Effect of physical therapy on muscle strength, respiratory muscles and functional parameters in patients with intensive care unit-acquired weakness

Orna Yosef-Brauner, Nimrod Adi, Tamar Ben Shahar, Ester Yehezkel, Eli Carmeli

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this study was to evaluate the effect of an intensive physical therapy protocol in patients who contract 'intensive care unit-acquired weakness' (ICUAW), in terms of muscle strength, breathing and functional indices. Methods: This was a prospective, single-blinded study in a general hospital intensive care unit (ICU). Patients who required mechanical ventilation longer than 48h and who were expected to remain mechanically ventilated for at least another 48h were randomly divided into two intervention groups: group I (n=9) - the routine care group, received physical therapy according to our daily custom protocol; and group II (n=9) - the intensive treatment group, were treated by the same protocol twice a day. The main outcome measures included the Medical Research Council (MRC) physical strength examination, maximal inspiratory pressure (MIP), hand grip dynamometer and sitting balance test. Results: Significant strength improvement from first (T1) to second (T2) measurements was demonstrated for variables MIP and MRC physical strength examination in favor of the intensive treatment group (P<0.05). The intensive treatment group also required shorter intensive care length of stay than the routine care group (P=0.043). Conclusions: It is possible that an intensive therapy protocol may facilitate the initial recovery process in patients who suffer from ICUAW.

Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalClinical Respiratory Journal
Volume9
Issue number1
DOIs
StatePublished - 1 Jan 2015

Bibliographical note

Publisher Copyright:
© 2013 John Wiley & Sons Ltd.

Keywords

  • Intensive care unit acquired weakness
  • Maximal inspiratory pressure
  • Medical Research Council physical strength examination
  • Sitting balance

ASJC Scopus subject areas

  • Genetics(clinical)
  • Pulmonary and Respiratory Medicine
  • Immunology and Allergy

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