Effect of physiotherapy on regaining independent walking in patients with intensive-care-unit-acquired muscle weakness: A cohort study

Autor: Simone Thomas, Jan Mehrholz, Ulf Bodechtel, Bernhard Elsner
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Rehabilitation Medicine, Vol 51, Iss 10, Pp 797-804 (2019)
Druh dokumentu: article
ISSN: 1650-1977
1651-2081
16501977
DOI: 10.2340/16501977-2606
Popis: Objectives: To describe physiotherapeutic interventions used in the post-acute inpatient rehabilitation of chronic critically ill patients with intensive-care-unit-acquired muscle weakness, and to determine the influence of such interventions on patients’ ability to walk. Methods: Chronic critically ill patients with intensive-care-unit-acquired muscle weakness who were in post-acute and rehabilitation units were included in a cohort study. During post-acute rehabilitation, the patients’ functional status at baseline, all daily physiotherapeutic interventions, and ability to walk were documented. Results: A total of 150 patients were investigated. In patients who regained walking ability, the most frequent interventions in the first 2 weeks of post-acute rehabilitation were practicing walking, sit-to-stand training, and balance training while sitting (total time per week: 48.03 (standard deviation (SD) 41.10), 20.13 (SD 21.12), and 12.37 (SD 26.95) min, respectively). The most frequent interventions in those who did not regain walking ability were passive-assistive movements, sit-to-stand training, and balance training while sitting (total time per week: 15.29 (SD 22.93), 15.15 (SD 22.75), and 14.85 (SD 16.99) min, respectively). The time spent walking increased the chance of regaining walking ability (adjusted hazard ratio = 1.017 per min walking, p
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