Effects of Early Stepping Verticalization + FES on CIP

O

Ospedale Generale Di Zona Moriggia-Pelascini

Status

Completed

Conditions

Acquired Brain Injury
Critical Illness Polyneuropathy

Treatments

Other: conventional physiotherapy
Device: stepping verticalization plus functional electrical stimulation
Device: stepping verticalization

Study type

Observational

Funder types

Other

Identifiers

NCT03616314
Erigo/FES critical illness

Details and patient eligibility

About

Background: Intensive Care Unit (ICU) survivors often develop an acquired weakness due to a Critical Illness Polyneuropathy (CIP). Early mobilization in ICU, by reducing the bed rest and decreasing the oxidative stress, was shown to represent a valid preventive option. Purpose: To evaluate whether ICU sessions of stepping verticalization associated with Functional Electrical Stimulation (FES) of the lower limbs are able to reduce the occurrence of CIP in Acquired Brain Injured (ABI) patients. Methods: all the ABI patients admitted in our Neurorehabilitation Unit from our ICU were retrospectively evaluated. Patients affected by previous peripheral neuropathy, diabetes, cancer, alcoholism, viral hepatitis, AIDS and autoimmune diseases were excluded. They were divided into 3 groups according to the rehabilitation strategy received in ICU: group 1 received conventional physiotherapy + stepping verticalization sessions with Erigo® (Hocoma, Switzerland); group 2 received conventional physiotherapy + stepping verticalization sessions with FES using ErigoPro®; group 3 received only conventional physiotherapy. As for internal protocol, all patients started rehabilitation in the first week from the ABI and performed 60 minutes/day of rehabilitation, 5 days/week. Primary outcome was the evidence of CIP at Neurorehabilitation admission (=ICU discharge), according to neurophysiological criteria. Secondary outcomes were the strength impairment at Neurorehabilitation discharge, measured by the total Motricity Index score and the Functional Ambulation Classification (FAC) score, assessing quality of gait.

Enrollment

39 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • arriving directly from our acute care facility
  • hospitalized in ICU due to an acute brain injury

Exclusion criteria

  • previous peripheral neuropathies
  • diabetes
  • cancer
  • alcoholism
  • viral hepatitis
  • AIDS
  • autoimmune diseases
  • absence of clinical or neurophysiological informations at data collection

Trial design

39 participants in 3 patient groups

stepping verticalization
Description:
in ICU they received conventional physiotherapy + stepping verticalization sessions with Erigo
Treatment:
Device: stepping verticalization
stepping verticalization + FES
Description:
in ICU they received conventional physiotherapy + stepping verticalization sessions with FES using ErigoPro
Treatment:
Device: stepping verticalization plus functional electrical stimulation
conventional physiotherapy
Description:
in ICU they received only conventional physiotherapy
Treatment:
Other: conventional physiotherapy

Trial contacts and locations

1

Loading...

Data sourced from clinicaltrials.gov

Clinical trials

Find clinical trialsTrials by location
© Copyright 2024 Veeva Systems