Journal ArticleDOI
Effects of intensive upright mobilisation on outcomes of mechanically ventilated patients in the intensive care unit: a randomised controlled trial with 12-months follow-up
Olof R. Amundadottir,Rannveig J. Jónasdóttir,Kristinn Sigvaldason,Ester Gunnsteinsdottir,Brynja Haraldsdottir,Thorarinn Sveinsson,Gisli H. Sigurdsson,Elizabeth Dean +7 more
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TLDR
The intensive twice-daily mobilisation group neither started upright mobilisation early nor yielded superior short- or long-term outcomes compared to the daily mobilisationgroup, which showed poor physical health-related quality of life and exercise capacity one year after ICU discharge.Abstract:
Objective: To examine effects of intensive upright mobilisation on short- and long-term outcomes in critically ill mechanically ventilated patients.Methods: A randomised controlled trial co...read more
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Effects of Rehabilitation Interventions on Clinical Outcomes in Critically Ill Patients: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
TL;DR: Rehabilitation interventions in critically ill patients do not influence mortality and are safe, and protocolized physical rehabilitation significantly shortens time spent on mechanical ventilation and in ICU, but this does not consistently translate into long-term functional benefit.
Journal ArticleDOI
Rehabilitation to enable recovery from COVID-19: a rapid systematic review.
Victoria A Goodwin,Louise Allan,Alison Bethel,Alison Cowley,Jane Cross,Jo Day,Avril Drummond,Abi J. Hall,Martin Howard,Naomi Morley,Jo Thompson Coon,Sarah E Lamb +11 more
TL;DR: The evidence for rehabilitation after discharge from hospital following an ICU admission is inconclusive as discussed by the authors, and further research is needed in post-ICU settings and with those who have COVID-19.
Journal ArticleDOI
Translating COVID-19 Evidence to Maximize Physical Therapists' Impact and Public Health Response.
TL;DR: Physical therapists have an indisputable role across the contiuum of COVID-19 care as discussed by the authors, and over 90% of individuals who die from the current pandemic have comorbidities, most notably cardiovascular disease, hypertension, chronic lung disease, type 2 diabetes mellitus, and obesity Physical therapists need to redouble their efforts to address NCDs by assessing patients for risk factors and manifestations.
Journal ArticleDOI
Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit
Gopala Krishna Alaparthi,Aishwarya Gatty,Stephen Rajan Samuel,Sampath Kumar Amaravadi,Sampath Kumar Amaravadi +4 more
TL;DR: Early mobilization is found to have positive effects on various outcomes in patients with or without mechanical ventilation, and the newer techniques can be used to facilitate early mobilization.
Journal ArticleDOI
Functional electrical stimulation-assisted cycle ergometry-based progressive mobility programme for mechanically ventilated patients: randomised controlled trial with 6 months follow-up.
Petr Waldauf,Natália Hrušková,Barbora Blahutová,Jan Gojda,Tomáš Urban,Adéla Krajčová,Michal Fric,Kateřina Jiroutková,Kamila Řasová,František Duška +9 more
TL;DR: In this article, the authors used Functional Electrical Stimulation-assisted Cycle ergometry (FESCE) to enable in-bed leg exercise independently of patients' volition and found that early use of FESCE-based progressive mobility program improves physical function in survivors of critical care after 6 months.
References
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Journal ArticleDOI
Acute Skeletal Muscle Wasting in Critical Illness
Zudin Puthucheary,J Rawal,Mark J. W. McPhail,Mark J. W. McPhail,Bronwen Connolly,Bronwen Connolly,Gamunu Ratnayake,Pearl Chan,Nicholas S Hopkinson,Rahul Phadke,Tracy Dew,Paul S. Sidhu,Cristiana P. Velloso,John Seymour,Chibeza C. Agley,Anna Selby,Marie C. Limb,Lindsay M. Edwards,Kenneth Smith,Anthea Rowlerson,Michael J. Rennie,John Moxham,John Moxham,Stephen D. R. Harridge,Nicholas Hart,Nicholas Hart,Hugh Montgomery +26 more
TL;DR: A comprehensive prospective characterization of skeletal muscle wasting, defining the pathogenic roles of altered protein synthesis and breakdown was performed and skeletal muscle loss was determined through serial ultrasound measurement.
Journal ArticleDOI
Paresis acquired in the intensive care unit: a prospective multicenter study.
Bernard De Jonghe,Tarek Sharshar,Jean-Pascal Lefaucheur,François-Jérôme Authier,Isabelle Durand-Zaleski,Mohamed Boussarsar,Charles Cerf,Estelle Renaud,Francine Mesrati,Jean Carlet,Jean-Claude Raphaël,Hervé Outin,Sylvie Bastuji-Garin +12 more
TL;DR: Identified using simple bedside clinical criteria, ICUAP was frequent during recovery from critical illness and was associated with a prolonged duration of mechanical ventilation, which suggests an important role of corticosteroids in the development ofICUAP.
Journal ArticleDOI
The development of a comorbidity index with physical function as the outcome.
TL;DR: This new index contains diagnoses such as arthritis not found on indices used to Predict mortality, and the FCI explained more variance in PF scores compared to indices designed to predict mortality.
Journal ArticleDOI
Early exercise in critically ill patients enhances short-term functional recovery*
Chris Burtin,Beatrix Clerckx,Christophe Robbeets,Patrick Ferdinande,Daniel Langer,Thierry Troosters,Greet Hermans,Marc Decramer,Rik Gosselink +8 more
TL;DR: Early exercise training in critically ill intensive care unit survivors enhanced recovery of functional exercise capacity, self-perceived functional status, and muscle force at hospital discharge.
Journal ArticleDOI
Early activity is feasible and safe in respiratory failure patients.
Polly P. Bailey,George E. Thomsen,Vicki J. Spuhler,Robert Blair,James Jewkes,Louise Bezdjian,Kristy Veale,Larissa Rodriquez,Ramona O. Hopkins +8 more
TL;DR: It is concluded that early activity is feasible and safe in respiratory failure patients and a majority of survivors (69%) were able to ambulate >100 feet at RICU discharge.