Effect of a structured early mobilization protocol on the level of mobilization and muscle strength in critical care patients: A randomized clinical trial.
| Autor: | de Paula, Maria Aparecida Stroppa, Carvalho, Erich Vidal, de Souza Vieira, Rodrigo, Bastos-Netto, Cristiane, de Jesus, Luciana Angélica da Silva, Stohler, Caio Groetaers, Arantes, Gustavo Candiá, Colugnati, Fernando Antonio Basile, Reboredo, Maycon Moura, Pinheiro, Bruno Valle |
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| Předmět: |
MEDICAL protocols
RISK assessment PHYSICAL therapy CRITICALLY ill PATIENTS ACADEMIC medical centers BEDSORE risk factors RESEARCH funding STATISTICAL sampling EARLY ambulation (Rehabilitation) DISCHARGE planning RANDOMIZED controlled trials DESCRIPTIVE statistics CHI-squared test MANN Whitney U Test MUSCLE strength INTENSIVE care units RESEARCH COMPARATIVE studies SOCIODEMOGRAPHIC factors DATA analysis software ACTIVITIES of daily living RANGE of motion of joints CRITICAL care medicine |
| Zdroj: | Physiotherapy Theory & Practice; Sept2024, Vol. 40 Issue 9, p2004-2013, 10p |
| Abstrakt: | Background: Few studies have evaluated the effects of structured early mobilization (EM) protocols on the level of mobilization in critical care patients. Objective: To evaluate the impact of a structured EM protocol on the level of mobilization, muscle strength, and the level of activities of daily living (LADL) after intensive care unit (ICU) and hospital discharge. Methods: This randomized clinical trial (U1111-1245-4840) included adults patients who were randomized into two groups: intervention (n = 40) and control (n = 45). The intervention group underwent conventional physiotherapy and structured EM protocols, and the control group underwent conventional physiotherapy. The level of mobilization from 0 (no mobilization) to 5 (walking), muscle strength (Medical Research Council scale), LADL (Katz Index), and incidence of complications were evaluated. Results: The level of mobilization from day 1 to day 7 increased in the intervention group compared with the control group (p <.05). Muscle strength did not change during the protocol in the intervention and control groups {day 1 [effect size (r) = 0.15, p =.161], at ICU discharge [r = 0.16, p =.145], and after ICU discharge [r = 0.16, p =.191]}. The LADL did not differ between the intervention and control groups after ICU discharge [4 (1–6) vs. 3 (1–5), p =.702] or 30 days after hospital discharge [6 (5–6) vs. 6 (5–6), p =.945]. The structured EM protocol was safe, and no severe complications were observed during the protocol. Conclusion: A structured EM protocol increased the level of mobilization without improving muscle strength and the LADL compared with conventional physiotherapy. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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