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.
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Physical Therapists' Clinical Reasoning and Decision-Making Processes When Mobilizing Patients Who Are Critically Ill: A Qualitative Study
TL;DR: Investigation of factors guiding physical therapists' clinical reasoning and decision-making processes when initiating and progressing mobilization in patients who are critically ill found the approach was goal-oriented and tailored to each patient's needs based on moment-to-moment evaluation of responses.