Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial
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 singl...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/3526730 |
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| author | Maria Karoline Richtrmoc Wagner Souza Leite Anielle Martins Azevedo Raissa Farias Correia Rômulo de Aquino Coelho Lins Wildberg Alencar Lima Caio César Araújo Morais Rodrigo Rios Pereira Monique Bandeira Carlos Eduardo Santos Rego Barros Amina Maria Soares de Lima Maria Glória Rodrigues-Machado Daniella Cunha Brandão Armèle Dornelas De Andrade Maria Inês Remigio de Aguiar Shirley Lima Campos |
| author_facet | Maria Karoline Richtrmoc Wagner Souza Leite Anielle Martins Azevedo Raissa Farias Correia Rômulo de Aquino Coelho Lins Wildberg Alencar Lima Caio César Araújo Morais Rodrigo Rios Pereira Monique Bandeira Carlos Eduardo Santos Rego Barros Amina Maria Soares de Lima Maria Glória Rodrigues-Machado Daniella Cunha Brandão Armèle Dornelas De Andrade Maria Inês Remigio de Aguiar Shirley Lima Campos |
| author_sort | Maria Karoline Richtrmoc |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-bb578bac80744bbd9c1d10625ab7f366 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
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| series | Critical Care Research and Practice |
| spelling | doaj-art-bb578bac80744bbd9c1d10625ab7f3662025-02-03T01:01:55ZengWileyCritical Care Research and Practice2090-13052090-13132020-01-01202010.1155/2020/35267303526730Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility TrialMaria Karoline Richtrmoc0Wagner Souza Leite1Anielle Martins Azevedo2Raissa Farias Correia3Rômulo de Aquino Coelho Lins4Wildberg Alencar Lima5Caio César Araújo Morais6Rodrigo Rios Pereira7Monique Bandeira8Carlos Eduardo Santos Rego Barros9Amina Maria Soares de Lima10Maria Glória Rodrigues-Machado11Daniella Cunha Brandão12Armèle Dornelas De Andrade13Maria Inês Remigio de Aguiar14Shirley Lima Campos15Department of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilDepartment of Physical Therapy, Real Hospital Português de Beneficência em Pernambuco, Recife 52010-075, BrazilDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USADepartment of Physical Therapy, Real Hospital Português de Beneficência em Pernambuco, Recife 52010-075, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilPost-Graduation Program in Health Sciences, Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte 30130-110, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilDepartment of Physical Therapy, Universidade Federal de Pernambuco, Recife 50670-901, BrazilPurpose. 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.http://dx.doi.org/10.1155/2020/3526730 |
| spellingShingle | Maria Karoline Richtrmoc Wagner Souza Leite Anielle Martins Azevedo Raissa Farias Correia Rômulo de Aquino Coelho Lins Wildberg Alencar Lima Caio César Araújo Morais Rodrigo Rios Pereira Monique Bandeira Carlos Eduardo Santos Rego Barros Amina Maria Soares de Lima Maria Glória Rodrigues-Machado Daniella Cunha Brandão Armèle Dornelas De Andrade Maria Inês Remigio de Aguiar Shirley Lima Campos 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 |
| title | Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial |
| title_full | Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial |
| title_fullStr | Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial |
| title_full_unstemmed | Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial |
| title_short | Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial |
| title_sort | effect of early mobilization on respiratory and limb muscle strength and functionality of nonintubated patients in critical care a feasibility trial |
| url | http://dx.doi.org/10.1155/2020/3526730 |
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