Early rehabilitation in ICU for COVID-19: what about FES-cycling?

Deley, Gaëlle; Laroche, Davy; Quenot, Jean‐Pierre

doi:10.1186/s13054-021-03526-4

Crit Care

2021

DOI: 10.1186/s13054-021-03526-4

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Early rehabilitation in ICU for COVID-19: what about FES-cycling?

Gaëlle Deley

Davy Laroche

Jean‐Pierre Quenot³

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Cited by 3 publications

(2 citation statements)

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“…(16-19) electrotherapy, or speech and swallowing therapy which h a v e a c h i e v e d p a r t i a l c o n s e n s u s r e g a r d i n g i t s(20,21)application. The results of a clinical trial in the United…”

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confidence: 99%

Effects of a multimodal rehabilitation program in COVID-19 patients admitted to the Intensive Care Unit: A quasi-experimental study

Rodríguez-Montoya¹,

Hilario-Vargas²,

Alcántara-Gutti

2021

Rev. Cuerpo Med. HNAAA

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Background: Patients with severe COVID-19 evolve to acute respiratory distress syndrome (ARDS) and require management in Intensive Care Units (ICU) where they are exposed to immobilization, immunosuppression, malnutrition, nosocomial infections; may develop ICU Acquired Weakness (ICUAW), which increases with the stay and use of mechanical ventilation (MV).There is evidence of the use of different modalities in rehabilitation to mitigate these effects. Goal: To determine the efficacy of a Multimodal Rehabilitation Program (MRP) in reducing the number of days of mechanical ventilation and stay in patients hospitalized for COVID-19 in ICU, as well as to describe its clinical and hospital characteristics. Material and Methods: An quasi-experimental study was designed, with sequential sampling and without blinding. A control and intervention group was formed, with 32 participants each. A Multimodal Rehabilitation Program (MRP) based on four therapeutic modalities was applied and the intervention was quantified through the use of proposed indicators. Results: The variation in days of ICU stay and days of MV were similar in both groups. The Multimodal Rehabilitation Index (iMR) ranged from 0.1 to 2.7 (mean = 1.2, SD = 0.7) and had significance for cut-off points ≤ 0.81 and ≤ 0.94 in mortality (p = 0.02) and Ventilator-free days at 28 days (VFDs-28) (p = 0.01). Conclusions: No statistically significant difference was found in favor of the intervention in terms of days of stay in the ICU and days of MV. Explanatorily, it was reported that iMR was related to (VFDs-28) and mortality in patients with severe COVID-19.

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confidence: 99%

Effects of a multimodal rehabilitation program in COVID-19 patients admitted to the Intensive Care Unit: A quasi-experimental study

Rodríguez-Montoya¹,

Hilario-Vargas²,

Alcántara-Gutti

2021

Rev. Cuerpo Med. HNAAA

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“…As chronaxie rapidly increases over days in the ICU, we believe that electrodiagnosis could help prescribe optimized electrical stimulation treatments [ 4 ]. However, additional experiments should be conducted to determine the reliability of the different evaluation tools and protocols [ 1 ] and determine the best electrical stimulation rehabilitation procedure, characteristics, or modality (e.g., using belts or functional electrical stimulation) [ 5 ]. As indicated in this narrative review [ 1 ], electrical stimulation is an interesting tool for force evaluation in the ICU.…”

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confidence: 99%

Bedside voluntary and evoked forces evaluation in intensive care unit patients, not only force evaluation: a letter to the Editor

2021

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Der Einsatz von robotischen und technischen Systemen zur Frühmobilisation von Intensivpatient_innen

Mehler-Klamt

Huber

Schmidbauer

et al. 2023

Pflege

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Zusammenfassung. Hintergrund: Intensivpatient_innen sind oft einer langen Immobilität ausgesetzt. Wenn sie aber frühzeitig mobilisiert werden, lassen sich positive Effekte auf ihr Outcome, wie z.B. eine Verbesserung der körperlichen Funktion, nachweisen. Einer der Gründe für die späte Mobilisation ist, dass zu wenig Hilfsmittel zur Verfügung stehen. Fragestellungen/Ziel: Dieser Beitrag gibt einen Überblick über den Einsatz von robotischen oder technischen Systemen als Hilfsmittel für die Frühmobilisation. Welche robotischen und technischen Hilfsmittel werden in Studien zur Frühmobilisation von erwachsenen Intensivpatient_innen durch Pflegefachpersonen oder Physiotherapeut_innen untersucht? Über welche Effekte von Frühmobilisation mittels robotischem und technischem System auf die Patientenoutcomes wird in den Studien berichtet? Methoden: Die Datenbanken Medline, Web of Science, CINAHL, Cochrane Library, Embase, IEEE Xplore, Scopus und WTI wurden zwischen Mai und Juli 2020 und im Januar 2022 systematisch durchsucht. Zusätzlich wurde im ersten Suchlauf eine Randsuche über GoogleScolar und ResearchGate durchgeführt. Ergebnisse: Es wurden 27 Veröffentlichungen eingeschlossen (9 RCTs, 7 Expertenmeinungen, 3 quantitative Querschnittstudien, 2 Fall-Kontroll-Studien, 2 Literaturreviews, 2 klinische Einzelfallstudien, 2 Interventionsstudien im Prä-Post-Design). Hier zeigte sich, dass als Hilfsmittel vor allem elektronische Bettfahrräder und Kipptische eingesetzt werden. Es war eine uneinheitliche Datenlage in Bezug auf verschiedene Patientenoutcomes nachweisbar. Schlussfolgerungen: Weitere Forschung zum Einsatz von technischen und robotischen Systemen zur Frühmobilisation ist vor allem in Bezug auf unterschiedliche Studienpopulationen notwendig. Frühmobilisationsrobotik ist noch nicht Teil der Regelversorgung.

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Early rehabilitation in ICU for COVID-19: what about FES-cycling?

Cited by 3 publications

References 5 publications

Effects of a multimodal rehabilitation program in COVID-19 patients admitted to the Intensive Care Unit: A quasi-experimental study

Effects of a multimodal rehabilitation program in COVID-19 patients admitted to the Intensive Care Unit: A quasi-experimental study

Bedside voluntary and evoked forces evaluation in intensive care unit patients, not only force evaluation: a letter to the Editor

Der Einsatz von robotischen und technischen Systemen zur Frühmobilisation von Intensivpatient_innen

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