Overview of the verticalization of technology: history of the occurrence and relevance of application
- Authors: Podolskaya J.А.1, Borisov I.V.1, Sukhbaatar O.2, Sorokina V.S.2
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Affiliations:
- Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
- Peoples’ Friendship University of Russia
- Issue: Vol 25, No 1 (2022)
- Pages: 73-84
- Section: Review
- URL: https://rjmseer.com/1560-9537/article/view/106048
- DOI: https://doi.org/10.17816/MSER106048
Cite item
Abstract
Verticalization is a mobilization technique that is aimed at preventing and treating impaired gravitational gradient in patients who are on bed rest for >24 h, regardless of their motor and cognitive status, and is conducted actively and passively. Passive verticalization as a rehabilitation technique is recommended for patients who cannot stand up independently and keep themselves in an upright position because of the severity of the general condition.
In the preparation of this review, mainly literature sources from highly rated publications were used. Preference was given to sources published in the last 10 years. Review articles and materials prepared by experts in the field of writing/editing scientific publications, including review articles, were selected for the review.
In the aggregate of the verticalization methods analyzed, the common recommendations for all are the early start of rehabilitation measures, continuity, and careful monitoring of hemodynamic characteristics. The technique itself today has more than 50 years of experience, and the combination of verticalization technologies with a mechanotherapeutic simulator with electric motor support is a modern solution for their application. This equipment can be used in both intensive care in addition to the equipment of continuous respiratory support and rehabilitation and other wards.
The verticalization procedure, if possible, should be applied at the earliest possible time after the traumatic event to improve the rehabilitation potential. The verticalization of patients with chronic impairment of consciousness has physiological features, and hemodynamic adaptation is recommended to reduce the risk of orthostatic cerebral ischemia. For patients with disorders of the central nervous system, preliminary adaptation should be conducted to subsequent verticalization by gradually lifting on a multifunctional bed under hemodynamic control, including the CNAP continuous blood pressure monitoring system (Dräger systems).
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About the authors
Julia А. Podolskaya
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
Author for correspondence.
Email: julia031181@yandex.ru
ORCID iD: 0000-0003-3158-8209
SPIN-code: 9607-9951
Research AssociateRussian Federation, Lytkino
Ilya V. Borisov
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
Email: realzel@gmail.com
ORCID iD: 0000-0002-5707-118X
SPIN-code: 7800-6446
Junior Research Associate
Russian Federation, LytkinoOtgontsetseg Sukhbaatar
Peoples’ Friendship University of Russia
Email: runa7693@mail.ru
ORCID iD: 0000-0003-3261-2944
Russian Federation, Moscow
Viktoriya S. Sorokina
Peoples’ Friendship University of Russia
Email: vvorontsova@fnkcrr.ru
ORCID iD: 0000-0002-1490-1331
SPIN-code: 3407-1625
Junior Research Associate
Russian Federation, MoscowReferences
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