After critical care: Challenges in the transition to inpatient rehabilitation.

Merbitz, Nancy Hansen; Westie, K. S.; Dammeyer, Jennifer; Butt, Lester; Schneider, Jessica

doi:10.1037/rep0000072

Cited by 21 publications

(16 citation statements)

References 123 publications

(159 reference statements)

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“…e fact that a significant increase occurred in respiratory muscle strength and functionality may indicate that executing an early mobilization protocol is able to maintain respiratory muscle strength and functional performance in patients under spontaneous breathing in critical care, even considering that they had a short ICU length of stay. Follow-up studies after admission to the ICU describe that acquired deficits in physical, cognitive, or mental domains last from weeks to years and are related to immobility, with peripheral muscle weakness observed in 25% of patients who are under mechanical ventilation over 7 days [28,29].…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…Individuals who survive COVID-19 may have major behavioral health needs that we are only beginning to understand. For instance, research makes clear that the experience of being on a ventilator and staying in an intensive care unit for an extended period of time can be traumatic (28,29). Some individuals may face cognitive challenges as they recover from the infection, which necessitates specialized behavioral health care (30).…”

Section: August 2020mentioning

confidence: 99%

The Critical Need for a Population Health Approach: Addressing the Nation’s Behavioral Health During the COVID-19 Pandemic and Beyond

Evans

Bufka

2020

Prev. Chronic Dis.

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What is known about this topic? Behavioral health needs in the United States are not being met by the current health care system, and the COVID-19 pandemic will likely dramatically increase the need for psychological services. What is added by this report? Adopting a population health approach provides opportunities to target interventions to those populations and communities most in need of psychological health care services, with the potential of preventing development of disorders. What are the implications for public health practice? Implementing and evaluating population health strategies to promote overall well-being requires system change that translates to policy decisions and programs to meet the needs of local communities.

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“…[38] Patients undergoing rehabilitation exhibit symptoms such as stress, anxiety, pain, and boredom. [2536] These symptoms have been shown to be reduced once patients were exposed to VR, resulting in improved rehabilitation outcome. According to patients, the immersive and interactive aspects of VR, the ability to perform activities beyond their means, and the novelty of the VR experiences eased anxiety, reduced pain through distraction, provided an “escape” from the boredom of residing in a hospital,[38] and led to improvements in neuropathic pain.…”

Section: Preoperative Virtual Reality Training To Prevent Unexpected mentioning

confidence: 99%

PROJECT HEAVEN: Preoperative training in virtual reality

Iamsakul¹,

Pavlovcik²,

Calderon³

et al. 2017

Surg Neurol Int

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A cephalosomatic anastomosis (CSA; also called HEAVEN: head anastomosis venture) has been proposed as an option for patients with neurological impairments, such as spinal cord injury (SCI), and terminal medical illnesses, for which medicine is currently powerless. Protocols to prepare a patient for life after CSA do not currently exist. However, methods used in conventional neurorehabilitation can be used as a reference for developing preparatory training. Studies on virtual reality (VR) technologies have documented VR's ability to enhance rehabilitation and improve the quality of recovery in patients with neurological disabilities. VR-augmented rehabilitation resulted in increased motivation towards performing functional training and improved the biopsychosocial state of patients. In addition, VR experiences coupled with haptic feedback promote neuroplasticity, resulting in the recovery of motor functions in neurologically-impaired individuals. To prepare the recipient psychologically for life after CSA, the development of VR experiences paired with haptic feedback is proposed. This proposal aims to innovate techniques in conventional neurorehabilitation to implement preoperative psychological training for the recipient of HEAVEN. Recipient's familiarity to body movements will prevent unexpected psychological reactions from occurring after the HEAVEN procedure.

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After critical care: Challenges in the transition to inpatient rehabilitation.

Cited by 21 publications

References 123 publications

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

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

The Critical Need for a Population Health Approach: Addressing the Nation’s Behavioral Health During the COVID-19 Pandemic and Beyond

PROJECT HEAVEN: Preoperative training in virtual reality

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