Effect of physical therapy on muscle strength, respiratory muscles and functional parameters in patients with intensive care unit-acquired weakness
Objectives The aim of this study was to evaluate the effect of an intensive physical therapy protocol in patients who contract ‘intensive care unit‐acquired weakness’ (ICUAW), in terms of muscle strength, breathing and functional indices. Methods This was a prospective, single‐blinded study in a gen...
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| Veröffentlicht in: | The clinical respiratory journal 2015-01, Vol.9 (1), p.1-6 |
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| creator | Yosef-Brauner, Orna Adi, Nimrod Ben Shahar, Tamar Yehezkel, Ester Carmeli, Eli |
| description | Objectives
The aim of this study was to evaluate the effect of an intensive physical therapy protocol in patients who contract ‘intensive care unit‐acquired weakness’ (ICUAW), in terms of muscle strength, breathing and functional indices.
Methods
This was a prospective, single‐blinded study in a general hospital intensive care unit (ICU). Patients who required mechanical ventilation longer than 48 h and who were expected to remain mechanically ventilated for at least another 48 h were randomly divided into two intervention groups: group I (n = 9) – the routine care group, received physical therapy according to our daily custom protocol; and group II (n = 9) – the intensive treatment group, were treated by the same protocol twice a day. The main outcome measures included the Medical Research Council (MRC) physical strength examination, maximal inspiratory pressure (MIP), hand grip dynamometer and sitting balance test.
Results
Significant strength improvement from first (T1) to second (T2) measurements was demonstrated for variables MIP and MRC physical strength examination in favor of the intensive treatment group (P |
| doi_str_mv | 10.1111/crj.12091 |
| format | Article |
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The aim of this study was to evaluate the effect of an intensive physical therapy protocol in patients who contract ‘intensive care unit‐acquired weakness’ (ICUAW), in terms of muscle strength, breathing and functional indices.
Methods
This was a prospective, single‐blinded study in a general hospital intensive care unit (ICU). Patients who required mechanical ventilation longer than 48 h and who were expected to remain mechanically ventilated for at least another 48 h were randomly divided into two intervention groups: group I (n = 9) – the routine care group, received physical therapy according to our daily custom protocol; and group II (n = 9) – the intensive treatment group, were treated by the same protocol twice a day. The main outcome measures included the Medical Research Council (MRC) physical strength examination, maximal inspiratory pressure (MIP), hand grip dynamometer and sitting balance test.
Results
Significant strength improvement from first (T1) to second (T2) measurements was demonstrated for variables MIP and MRC physical strength examination in favor of the intensive treatment group (P < 0.05). The intensive treatment group also required shorter intensive care length of stay than the routine care group (P = 0.043).
Conclusions
It is possible that an intensive therapy protocol may facilitate the initial recovery process in patients who suffer from ICUAW.</description><identifier>ISSN: 1752-6981</identifier><identifier>EISSN: 1752-699X</identifier><identifier>DOI: 10.1111/crj.12091</identifier><identifier>PMID: 24345055</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Clinical Protocols ; Critical Care ; Female ; Follow-Up Studies ; Humans ; Inspiratory Capacity ; Intensive care ; intensive care unit acquired weakness ; Length of Stay ; Male ; maximal inspiratory pressure ; Medical research ; Medical Research Council physical strength examination ; Middle Aged ; Muscle Strength - physiology ; Muscle Weakness - etiology ; Muscle Weakness - physiopathology ; Muscle Weakness - rehabilitation ; Physical therapy ; Physical Therapy Modalities ; Postural Balance ; Prospective Studies ; Recovery of Function ; Respiration, Artificial ; Respiratory Muscles - physiopathology ; Single-Blind Method ; sitting balance ; Treatment Outcome</subject><ispartof>The clinical respiratory journal, 2015-01, Vol.9 (1), p.1-6</ispartof><rights>2013 John Wiley & Sons Ltd</rights><rights>2013 John Wiley & Sons Ltd.</rights><rights>Copyright © 2015 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4611-8b0a4658efb2b5ba03d262984e57e8a4db8f7504fb707230156f933c58fa4e5d3</citedby><cites>FETCH-LOGICAL-c4611-8b0a4658efb2b5ba03d262984e57e8a4db8f7504fb707230156f933c58fa4e5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcrj.12091$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcrj.12091$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,11541,27901,27902,45550,45551,46027,46451</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fcrj.12091$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24345055$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yosef-Brauner, Orna</creatorcontrib><creatorcontrib>Adi, Nimrod</creatorcontrib><creatorcontrib>Ben Shahar, Tamar</creatorcontrib><creatorcontrib>Yehezkel, Ester</creatorcontrib><creatorcontrib>Carmeli, Eli</creatorcontrib><title>Effect of physical therapy on muscle strength, respiratory muscles and functional parameters in patients with intensive care unit-acquired weakness</title><title>The clinical respiratory journal</title><addtitle>The Clinical Respiratory Journal</addtitle><description>Objectives
The aim of this study was to evaluate the effect of an intensive physical therapy protocol in patients who contract ‘intensive care unit‐acquired weakness’ (ICUAW), in terms of muscle strength, breathing and functional indices.
