Comparison of the wedge turning frame and kinetic treatment table in the acute care of spinal cord injury patients

Brackett, Thomas O.; Condon, Nancy

doi:10.1016/0090-3019(84)90229-5

Cited by 19 publications

(3 citation statements)

References 12 publications

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“…Several studies have shown that KT can prevent the development of atelectasis in the setting of trauma, quadriplegia, and spinal cord injury. [13][14][15][16] To our knowledge, no published studies have addressed the value of KT and P in the resolution of established pulmonary atelectasis. Addressing this question was especially important to us, since our medical ICU (MICU) and ventilator ward (VW) admit a significant number of patients with atelectasis and respiratory failure from the affiliated 1,000-bed geriatric center.…”

mentioning

confidence: 99%

Effect of Combined Kinetic Therapy and Percussion Therapy on the Resolution of Atelectasis in Critically Ill Patients

Raoof

Chowdhrey²,

Raoof

et al. 1999

Chest

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mentioning

confidence: 99%

Effect of Combined Kinetic Therapy and Percussion Therapy on the Resolution of Atelectasis in Critically Ill Patients

Raoof

Chowdhrey²,

Raoof

et al. 1999

Chest

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“…Reines et al20 , Brackett et al43 e Kelley et al44 que relataram que a TR diminui a incidência de infecções do trato respiratório inferior, incluindo pneumonia durante os primeiros 7 a 14 dias de cuidados intensivos. Do mesmo modo, Choi & Nelson 45 , em 1992, após a realização de uma meta-análise incluindo seis estudos, totalizando 419 doentes, mostraram que a TC reduziu em 50% a incidência de pneumonia hospitalar e 38% de atelectasias.…”

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Terapia rotacional: eixo longitudinal, em unidade de terapia intensiva

2012

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Reunir e sumarizar os benefícios e protocolos da terapia rotacional na prevenção e no tratamento de complicações pulmonares de pacientes internados em terapia intensiva. Trata-se de uma revisão sistemática da literatura, na qual foram consultadas as bases de dados Lilacs, MedLine, Cochrane, Divisão Bibliotecária da Universidade de Stanford e o Banco de Dados de Evidência em Fisioterapia. Os ensaios clínicos randomizados e publicados entre 2000 e 2008 foram incluídos na análise. Sete estudos foram selecionados, sendo um multicêntrico, totalizando 573 pacientes. O objetivo da intervenção foi a prevenção e o tratamento de complicações pulmonares em três e quatro ensaios, respectivamente. A terapia rotacional foi adotada na forma de terapia cinética em dois estudos, e a terapia de rotação lateral contínua, nos demais. Dentre os principais desfechos, foram observados menor incidência de pneumonia (n=3), menor ocorrência e risco de desenvolver atelectasia lobar (n=1), melhora da razão PaO2/FiO2 em pacientes com lesão pulmonar aguda (n=1) e maior volume de escarro expelido (n=1). A terapia rotacional pode ser uma terapêutica coadjuvante no tratamento e na prevenção de complicações pulmonares, uma vez que se observou melhora clínica e fisiológica nos pacientes críticos. Outros estudos são necessários, entretanto, para confirmação desses resultados.Termos de indexação: Atelectasia pulmonar. Terapia passiva contínua de movimento. Terapia respiratória. Unidades de terapia intensiva.

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“…Immobilization can result in pulmonary, hematological, renal, and integumentary system complications. [1][2][3][4][5][6][7] Changes of body position for patients with SCI are necessary to prevent many of these comorbidities. Various techniques exist to prevent complications due to immobilization, but these techniques should not cause the injured spinal segments to move.…”

mentioning

confidence: 99%

Log-rolling technique producing unacceptable motion during body position changes in patients with traumatic spinal cord injury

Conrad

Horodyski

Wright

et al. 2007

SPI

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Object The purpose of the present study was to compare spinal motion generated during log-rolling and kinetic therapy with that generated when using a kinetic treatment table (KTT). The authors' hypothesis was that the KTT would produce less spinal motion while maintaining the benefits of body position changes. Methods Cervical and lumbar instability was created in three fresh, unembalmed cadavers. Electromagnetic sensors were fixed to the C5–6 and T12–L2 segments to measure cervical and lumbar spine segmental motion. Body position changes were performed using the traditional log-roll method and a KTT. Spinal motion was measured during each maneuver. Turning the cadaveric specimens on the KTT bed caused significantly less cervical motion than the log-roll technique as measured in flexion and axial rotation. The log-roll technique caused significantly greater cervical motion during body position changes than turning using the KTT. Conclusions Although the global instability will require surgical stabilization, consideration should be given to initial immobilization on a KTT to decrease the likelihood of secondary injury.

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Comparison of the wedge turning frame and kinetic treatment table in the acute care of spinal cord injury patients

Cited by 19 publications

References 12 publications

Effect of Combined Kinetic Therapy and Percussion Therapy on the Resolution of Atelectasis in Critically Ill Patients

Effect of Combined Kinetic Therapy and Percussion Therapy on the Resolution of Atelectasis in Critically Ill Patients

Terapia rotacional: eixo longitudinal, em unidade de terapia intensiva

Log-rolling technique producing unacceptable motion during body position changes in patients with traumatic spinal cord injury

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