| Autor: |
Suellen M. Cardozo, Thiago Gonçalves, Raissa Farias Correia, Raquel M.O. Silva, Carlos Eduardo Santos Rego Barros, Adriano Florencio Vilaça, C. Rattes, Helga Cecília Muniz de Souza, Armele Dornelas, Daniella Cunha Brandão, Amina Maria Soares de Lima, Shirley Lima Campos |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
2.1 Acute Critical Care. |
| DOI: |
10.1183/13993003.congress-2015.pa2164 |
| Popis: |
Backgroud: Mechanically ventilated patients in the ICU are usually restricted to immobility in bed. Immobility is associated with the development of peripheral muscle weakness, which acts as a predisposing factor for damage to the musculoskeletal system. The high risk of polyneuropathy and/or myopathy in critically ill patients contributes to the increased length of hospital stay. This weakness can be reversed or attenuated by a mobilization program which interferes directly on the immobility time in the bed. Aim and Objectives: To compare the effects of a standardized protocol of mobilization on peripheral muscle strength of critically ill patients on mechanical ventilation. We hypothesized that the application of a standardized and systematic mobilization protocol can improve the peripheral muscle strength in critically ill patients. Methods: It is quasi-experimental study. 10 patients were submitted to Standardized Mobilization Protocol (SMP). SMP was consisted of a 5-phase strategy, progressing from passive mobilization to walking, as assessed by the Ramsay or Coma Glasgow Scale and peripheral muscle strength. Peripheral muscle strength was assessed by Medical Research Council (MRC) Scale. It was adopted as significant p Results: Significant gains in peripheral muscle strength were found in patients submitted the SMP when comparing the initial and final assessments (MRC initial= 29.4 ± 17.9 points and MRC final = 45.0 ± 17.0 points; p=0.005). Conclusion: The results suggest that a Standardized Mobilization Protocol improves peripheral muscle strength in critically ill patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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