Methods
This was a prospective, single‐blinded study in a general hospital intensive care unit (ICU). Patients who required mechanical ventilation longer than 48 h and who were expected to remain mechanically ventilated for at least another 48 h were randomly divided into two intervention groups: group I (n = 9) – the routine care group, received physical therapy according to our daily custom protocol; and group II (n = 9) – the intensive treatment group, were treated by the same protocol twice a day. The main outcome measures included the Medical Research Council (MRC) physical strength examination, maximal inspiratory pressure (MIP), hand grip dynamometer and sitting balance test.
Results
Significant strength improvement from first (T1) to second (T2) measurements was demonstrated for variables MIP and MRC physical strength examination in favor of the intensive treatment group (P < 0.05). The intensive treatment group also required shorter intensive care length of stay than the routine care group (P = 0.043).
Conclusions
It is possible that an intensive therapy protocol may facilitate the initial recovery process in patients who suffer from ICUAW.</description><subject>Adult</subject><subject>Aged</subject><subject>Clinical Protocols</subject><subject>Critical Care</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Inspiratory Capacity</subject><subject>Intensive care</subject><subject>intensive care unit acquired weakness</subject><subject>Length of Stay</subject><subject>Male</subject><subject>maximal inspiratory pressure</subject><subject>Medical research</subject><subject>Medical Research Council physical strength examination</subject><subject>Middle Aged</subject><subject>Muscle Strength - physiology</subject><subject>Muscle Weakness - etiology</subject><subject>Muscle Weakness - physiopathology</subject><subject>Muscle Weakness - rehabilitation</subject><subject>Physical therapy</subject><subject>Physical Therapy Modalities</subject><subject>Postural Balance</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Respiration, Artificial</subject><subject>Respiratory Muscles - physiopathology</subject><subject>Single-Blind Method</subject><subject>sitting balance</subject><subject>Treatment Outcome</subject><issn>1752-6981</issn><issn>1752-699X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAUhSMEoqWw4AWQJTYgkdaO7cRZVkNbWlUgIf7ExnKca8bTxEltp9M8R1-4pjOdBRJ343vt7xzp-mTZa4IPSaoj7VeHpMA1eZLtk4oXeVnXv57uekH2shchrDDmoqL8ebZXMMo45nw_uzsxBnREg0Hjcg5Wqw7FJXg1zmhwqJ-C7gCF6MH9icsPyEMYrVdx8PP2MSDlWmQmp6MdXJKPyqseIviArEtTtOBiQGsbl-kiggv2BpBWHtDkbMyVvp6shxatQV05COFl9syoLsCr7XmQfT89-bb4lF9-OTtfHF_mmpWE5KLBipVcgGmKhjcK07Yoi1ow4BUIxdpGmIpjZpoKVwXFhJemplRzYVRiWnqQvdv4jn64niBE2dugoeuUg2EKkpSMElalv0ro23_Q1TD5tO0DRQThBROJer-htB9C8GDk6G2v_CwJln-Tkikp-ZBUYt9sHaemh3ZHPkaTgKMNsLYdzP93kouvF4-W-UZhQ4TbnUL5K1lWtOLy5-czKU7r3wv6kcgf9B4b4a7U</recordid><startdate>201501</startdate><enddate>201501</enddate><creator>Yosef-Brauner, Orna</creator><creator>Adi, Nimrod</creator><creator>Ben Shahar, Tamar</creator><creator>Yehezkel, Ester</creator><creator>Carmeli, Eli</creator><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201501</creationdate><title>Effect of physical therapy on muscle strength, respiratory muscles and functional parameters in patients with intensive care unit-acquired weakness</title><author>Yosef-Brauner, Orna ; Adi, Nimrod ; Ben Shahar, Tamar ; Yehezkel, Ester ; Carmeli, Eli</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4611-8b0a4658efb2b5ba03d262984e57e8a4db8f7504fb707230156f933c58fa4e5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Clinical Protocols</topic><topic>Critical Care</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Inspiratory Capacity</topic><topic>Intensive care</topic><topic>intensive care unit acquired weakness</topic><topic>Length of Stay</topic><topic>Male</topic><topic>maximal inspiratory pressure</topic><topic>Medical