Factors influencing physical activity and rehabilitation in survivors of critical illness: a systematic review of quantitative and qualitative studies

Parry, Selina M.; Knight, Laura D.; Connolly, Bronwen; Baldwin, Claire; Puthucheary, Zudin; Morris, Peter E.; Mortimore, J.; Hart, Nicholas; Denehy, Linda; Granger, Catherine L

doi:10.1007/s00134-017-4685-4

Cited by 123 publications

(123 citation statements)

References 80 publications

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“…Actigraphy has been used to measure activity in several patient groups, but not in patients recently discharged from an ICU . There is some evidential support regarding the positive effect of mobilization in the ICU, but the optimal duration and length of this intense rehabilitation are unknown. Unfortunately, we were not able to make any firm conclusions regarding the positive or negative effect of being physically more active in the ward.…”

Section: Discussionmentioning

confidence: 99%

Physical function and actigraphy in intensive care survivors—A prospective 3‐month follow‐up cohort study

Estrup

Kjer

Vilhelmsen

et al. 2019

Acta Anaesthesiol Scand

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Funding informationDepartmental funding only.Background: Impaired physical function after intensive care unit (ICU) stay is common. We aimed to study the association between activity levels in the ward after discharge from ICU and physical function at 3-month follow-up.Methods: Prospective cohort study of adult patients admitted to the ICU for more than 24 hours. Patients wore an accelerometer for up to 7 days at the ward. At discharge from ICU and at 3-month follow-up, patients were tested with the Chelsea Critical Care Physical Assessment Tool (CPAx). Results:We screened 66 consecutive, eligible patients; 41 completed actigraphy and 19 patients were visited at 3 months. The median CPAx increased from 31 (IQR 23-41) at discharge from ICU to 47 (IQR 44-49) at follow-up (P < 0.0001). Mean daily activity for the first week was correlated with CPAx at ICU discharge (R 2 = 0.14, P = 0.017; all 41 patients). For the 19 visited patients, we found no significant correlation for activity levels with CPAx at ICU discharge (R 2 = 0.12, P = 0.14) nor at visit (R 2 = 0.2, P = 0.058). Conclusion:We found improved physical function for most patients 3 months after ICU treatment. Activity levels for 1 week after ICU discharge at the ward were not associated with better physical function at 3-month follow-up.

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Section: Discussionmentioning

confidence: 99%

Physical function and actigraphy in intensive care survivors—A prospective 3‐month follow‐up cohort study

Estrup

Kjer

Vilhelmsen

et al. 2019

Acta Anaesthesiol Scand

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“…Although rehabilitation and mobilisation is feasible, there are important barriers to implementation [6,7]. Such barriers include: institutional issues (e.g.…”

Section: Institutional and Clinician Issues: Identify And Address Modmentioning

confidence: 99%

“…Such barriers include: institutional issues (e.g. staffing, consultation/referral requirements for rehabilitation clinicians), clinician issues (e.g., training and inter-professional communication), and patient issues (details below) [6,7]. Barriers are often modifiable, particularly at the institution and clinician level [6,7].…”

Section: Institutional and Clinician Issues: Identify And Address Modmentioning

confidence: 99%

Implementing early physical rehabilitation and mobilisation in the ICU: institutional, clinician, and patient considerations

2017

Self Cite

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“…Modern lifestyles promote sedentary behavior to a greater extent than PA (e.g., by requiring computer work), and many employees report lack of time as one of the main reasons for not performing PA [19,20]. Therefore, many researchers have begun exploring interventions that incorporate PA into work and other activities.…”

Section: Introductionmentioning

confidence: 99%

The effects of cycle and treadmill desks on work performance and cognitive function in sedentary workers: A review and meta-analysis

Podrekar

Kozinc

Šarabon

2020

WOR

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BACKGROUND: Sedentary behavior has been recognized as an important risk factor in the development of several chronic diseases. Active workstations have been proposed as an effective countermeasure. While such interventions likely reduce sedentary time, concerns regarding the effects on work performance and cognitive function remain. OBJECTIVE: To use meta-analyis to critically evaluate the work performance and cognitive function effects of cycle and treadmill desks as workplace interventions against sedentary behavior. METHODS: In February 2018, a data search was conducted. Parallel and crossover design studies evaluating workplace interventions compared to conventional seated conditions were included. RESULTS: Eighteen studies met the inclusion criteria. Both interventions reduced typing speed (cycling: SMD =-0.35, p = 0.04; treadmill: SMD =-0.8, p < 0.001). The number of typing errors significantly increased during cycling interventions (SMD = 0.39, p = 0.004). No effect was found for the selective attention tests. However, there was an improvement in recall ability (SMD = 0.68, p = 0.003). CONCLUSION: Cycle and treadmill desks affect work performance, but most likely not due to a decrease in cognitive function. Further research is needed to determine whether the degree of work performance decline is acceptable, considering the many positive effects of implementing active workstations in the office environment.

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Factors influencing physical activity and rehabilitation in survivors of critical illness: a systematic review of quantitative and qualitative studies

Cited by 123 publications

References 80 publications

Physical function and actigraphy in intensive care survivors—A prospective 3‐month follow‐up cohort study

Physical function and actigraphy in intensive care survivors—A prospective 3‐month follow‐up cohort study

Implementing early physical rehabilitation and mobilisation in the ICU: institutional, clinician, and patient considerations

The effects of cycle and treadmill desks on work performance and cognitive function in sedentary workers: A review and meta-analysis

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