Critical Care Rehabilitation
Conditions
Interventions
Control group:The control group received routine rehabilitation therapy, including active and passive exercises of the limbs and active and passive stretching. All activities were performed with progr
Intervention group:The control group received conventional manual rehabilitation therapy administered by a rehabilitation therapist, which consisted of active and passive limb exercises and stretching
Shanghai Medical Device Registration No.: 20252190402) was used in the active?passive assisted mode, with the range of motion individually adjusted according to each participant's condition. The train
Sponsors
The First Affiliated Hospital of Naval Medical University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. age >= 18 years; 2. received invasive mechanical ventilation for >=48 h or non-invasive mechanical ventilation for >=48 h; 3. APACHE II score >= 15; 4. ICU Mobility Scale score <= 1; 5. written informed consent was obtained from their legal representative or next of kin.
Exclusion criteria
Exclusion criteria: 1. lack of informed consent; 2. pre-existing diaphragmatic paralysis or phrenic nerve injury; 3. severe upper gastrointestinal bleeding; 4. unhealed bone fractures, severe osteoporosis, or deep vein thrombosis; 5. uncontrolled epilepsy; 6. restricted passive range of motion of the lower limb joints or excessively high muscle tone in the lower extremities; 7. severe cardiac arrhythmias, permanent pacemaker implantation, or implantable cardioverter-defibrillator; 8. uncontrolled hypertension (systolic blood pressure >200 mmHg or diastolic blood pressure >110 mmHg), poorly controlled diabetes, or significant dysfunction of major organs including the liver, kidneys, and heart; 9. history of severe asthma; 10. unstable vital signs; 11. tumor located at the electrode attachment sites (bilateral mid-clavicular lines, second intercostal space); 12. current participation in another clinical trial; 13. respiratory failure due to underlying conditions such as acute cardiogenic pulmonary edema, severe traumatic brain injury or stroke, high cervical spinal cord injury (above C5), or other neuromuscular disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diaphragmatic Thickening Fraction; | — |
Secondary
| Measure | Time frame |
|---|---|
| Diaphragmatic excursion ;Lower limb muscle thickness; | — |
Countries
China
Contacts
Public ContactFang fanfu; Lv can
The First Affiliated Hospital of Naval Medical University
Outcome results
None listed