Muscle Weakness
Conditions
Interventions
Patients who meet the inclusion criteria will be randomized into two groups: early mobilization group (intervention) and conventional physiotherapy group Control). Intervention group: 50 patients admi
level 2, patient responds to the simple commands necessary to perform active physical activity will receive the intervention of level 1 plus active movement against resistance of the joints of the upp
level 3, patient responds to the simple commands necessary to perform active physical activity and muscle strength equal to or greater than 3 in upper and lower limbs will receive the intervention of
level 4, patient responds to the simple commands necessary to perform active physical activity and muscle strength equal to or greater than 3 in upper and lower limbs will receive intervention at leve
level 5, patient responds to simple commands necessary to perform active physical activity and muscle strength equal to or greater than 4 in upper and lower limbs will receive level 4 intervention plu
Procedure/surgery
F01.145.632
Sponsors
Bruno Valle Pinheiro
Hospital Universitário da Universidade Federal de Juiz de Fora
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients admitted to the Intensive Care Unit for a maximum of 48 hours; aged 18 years and over
Exclusion criteria
Exclusion criteria: Patients who do not walk without assistance; patients who present cognitive impairment; neuromuscular disease; spinal instability; acute motor neurological deficits; intracranial hypertension; cardiopulmonary arrest during hospitalization; acute coronary event during hospitalizatio; hemodynamically unstable cardiac arrhythmias; pregnant women; patients under palliative care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the effect of standardized early mobilization on the level of physical activity in patients admitted to a clinical-surgical intensive care unit measured by muscle strength. | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the impact of the implementation of the early mobilization protocol on autonomy to perform activities of daily living at ICU discharge and 30 days after hospital discharge. ;To evaluate the impact of the implementation of the early mobilization protocol on ICU and hospital length of stay.;To assess the impact of the implementation of the early mobilization protocol on pressure injury occurrence.;To evaluate the impact of the implementation of the early mobilization protocol on the occurrence of adverse events: loss of probes, catheters and cannulas; hemodynamic or respiratory changes during activities; need for analgesia or sedation during activities.;To evaluate the impact of the implementation of the early mobilization protocol on the number of ICU, hospital and 28-day deaths.;To evaluate the impact of the implementation of the early mobilization protocol on the prevalence of falls 30 days after hospital discharge. | — |
Countries
Brazil
Contacts
Public ContactBruno Pinheiro
Hospital Universitário da Universidade Federal de Juiz de Fora
Outcome results
None listed