Comparison of exercise intensity during four early rehabilitation techniques in sedated and ventilated patients in ICU: a randomised cross-over trial

医学 功能性电刺激 康复 物理疗法 交叉研究 心输出量 安慰剂 心率 重症监护室 运动强度 强度(物理) 物理医学与康复 心脏病学 麻醉 内科学 血压 刺激 血流动力学 替代医学 病理 物理 量子力学
作者
Clément Médrinal,Yann Combret,Guillaume Prieur,Aurora Robledo Quesada,Tristan Bonnevie,Francis‐Edouard Gravier,Elise Dupuis‐Lozeron,Éric Frenoy,Olivier Contal,Bouchra Lamia
出处
期刊:Critical Care [BioMed Central]
卷期号:22 (1) 被引量:62
标识
DOI:10.1186/s13054-018-2030-0
摘要

In the ICU, out-of-bed rehabilitation is often delayed and in-bed exercises are generally low-intensity. Since the majority of rehabilitation is carried out in bed, it is essential to carry out the exercises that have the highest intensity. The aim of this study was to compare the physiological effects of four common types of bed exercise in intubated, sedated patients confined to bed in the ICU, in order to determine which was the most intensive. A randomised, single-blind, placebo-controlled crossover trial was carried out to evaluate the effects of four bed exercises (passive range of movements (PROM), passive cycle-ergometry, quadriceps electrical stimulation and functional electrical stimulation (FES) cycling) on cardiac output. Each exercise was carried out for ten minutes in ventilated, sedated patients. Cardiac output was recorded using cardiac Doppler ultrasound. The secondary aims were to evaluate right heart function and pulmonary and systemic artery pressures during the exercises, and the microcirculation of the vastus lateralis muscle. The results were analysed in 19 patients. FES cycling was the only exercise that increased cardiac output, with a mean increase of 1 L/min (15%). There was a concomitant increase in muscle oxygen uptake, suggesting that muscle work occurred. FES cycling thus constitutes an effective early rehabilitation intervention. No muscle or systemic effects were induced by the passive techniques. Most bed exercises were low-intensity and induced low levels of muscle work. FES cycling was the only exercise that increased cardiac output and produced sufficient intensity of muscle work. Longer-term studies of the effect of FES cycling on functional outcomes should be carried out. ClinicalTrials.gov, NCT02920684 . Registered on 30 September 2016. Prospectively registered.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Sylvia0528发布了新的文献求助10
刚刚
小玉发布了新的文献求助10
刚刚
郭郭郭郭发布了新的文献求助10
1秒前
SYLH应助科研通管家采纳,获得10
1秒前
1秒前
隐形曼青应助科研通管家采纳,获得10
1秒前
SYLH应助科研通管家采纳,获得10
1秒前
思源应助科研通管家采纳,获得10
1秒前
Rondab应助科研通管家采纳,获得10
1秒前
天天快乐应助科研通管家采纳,获得10
1秒前
Rondab应助科研通管家采纳,获得10
1秒前
1秒前
SYLH应助科研通管家采纳,获得10
1秒前
人生如梦应助科研通管家采纳,获得10
2秒前
xue完成签到,获得积分10
2秒前
SYLH应助科研通管家采纳,获得10
2秒前
SYLH应助科研通管家采纳,获得10
2秒前
SYLH应助科研通管家采纳,获得10
2秒前
SYLH应助科研通管家采纳,获得10
2秒前
2秒前
2秒前
SYLH应助科研通管家采纳,获得10
2秒前
水深三英尺完成签到,获得积分10
2秒前
3秒前
3秒前
3秒前
所所应助科研通管家采纳,获得10
3秒前
Lucas应助科研通管家采纳,获得10
3秒前
Akim应助科研通管家采纳,获得10
3秒前
SYLH应助科研通管家采纳,获得10
3秒前
CodeCraft应助彩色芷采纳,获得10
3秒前
3秒前
3秒前
111发布了新的文献求助10
3秒前
陌上花开发布了新的文献求助10
4秒前
4秒前
彼方尚有荣光在完成签到 ,获得积分10
4秒前
Havean发布了新的文献求助10
4秒前
5秒前
abala完成签到,获得积分20
5秒前
高分求助中
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
Effective Learning and Mental Wellbeing 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3974712
求助须知:如何正确求助?哪些是违规求助? 3519159
关于积分的说明 11197254
捐赠科研通 3255257
什么是DOI,文献DOI怎么找? 1797724
邀请新用户注册赠送积分活动 877130
科研通“疑难数据库(出版商)”最低求助积分说明 806132