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Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial
Joint Authors
Richtrmoc, Maria Karoline
Souza Leite, Wagner
Martins Azevedo, Anielle
Farias Correia, Raissa
de Aquino Coelho Lins, Rômulo
Alencar Lima, Wildberg
Araújo Morais, Caio César
Rios Pereira, Rodrigo
Bandeira, Monique
Santos Rego Barros, Carlos Eduardo
Soares de Lima, Amina Maria
Rodrigues-Machado, Maria Glória
Cunha Brandão, Daniella
Dornelas De Andrade, Armèle
Remigio de Aguiar, Maria Inês
Lima Campos, Shirley
Source
Critical Care Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-25
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Purpose.
To assess the potential effectiveness or efficacy of early mobilization on respiratory and peripheral muscle strengths and functionality in nonintubated patients.
Methods.
For 40 nonintubated patients over 18 years of age with over 24-hour intensive care unit (ICU) stay allocated to a single intervention, an incremental mobilization protocol was initiated.
Maximal inspiratory and expiratory pressures (MIP and MEP), peripheral muscle strength (handgrip strength (HGS) and Medical Research Council scale (MRC-s)), and functionality (FIM, ICF-BMS, PFIT-s, and FSS-ICU scales) were evaluated at ICU admission and discharge.
Results.
All outcomes were significantly improved (pre vs.
post values): MIP (43.93 ± 21.95 vs.
54.12 ± 21.68 cmH2O; P<0.001), MEP (50.32 ± 28.65 vs.
60.30 ± 21.23; P=0.002), HGS (25.5 (9.58) vs.
27.5 (9.48); P=0.046), MRC-s (58.52 ± 2.84 vs.
59.47 ± 1.81; P=0.023), FIM (54.4 ± 22.79 vs.
69.48 ± 12.74), ICF-BMS (28.63 ± 16.19 vs.
14.03 ± 11.15), PFIT-s (9.55 ± 2.34 vs.
11.18 ± 1.32) (P<0.001), and FSS-ICU (28.7 ± 9.1 vs.
32.6 ± 5.0; P=0.001).
The ceiling effect at admission/discharge was in MRC-s (60/82.5%), FSS-ICU (50/70%), and FIM (35/62.5%).
The floor effect occurred at discharge in ICF-BMS (7.5/52.5%).
Conclusions.
The early mobilization protocol seemed effective at maintaining/increasing the respiratory muscle strength and functionality of nonintubated patients in critical care.
Ceiling effect was high for MRC-s, FSS-ICU, and FIM scales.
American Psychological Association (APA)
Richtrmoc, Maria Karoline& Souza Leite, Wagner& Martins Azevedo, Anielle& Farias Correia, Raissa& de Aquino Coelho Lins, Rômulo& Alencar Lima, Wildberg…[et al.]. 2020. Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial. Critical Care Research and Practice،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1138512
Modern Language Association (MLA)
Richtrmoc, Maria Karoline…[et al.]. Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial. Critical Care Research and Practice No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1138512
American Medical Association (AMA)
Richtrmoc, Maria Karoline& Souza Leite, Wagner& Martins Azevedo, Anielle& Farias Correia, Raissa& de Aquino Coelho Lins, Rômulo& Alencar Lima, Wildberg…[et al.]. Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial. Critical Care Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1138512
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138512