research</topic><topic>Medical Research Council physical strength examination</topic><topic>Middle Aged</topic><topic>Muscle Strength - physiology</topic><topic>Muscle Weakness - etiology</topic><topic>Muscle Weakness - physiopathology</topic><topic>Muscle Weakness - rehabilitation</topic><topic>Physical therapy</topic><topic>Physical Therapy Modalities</topic><topic>Postural Balance</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Respiration, Artificial</topic><topic>Respiratory Muscles - physiopathology</topic><topic>Single-Blind Method</topic><topic>sitting balance</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yosef-Brauner, Orna</creatorcontrib><creatorcontrib>Adi, Nimrod</creatorcontrib><creatorcontrib>Ben Shahar, Tamar</creatorcontrib><creatorcontrib>Yehezkel, Ester</creatorcontrib><creatorcontrib>Carmeli, Eli</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The clinical respiratory journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Yosef-Brauner, Orna</au><au>Adi, Nimrod</au><au>Ben Shahar, Tamar</au><au>Yehezkel, Ester</au><au>Carmeli, Eli</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of physical therapy on muscle strength, respiratory muscles and functional parameters in patients with intensive care unit-acquired weakness</atitle><jtitle>The clinical respiratory journal</jtitle><addtitle>The Clinical Respiratory Journal</addtitle><date>2015-01</date><risdate>2015</risdate><volume>9</volume><issue>1</issue><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>1752-6981</issn><eissn>1752-699X</eissn><abstract>Objectives
The aim of this study was to evaluate the effect of an intensive physical therapy protocol in patients who contract ‘intensive care unit‐acquired weakness’ (ICUAW), in terms of muscle strength, breathing and functional indices.
Methods
This was a prospective, single‐blinded study in a general hospital intensive care unit (ICU). Patients who required mechanical ventilation longer than 48 h and who were expected to remain mechanically ventilated for at least another 48 h were randomly divided into two intervention groups: group I (n = 9) – the routine care group, received physical therapy according to our daily custom protocol; and group II (n = 9) – the intensive treatment group, were treated by the same protocol twice a day. The main outcome measures included the Medical Research Council (MRC) physical strength examination, maximal inspiratory pressure (MIP), hand grip dynamometer and sitting balance test.
Results
Significant strength improvement from first (T1) to second (T2) measurements was demonstrated for variables MIP and MRC physical strength examination in favor of the intensive treatment group (P < 0.05). The intensive treatment group also required shorter intensive care length of stay than the routine care group (P = 0.043).
Conclusions
It is possible that an intensive therapy protocol may facilitate the initial recovery process in patients who suffer from ICUAW.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24345055</pmid><doi>10.1111/crj.12091</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Clinical Protocols Critical Care Female Follow-Up Studies Humans Inspiratory Capacity Intensive care intensive care unit acquired weakness Length of Stay Male maximal inspiratory pressure Medical research Medical Research Council physical strength examination Middle Aged Muscle Strength - physiology Muscle Weakness - etiology Muscle Weakness - physiopathology Muscle Weakness - rehabilitation Physical therapy Physical Therapy Modalities Postural Balance Prospective Studies Recovery of Function Respiration, Artificial Respiratory Muscles - physiopathology Single-Blind Method sitting balance Treatment Outcome |
| title | Effect of physical therapy on muscle strength, respiratory muscles and functional parameters in patients with intensive care unit-acquired weakness |
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