Research output: Contribution to journalArticle

Brower, Roy G. / Consequences of bed rest.

In: Critical Care Medicine, Vol. 37, No. SUPPL. 10, 10.2009.

Research output: Contribution to journalArticle

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