Approche kinésithérapique de la déstructuration psychomotrice du patient adulte en réanimation
François Bridon
Kinésithér Scient 2004,450:41-48 - 10/12/2004
La kinésithérapie a montré depuis bien longtemps son importance dans les services de réanimation. Ses prémices furent la prise en charge des troubles de décubitus et le maintien du potentiel articulaire et musculaire des membres, puis l'évolution spectaculaire des moyens techniques à propulser la fonction ventilatoire au premier rang des préoccupations des kinésithérapeutes exerçant en réanimation.
Force est de constater que certains professionnels y portent encore une attention exclusive, oubliant de ce fait que cette assistance est apportée à un patient à part entière. Au-delà de cette priorité du moment, le kinésithérapeute d'aujourd'hui (et davantage de demain) doit concevoir l'entité corporelle du patient comme une complexité singulière qu'il faut évaluer et prendre en charge.
Physiotherapeutic approach to psychomotor destructuration in adult patients undergoing resuscitation
Kinesitherapy showed since good a long time its importance in the intensive care units. Its first steps were the assumption of responsability of the disorders of lying down position and the maintenance of the articular and muscular potential of the members. Then spectacular evolution of technical devices to propel the ventilatory function to the first rank of the concerns of the kinesitherapists exerting in reanimation.
Force is to note that certain professionals still pay an exclusive attention there, forgetting of this fact that this assistance is brought to a patient with whole share. Beyond this priority of the moment, the kinesitherapist of today (and more that of tomorrow) must conceive body entity of the patient as a singular complexity which is necessary to evaluate and deal with. This singular relation is presented in the form of a true physical and psychic complexity in which the body has a primordial place.
Force est de constater que certains professionnels y portent encore une attention exclusive, oubliant de ce fait que cette assistance est apportée à un patient à part entière. Au-delà de cette priorité du moment, le kinésithérapeute d'aujourd'hui (et davantage de demain) doit concevoir l'entité corporelle du patient comme une complexité singulière qu'il faut évaluer et prendre en charge.
Physiotherapeutic approach to psychomotor destructuration in adult patients undergoing resuscitation
Kinesitherapy showed since good a long time its importance in the intensive care units. Its first steps were the assumption of responsability of the disorders of lying down position and the maintenance of the articular and muscular potential of the members. Then spectacular evolution of technical devices to propel the ventilatory function to the first rank of the concerns of the kinesitherapists exerting in reanimation.
Force is to note that certain professionals still pay an exclusive attention there, forgetting of this fact that this assistance is brought to a patient with whole share. Beyond this priority of the moment, the kinesitherapist of today (and more that of tomorrow) must conceive body entity of the patient as a singular complexity which is necessary to evaluate and deal with. This singular relation is presented in the form of a true physical and psychic complexity in which the body has a primordial place.
