Impact of standardized mobilization in mechanically ventilated patients on respiratory muscular strength

Barros, Carlos Eduardo Santos Rego; Lima, Amina Maria Soares de; Vilaça, Adriano Florencio; Correia, Raissa Farias; Gonçalves, Terezinha Valim Oliver; Silva, Raquel M.O.; Cardozo, Suellen M.; Rattes, Catarina; Souza, Helga Cecília Muniz de; Brandão, Daniella Cunha; Dornelas, Armèle; Campos, Shirley Lima

doi:10.1183/13993003.congress-2015.pa2171

Cited by 3 publications

(5 citation statements)

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“…Twenty eight studies (N = 1,185 patients) were included (details of the study population and design are provided in Table E1), of which 20 (n = 765) were randomized controlled trials (33-52), 2 were nonrandomized studies with a comparison group (53, 54), 4 were prospective studies without a comparison group (55)(56)(57)(58), and 2 were retrospective studies without a comparison group (59,60 Figure 1. Inspiratory muscle training techniques.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Other approaches included flow resistive training (one study) (55), diaphragmatic breathing exercises (two studies) (48,53), and biofeedback on respiratory pattern (one study) (39). More general physical therapy regimens were also studied for their effect on inspiratory muscle strength, including mobilization (48,56,58), postural training (36,42), and upper arm exercise (44). Some studies employed combinations of these techniques.…”

Section: Original Researchmentioning

confidence: 99%

“…IMT was applied after 24 hours of mechanical ventilation (1 study) (35), once patients were awake and cooperative (1 study) (48), once the patient was transitioned to partially assisted ventilation (1 study) (34), once patients met readiness-to-wean criteria (5 studies) (37,38,41,49,50), once patients failed attempted weaning (12 studies) (39, 40, 45-47, 52-55, 57, 59, 60), or after liberation from ventilation (3 studies) (33,43,44). Four studies did not specify the timing of intervention (36,51,56,58). The duration of IMT varied widely between studies, ranging from 3 days to up to 6 weeks of therapy (Table 1).…”

Section: Original Researchmentioning

confidence: 99%

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Inspiratory Muscle Rehabilitation in Critically Ill Adults. A Systematic Review and Meta-Analysis

Vorona¹,

Sabatini²,

Al-Maqbali³

et al. 2018

Annals ATS

130

105

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Original Researchmentioning

confidence: 99%

Section: Original Researchmentioning

confidence: 99%

See 1 more Smart Citation

Inspiratory Muscle Rehabilitation in Critically Ill Adults. A Systematic Review and Meta-Analysis

Vorona¹,

Sabatini²,

Al-Maqbali³

et al. 2018

Annals ATS

130

105

View full text Add to dashboard Cite

show abstract

“…The early mobilization protocol of this study was adopted from previous studies (Barros et al, 2015;Morris et al, 2008) discussed orderly starting from the most often investigated and reported.…”

Section: Discussionmentioning

confidence: 99%

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

et al. 2023

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Introduction The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest can potentially increase the incidence of various complications that may increase patients’ morbidity and mortality rate after hip and lower extremities surgery. This literature review aimed to identify the effects of early mobilization on hip and lower extremity postoperative. Methods Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online, and Scopus, using the Boolean operator tools with “AND” and “OR” words by combining several keywords according to the literature review topic, with inclusion criteria of those published in the last three years (2019–2021), using a quantitative design, written in English and full-text articles. A total of 435 articles were obtained, screened, and reviewed so that there were 16 (sixteen) eligible articles. Results There were 11 (eleven) effects of early mobilization, that is, shorter the length of stay, lower postoperative complication, lower the pain, increase walking ability, increase quality of life, decrease the rate of readmission, decrease mortality rate, lower the total hospitalization cost, higher number of physical therapy sessions prior to discharge, increase in satisfaction, and no fracture displacement or implant failure. Conclusion This literature review showed that early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events. Nurses and health workers who care for patients can implement early mobilization and motivate patients to cooperate in undergoing early mobilization.

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“…e early mobilization protocol of this study was adopted from previous studies [26,27] and was structured in 5 steps according to the consciousness level and the scope of the functional criterion proposed for each stage. Patients were intended to receive their intervention twice a day as long as they stayed in the ICU.…”

Section: Interventionmentioning

confidence: 99%

Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial

Richtrmoc

Leite

Azevedo

et al. 2020

Critical Care Research and Practice

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Purpose. To assess the potential effectiveness or efficacy of early mobilization on respiratory and peripheral muscle strengths and functionality in nonintubated patients. Methods. For 40 nonintubated patients over 18 years of age with over 24-hour intensive care unit (ICU) stay allocated to a single intervention, an incremental mobilization protocol was initiated. Maximal inspiratory and expiratory pressures (MIP and MEP), peripheral muscle strength (handgrip strength (HGS) and Medical Research Council scale (MRC-s)), and functionality (FIM, ICF-BMS, PFIT-s, and FSS-ICU scales) were evaluated at ICU admission and discharge. Results. All outcomes were significantly improved (pre vs. post values): MIP (43.93 ± 21.95 vs. 54.12 ± 21.68 cmH2O; P<0.001), MEP (50.32 ± 28.65 vs. 60.30 ± 21.23; P=0.002), HGS (25.5 (9.58) vs. 27.5 (9.48); P=0.046), MRC-s (58.52 ± 2.84 vs. 59.47 ± 1.81; P=0.023), FIM (54.4 ± 22.79 vs. 69.48 ± 12.74), ICF-BMS (28.63 ± 16.19 vs. 14.03 ± 11.15), PFIT-s (9.55 ± 2.34 vs. 11.18 ± 1.32) (P<0.001), and FSS-ICU (28.7 ± 9.1 vs. 32.6 ± 5.0; P=0.001). The ceiling effect at admission/discharge was in MRC-s (60/82.5%), FSS-ICU (50/70%), and FIM (35/62.5%). The floor effect occurred at discharge in ICF-BMS (7.5/52.5%). Conclusions. The early mobilization protocol seemed effective at maintaining/increasing the respiratory muscle strength and functionality of nonintubated patients in critical care. Ceiling effect was high for MRC-s, FSS-ICU, and FIM scales.

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Impact of standardized mobilization in mechanically ventilated patients on respiratory muscular strength

Cited by 3 publications

References 0 publications

Inspiratory Muscle Rehabilitation in Critically Ill Adults. A Systematic Review and Meta-Analysis

Inspiratory Muscle Rehabilitation in Critically Ill Adults. A Systematic Review and Meta-Analysis

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial

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