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2026, Número 1

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Med Crit 2026; 40 (1)


Desempeño muscular periférico en cuidado intensivo adulto: revisión literaria

Bravo DAG, Libreros AM, Sánchez MJS

Idioma: Español
Referencias bibliográficas: 66
Paginas: 62-70
Archivo PDF: 599.97 Kb.


RESUMEN

Introducción: la debilidad adquirida en la Unidad de Cuidados Intensivos (DA-UCI) constituye una complicación frecuente en adultos críticamente enfermos, con una incidencia cercana a 40%. Situación que podría comprometer el desempeño muscular periférico (DMp), resultando en alteraciones o deficiencias en estructura y funciones corporales con repercusión en la movilidad e independencia funcional, que empeoran el panorama del DMp con un impacto negativo en costos sanitarios y calidad de vida. Material y métodos: se realizó una revisión no sistemática de la literatura publicada entre el año 2015 y el 2025, en seis bases de datos, considerando términos DeCS correspondientes para adulto, cuidado intensivo, musculoesquelético, debilidad y atrofia muscular. Se extrajo y sintetizó la información, describiendo los test o medidas convencionales en el proceso de evaluación, sus características, componentes evaluados y relación con dominios funcionales. Resultados: se identificaron 19 test o medidas con cobertura limitada e incompleta en los componentes del DMp. Conclusiones: la práctica clínica requiere inclusión e integración estratégica de test o medidas para considerar de manera integral los componentes del DMp y su relación con deficiencias en estructura-función, limitaciones en actividad y restricciones en participación.


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