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
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
Citations
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Journal ArticleDOI
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
Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain-Barré syndrome.
TL;DR: An additional score (MRC‐sumscore), reflecting muscle strength in general, is developed, easily assessed and more sensitive than the functional score when patients are bedridden or artificially ventilated.
Journal ArticleDOI
Long-term complications of critical care
TL;DR: Survivors of critical illness are frequently left with a legacy of long-term physical, neuropsychiatric, and quality of life impairments, which can help identify patients who are most at risk of these complications.
Journal ArticleDOI
Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients.
Rik Gosselink,Julia Bott,Michael R Johnson,Elizabeth Dean,Stefano Nava,Michèle Norrenberg,B. Schönhofer,Kathy Stiller,H. van de Leur,Jean Louis Vincent +9 more
TL;DR: There is a need to standardize pathways for clinical decision-making and education, to define the professional profile of physiotherapists, and increase the awareness of the benefits of prevention and treatment of immobility and deconditioning for critically ill adult patients.
Journal ArticleDOI
Reference values for a multiple repetition 6-minute walk test in healthy adults older than 20 years.
TL;DR: The present study is the first to provide predicted 6MWD values performed with multiple repetitions and for subjects in the 20-40-year-old age range, and should be guided by subject age and degree of test familiarization provided.
Journal ArticleDOI
Physical complications in acute lung injury survivors: a two-year longitudinal prospective study.
Eddy Fan,Eddy Fan,David W. Dowdy,Elizabeth Colantuoni,Pedro A. Mendez-Tellez,Jonathan E. Sevransky,Carl Shanholtz,Cheryl Dennison Himmelfarb,Sanjay V. Desai,Nancy Ciesla,Margaret S. Herridge,Peter J. Pronovost,Dale M. Needham +12 more
TL;DR: Muscle weakness is common after acute lung injury, usually recovering within 12 months, and this weakness is associated with substantial impairments in physical function and health-related quality of life that continue beyond 24 months.