Aspects of physical medicine and rehabilitation in the treatment of deconditioned patients in the acute care setting: the role of skeletal muscle

Wien Med Wochenschr. 2016 Feb;166(1-2):28-38. doi: 10.1007/s10354-015-0418-x. Epub 2016 Jan 12.

Abstract

Skeletal muscles are essential for movement as well as for survival. Knowledge about the organ skeletal muscle is underrepresented. Ageing and multiple chronic diseases are accompanied by loss of muscle mass, termed "muscle wasting". Nevertheless, muscles are one of the target organs within the rehabilitation process. This review highlights the role of skeletal muscles from various aspects, diagnostic procedures to quantify muscle mass and strength and, most importantly, lists countermeasures to muscle wasting. Although structured and progressive strength training is the cornerstone in the treatment of muscle wasting, several other methods exist to slow down or reverse the process of muscle wasting. Among them are neuromuscular electrical stimulation and alternative exercise modes, positioning, stretching and, as an emerging field, drug therapy.

Keywords: Mechanisms; Muscle wasting; Physical and rehabilitation medicine; Prevention and treatment; Sarcopenia.

Publication types

  • Review

MeSH terms

  • Combined Modality Therapy
  • Exercise Therapy*
  • Humans
  • Muscle Stretching Exercises
  • Muscle Weakness / diagnosis
  • Muscle Weakness / rehabilitation*
  • Muscular Atrophy / diagnosis
  • Muscular Atrophy / rehabilitation*
  • Patient Positioning
  • Physical Therapy Modalities*
  • Resistance Training
  • Sarcopenia / diagnosis
  • Sarcopenia / rehabilitation*
  • Transcutaneous Electric Nerve Stimulation