Effect of Critical Patients Mobilization on Respiratory and Peripheral Muscle Strength and Functional Capacity.

Universidade Federal de Pernambuco

Status

Completed

Conditions

Muscle Weakness

Intensive Care Unit Syndrome

Treatments

Procedure: Early ambulation

Study type

Interventional

Funder types

Other

Identifiers

NCT02919085

01110031483

Details and patient eligibility

About

To analyze changes on respiratory muscle strength, peripheral and functional capacity of critically ill patients with clinical and surgical etiology, breathing spontaneously and bedridden, within 48 hours of admission to the intensive care unit (ICU) and if there are correlations among these variables. This is an observational study. Respiratory muscle strength will be assessed through the maximum inspiratory pressure (MIP) and maximal expiratory pressure (MEP) and peripheral muscle strength, by the Medical Research Council score (MRC) and hand grip test and functional capacity through the Functional Independence Measure (FIM) and Physical Function ICU Test Score (PFIT-s) in the period between 24h and 48h of hospitalization in the adult ICU. For descriptive purposes, the sample will be stratified according to clinical and surgical characteristics. Correlations will be determined using the Pearson test, with significance level of p <0.05.

Enrollment

40 patients

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Breathing spontaneously
Length of stay in ICU greater than 24 hours
Adherence to study

Exclusion criteria

Patients with poor prognosis or palliation;
Preexisting neuromuscular diseases;
Immobility or restriction to bed prior to admission;
Nonunions and amputations;
Osteomioarticular, cognitive or neurological impairment;
Non-cooperation;
Specific contraindications to the application of evaluation methods;
Hemodynamic or respiratory instability within 48 hours of ICU admission preventing evaluation muscle strength and functional capacity.