Inclusion criteria were ICU patients who had been ventilated for more 2 days.
Conditions
Interventions
ICU patients received traditional physical therapy and Hybrid EMS, which began within 48 hours of admission and continued daily for 2 weeks until discharge from ICU. The Hybrid EMS intervention involv
Sponsors
Shinko Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria were ICU patients who had been ventilated for more 2 days.
Exclusion criteria
Exclusion criteria: Exclusion criteria were patients with neurological disorders, stroke, traumatic brain injury, brain tumor, amputation, spinal cord injury, and ventilated for less 2 days.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes were a change in the muscle cross-sectional area and muscle thickness from baseline to after 2 weeks, as measured using real-time B-mode ultrasonography with a 50mm 8MHz linear probe. During the ultrasonography, the participants were in a supine position with their knees extended at 0 degree and muscles relaxed. Four ultrasonography images were recorded at 50% on the line from the anterior superior iliac spine to the upper region of the patella of rectus femoris, vastus lateralis and vastus intermedius, and at 80% on the line between the anterior superior iliac spine and the joint space in front of the anterior border of the medial ligament of vastus medialis. Muscle thickness was calculated as the length between the deep aponeurosis and surface aponeurosis at 3 different points in the image. The mean thickness was calculated in each ultrasonography image. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes included changes in physical function from day 2 after admission to the ICU and after being on a ventilator for more 2 days, to after 2 weeks as well as the health care cost and, health-related quality of life. Interval-scored physical function ICU test (PFIT-s) The medical research council (MRC) sum score Quadriceps muscle strength: Isometric muscle strength of the quadriceps muscle was measured at the time of discharge from the hospital using a hand-held dynamometer . Patients sat with their hips and kneespositioned at 90 degree of flexion, and their arms folded across their chests. A sensor of the hand held dynamometer was attached to the lateral malleolus axis at the front of the lower leg. We instructed the patients to contract the quadriceps muscle "as hard and fast as possible" during the isometric quadriceps muscle contraction test. The test was repeated twice and a maximum knee extensor contraction of 5 seconds was performed with 2 minutes of rest between each test. The largest maximal volitional isometric knee extensor strength data was recorded as the absolute value. Grip strength: Grip strength was measured on day 2 after admission to the ICU and after 2 weeks using a hand-held dynamometer. Patients lay with their elbow positioned at 90 degree of flexion. The test was repeated twice, and a maximum grip contraction of 3 seconds was performed with 2 minutes of rest between each test. Intensive care delirium screening checklist Confusion assessment method for the ICU Length of bed rest 36 item short-form health survey | — |
Countries
Japan
Contacts
Public ContactFujisawa Chiharu
Shinko Hospital Rehabilitation center
Outcome results
None listed