Critical Illness, Muscle Weakness, Physical Disability, Physical Dependence
Conditions
Brief summary
This observational study aims to assess the relationship between muscle strength and physical function in critical ill patients. Grip and quadriceps strengths are measured using a standardized protocol of dynamometry. Physical function is assessed using the validated ICU mobility scale.
Interventions
Using a handheld dynamometer, in supine position in a standardized position of the dominant leg Measurement of the maximal isometric voluntary quadriceps contraction Measure expressed as Newton and Newton/kg
Testing of dominant hand using a handgrip Measurement of the maximal isometric voluntary grip contraction Measure is expressed as kg
Scoring the physical capacity of the patient on a 10-points validated scale: the ICU mobility scale
Sponsors
Study design
Eligibility
Inclusion criteria
* ICU stay of at least 48h * Collaborative (RASS score -1 to +1)
Exclusion criteria
* Refusal * Coma * Non collaborative * Hemi / tetra paresis or plegia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quadriceps strength | as soon as collaborative during ICU stay and up to 1 month following ICU discharge | Quadriceps maximal isometric strength measured using dynamometry |
| Handgrip strength | as soon as collaborative during ICU stay and up to 1 month following ICU discharge | Grip maximal isometric strength measured using dynamometry |
| ICU mobility scale | as soon as collaborative during ICU stay and up to 1 month following ICU discharge | Ranking the patient on the scale according to his/her physical capacity. ICU mobility scale is a 10 points scale: 0 means the patient is lying in bed, 10 means the patient is able to walk independently |
Countries
Belgium