Patients Are Recruited From One Thoracic and Cardiac Surgery ICU Clinical Trial
Official title:
Study of Safety and Efficacy on Neuromyopathy of Early Standing With the Assistance of Tilt Table in Critically Patients
Critically ill patients frequently develop muscle weakness due to critical illness-related
acute neuropathy and/or myopathy. This disorder is associated with difficulties in weaning
from mechanical ventilation, prolonged intensive care unit and hospital stay, and increased
mortality rates. In addition, many patients continue to suffer from decreased exercise
capacity and quality of life for months to years after the acute event.
Besides controlling risk factors, no specific prevention or treatment exists.
Recommendations advice to start early with active and passive exercise in critically ill
patients (1). Having critically ill patients alert and engaged in progressive rehabilitation
leading to mobilization, despite the use of life support therapies may reduce muscle atrophy
and lead to improved strength and physical function (2).
This randomized controlled trial was designed to investigate whether a daily training
session using a tilt table, started early in stable critically ill patients with an expected
prolonged ICU stay, could induce a beneficial effect on exercise performance, quadriceps
force and functional autonomy at ICU and hospital discharge compared to a standard
physiotherapy program.
n/a