| Autor: |
Hatem ELmoutaz, Awny F. Rahmy, Ahmed M. S. Nour Eldin, Ahmed Z. Fouad, Sherin H. M. Mehani |
| Rok vydání: |
2020 |
| Předmět: |
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| DOI: |
10.21203/rs.3.rs-18220/v1 |
| Popis: |
Background Patients needing prolonged mechanical ventilation have poor outcomes and are increasing in number. Weakness of inspiratory muscles is a well- established complication of prolonged mechanical ventilator , however the role of physical therapist has been expanded towards rehabilitation rather than inspiratory care only. The purpose of this study was to compare between comprehensive rehabilitation program and traditional chest physiotherapy on weaning from mechanical ventilation, improvement of respiratory muscle strength, peripheral muscle strength and functional status.Methods Fifty mechanically ventilated general surgery patients from both sexes (men & women) with age from 40 to 50 years old participated in the present randomized clinical trial. They had difficult and prolonged weaning. They were divided randomly into two groups , group(A) consisted of twenty four patients who received comprehensive rehabilitation program combined with inspiratory muscle training and group(B) consisted of twenty six patients who received traditional chest physical therapy combined with inspiratory muscle training. Four patients in the study group and six subjects in the control group died during the intervention period and thus their data were excluded from the final analysis. Maximal inspiratory pressure (MIP), peripheral muscle strength and Functional independence measure questionnaire were measured at the beginning of the study and at weaning from mechanical ventilator.ResultsResults revealed that there was a significant improvement in days to wean and peripheral muscle strength in difficult and prolonged weaning patients in group A compared with group B. There was a significant improvement in maximal inspiratory pressure (MIP) in both groups. In addition, there was a significant increase in the median values of functional independence measures in group A more than group B.ConclusionsBoth physical therapy programs inspiratory muscle training and comprehensive rehabilitation and inspiratory muscle training and traditional chest physical therapy showed an increase in inspiratory muscle strength. On the other hand comprehensive program consisted of peripheral muscle training and functional training was more superior in decreasing days to wean and increasing peripheral muscle strength and functional independence measure score. The trial was prospectively registered at Clinicaltrials.gov ; Identifier: NCT04021615 ; date : 13-7-2019 |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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