Intensive Care Unit Patients
Conditions
Keywords
Intensive care unit patients, exercise Training
Brief summary
In recent years, due to the improvement in the survival rate of the intensive care unit, the problem of severe systemic fatigue (Intensive care unit acquired weakness; ICUAW) has continued to receive attention. Muscle mass decreases by 3-11% within a week, resulting in decreased muscle strength and muscle atrophy. Current studies suggest that ICUAW can lead to poorer function, prolonged ICU stay, and decreased quality of life. This study aimed to understand the muscle strength of critically ill patients and to explore the effect of exercise intervention on improving muscle strength. The experimental group received a four-week exercise bike intervention plus conventional rehabilitation exercises, while the control group received conventional rehabilitation exercises.
Detailed description
The content of the exercise is to use an exercise bike, start pedaling on the first day, time setting: 20 minutes, speed: 2, and adopt passive mode. If you can complete the exercise on the first day, the time will be adjusted to 30 minutes on the second day. If you cannot complete the exercise on the first day, the time will still start from 20 minutes on the second day. The maximum time is 30 minutes. If you can complete 30 minutes of passive exercise for 3 consecutive days, the fourth day will be adjusted to active exercise. The entire exercise training is seven days a week, once a day, once a 30-minute, at least 5 days. Those who were discharged to the general ward continued to complete this exercise training for up to 28 days. Stop exercising if heartbeat \> 140, mean arterial pressure \< 65, blood oxygen \< 90%, respiration \> 35 beats/min, or the patient requests to stop during exercise.
Interventions
OTHERexercise bike
exercise is to use an exercise bike, start pedaling on the first day, time setting: 20 minutes, speed: 2, and adopt passive mode. If you can complete the exercise on the first day, the time will be adjusted to 30 minutes on the second day. If you cannot complete the exercise on the first day, the time will still start from 20 minutes on the second day. The maximum time is 30 minutes. If you can complete 30 minutes of passive exercise for 3 consecutive days, the fourth day will be adjusted to active exercise. The entire exercise training is seven days a week, once a day, once a 30-minute, at least 5 days. Those who were discharged to the general ward continued to complete this exercise training for up to 28 days.
Sponsors
Taipei Veterans General Hospital, Taiwan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Aged over 20 years old 2. Conscious 3. willing to participate in this study, and signed the consent form 4. no lower extremity activity taboo, and can walk independently before admission
Exclusion criteria
1. Have neuromuscular disease. 2. Unable to step on a bed bike.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The daily observation record sheet includes | up to 28 days | Vital signs,respirator is used or not,bicycle use pattern,speed and time,reasons for stopping |
| total days in hospital | baseline | Health Assessment Form |
| body mass index | baseline | Health Assessment Form |
| level of albumin | baseline | Health Assessment Form |
| Basic Demographic Health Assessment Form | baseline | Age, sex, diagnosis, disease severity, reason for ICU admission |
| days in intensive care unit | baseline | Health Assessment Form |
| days on ventilator | baseline | Health Assessment Form |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| foot lift | baseline(T0) | Use a tape to measure foot lift |
| walking distance in 6 minutes | baseline(T0) | Measure 6-minute walking distance |
| Hand grip strength | baseline(T0) | Using a Grip Strength Tester to Measure Dominant Hand Muscle Strength |
Countries
Taiwan
Outcome results
None listed