Critical Illness, ICU Patients
Conditions
Brief summary
The aim of this study was to investigate the effects of NMES combination applied in addition to bicycle ergometry on mobility, functional status, muscle strength and hemodynamic responses in ICU patients. Participants will: * Exercise training will be performed using the bicycle ergometer method, under the supervision of a physiotherapist, for 30 minutes a day for 5 consecutive days, at the earliest stage when the patient is clinically stable. * The other group will perform a 30-minute quadriceps muscle NMES session applied with a 4-channel electrical stimulator for 5 consecutive days in addition to the bicycle ergometer. * Evaluations for both groups will be made on the first day of the study (before starting the exercise training) and at the end of the fifth day (after the exercise training).
Interventions
Neuromuscular electrical stimulation (NMES) is a treatment method in which electrical conduction via surface electrodes is used to stimulate muscle contraction.
Exercise training will be performed using the bicycle ergometer method, under the supervision of a physiotherapist, for 30 minutes a day for 5 consecutive days, at the earliest stage when the patient is clinically stable.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years * Admitted to medical intensive care unit * Expected intensive care unit stay \> 48 hours * Hemodynamically stable
Exclusion criteria
* Severe neurological injury (e.g., acute stroke, spinal cord injury) * Terminal illness with palliative care decision * Severe orthopedic limitations preventing mobilization * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Perme Intensive Care Unit Mobility Score over 5 days | 1st and 5th day of 5-day physiotherapy and rehabilitation after the patient is clinically stable | The total score ranges from 0 to 32 points, with higher scores indicating better mobility and greater independence. |
Countries
Turkey (Türkiye)