Effect of a structured early mobilization protocol on the level of mobilization and muscle strength in critical care patients: A randomized clinical trial.
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...
| Publicado en: | Physiotherapy Theory & Practice Vol. 40; no. 9; pp. 2004 - 2014 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sept2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179637895&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179637895 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Sept2024 vid: 40 iid: 9 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 179637895 179637895 179637895 10.1080/09593985.2023.2233097 179637895 ppf: 2004 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effect of a structured early mobilization protocol on the level of mobilization and muscle strength in critical care patients: A randomized clinical trial. aug: au: 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 affil: Pulmonary and Critical Care Division, University Hospital of Federal University of Juiz de Fora - Catulo Breviglieri S/nº - Santa Catarina, Juiz de Fora, Brazil sug: subj: Early Ambulation Methods Protocols Muscle Strength Evaluation Activities of Daily Living Evaluation Range of Motion Evaluation Intensive Care Units Patient Discharge Critical Care Methods Risk Assessment Human Male Female Adult Middle Age Aged Critically Ill Patients Randomized Controlled Trials Random Assignment Academic Medical Centers Brazil Descriptive Statistics Comparative Studies Brazil Sociodemographic Factors Braden Scale for Predicting Pressure Sore Risk Scales Clinical Assessment Tools Chi Square Test Wilcoxon Rank Sum Test Data Analysis Software Physical Therapy Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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