Steps to recovery: Body weight-supported treadmill training for critically ill patients: A randomized controlled trial.

Body Weight Critical Illness / therapy Exercise Therapy Humans Intensive Care Units Treatment Outcome
Ambulation Body weight-supported treadmill Critically ill adults ICU Intensive care Intervention Physical function Rehabilitation

Journal

Journal of critical care
ISSN: 1557-8615
Titre abrégé: J Crit Care
Pays: United States
ID NLM: 8610642

Informations de publication

Date de publication:
06 2022
Historique:
received: 30 11 2021
accepted: 20 01 2022
pubmed: 7 2 2022
medline: 4 5 2022
entrez: 6 2 2022
Statut: ppublish

Résumé

Early mobilization of critically ill patients improves functional recovery, but is often hampered by tubes, drains, monitoring devices and muscular weakness. A mobile treadmill with bodyweight support facilitates early mobilization and may shorten recovery time to independent ambulation as compared to usual care physiotherapy alone. Single center RCT, comparing daily bodyweight supported treadmill training (BWSTT) with usual care physiotherapy, in patients who had been or were mechanically ventilated (≥48 h) with ≥MRC grade 2 quadriceps muscle strength. BWSTT consisted of daily treadmill training in addition to usual care physiotherapy (PT). Primary outcome was time to independent ambulation measured in days, using the Functional Ambulation Categories (FAC-score: 3). Secondary outcomes included hospital length of stay and serious adverse events. The median (IQR) time to independent ambulation was 6 (3 to 9) days in the BWSTT group (n = 19) compared to 11 (7 to 23) days in the usual care group (n = 21, p = 0.063). Hospital length of stay was significantly different in favour of the BWSTT group (p = 0.037). No serious adverse events occurred. BWSTT seems a promising intervention to enhance recovery of ambulation and shorten hospital length of stay of ICU patients, justifying a sufficiently powered multicenter RCT. Dutch Trial Register ID: NTR6943.

Identifiants

DOI: 10.1016/j.jcrc.2022.154000 PMID: 35124345
pubmed: 35124345
pii: S0883-9441(22)00018-1
doi: 10.1016/j.jcrc.2022.154000
pii:
doi:

Types de publication

Journal Article Multicenter Study Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

154000

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no competing interests.

Auteurs

Robin C H Kwakman (RCH)

Amsterdam UMC, University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, Netherlands; Faculty of Health, Center of Expertise Urban Vitality, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands; Education of Physiotherapy, University of Applied Sciences Amsterdam, Amsterdam, the Netherlands. Electronic address: r.c.h.kwakman@hva.nl.

Eric L Voorn (EL)

Amsterdam UMC, University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, Netherlands. Electronic address: e.l.voorn@amsterdamumc.nl.

Janneke Horn (J)

Amsterdam UMC, University of Amsterdam, Department of Intensive Care, Amsterdam Neurosciences, Meibergdreef 9, Amsterdam, Netherlands. Electronic address: j.horn@amsterdamumc.nl.

Frans Nollet (F)

Amsterdam UMC, University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, Netherlands. Electronic address: f.nollet@amsterdamumc.nl.

Raoul H H Engelbert (RHH)

Amsterdam UMC, University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, Netherlands; Faculty of Health, Center of Expertise Urban Vitality, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands. Electronic address: r.h.h.engelbert@amsterdamumc.nl.

Juultje Sommers (J)

Amsterdam UMC, University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, Netherlands. Electronic address: j.sommers@amsterdamumc.nl.

Marike van der Schaaf (M)

Amsterdam UMC, University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, Netherlands; Faculty of Health, Center of Expertise Urban Vitality, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands. Electronic address: m.vanderschaaf@amsterdamumc.nl.

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Classifications MeSH

questionsmedicales.fr › Phénomènes physiologiques › Croissance et développement › Croissance › Mensurations corporelles › Poids › Steps to recovery: Body weight-supported...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie grave › Steps to recovery: Body weight-supported...
questionsmedicales.fr › Thérapeutique › Techniques de physiothérapie › Traitement par les exercices physiques › Steps to recovery: Body weight-supported...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Steps to recovery: Body weight-supported...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › Steps to recovery: Body weight-supported...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Steps to recovery: Body weight-supported...