ICU-acquired Muscle Weakness Clinical Trial
Official title:
Early Rehabilitation Combining Daily Electrical Muscle Stimulation and Early Bedside Cycling Exercise, Compared to Early Standard Rehabilitation. A Randomized, Assessor-blinded, Single-center Study in Intensive Care Patients.
Early mobilization (from the first day if possible), first passive and then passive and
active, is recommended for critically ill patients in whom it reduces the duration of
mechanical ventilation, the length of hospital stay, improves functional status, muscle
strength and quality of life after hospital discharge. The early addition of leg bicycling
on a cyclo-ergometer is now part of common practice in the ICU. It can preserve or improve
muscle strength and further increase the beneficial effects of early mobilization.
Electrical muscle stimulation of the quadriceps, is practiced in some intensive care units,
and it should, in theory, also through an improvement of muscle strength, increase the
beneficial effects of early mobilization.
We hypothesized that early quadriceps electrical stimulation and early work on a
cyclo-ergometer associated with a standard protocol of early passive/active mobilization in
the ICU may improve muscle function and reduce the duration of mechanical ventilation,
length of stay, the number of readmissions and improve the quality of life in the mid term
in critically ill patients, as compared to a conventional protocol of early passive/active
mobilization.
n/a