Effect of a structured early mobilization protocol on the level of mobilization and muscle strength in critical care patients: A randomized clinical trial.
Physiother Theory Pract
; : 1-10, 2023 Jul 07.
Article
en En
| MEDLINE
| ID: mdl-37417694
ABSTRACT
BACKGROUND:
Few studies have evaluated the effects of structured early mobilization (EM) protocols on the level of mobilization in critical care patients.OBJECTIVE:
To evaluate the impact of a structured EM protocol on the level of mobilization, muscle strength, and the level of activities of daily living (LADL) after intensive care unit (ICU) and hospital discharge.METHODS:
This randomized clinical trial (U1111-1245-4840) included adults patients who were randomized into two groups intervention (n = 40) and control (n = 45). The intervention group underwent conventional physiotherapy and structured EM protocols, and the control group underwent conventional physiotherapy. The level of mobilization from 0 (no mobilization) to 5 (walking), muscle strength (Medical Research Council scale), LADL (Katz Index), and incidence of complications were evaluated.RESULTS:
The level of mobilization from day 1 to day 7 increased in the intervention group compared with the control group (p < .05). Muscle strength did not change during the protocol in the intervention and control groups {day 1 [effect size (r) = 0.15, p = .161], at ICU discharge [r = 0.16, p = .145], and after ICU discharge [r = 0.16, p = .191]}. The LADL did not differ between the intervention and control groups after ICU discharge [4 (1-6) vs. 3 (1-5), p = .702] or 30 days after hospital discharge [6 (5-6) vs. 6 (5-6), p = .945]. The structured EM protocol was safe, and no severe complications were observed during the protocol.CONCLUSION:
A structured EM protocol increased the level of mobilization without improving muscle strength and the LADL compared with conventional physiotherapy.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Tipo de estudio:
Clinical_trials
/
Guideline
Idioma:
En
Revista:
Physiother Theory Pract
Asunto de la revista:
MEDICINA FISICA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Brasil