지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 16 - 22 (7page)
이용수
초록· 키워드
오류제보하기
Background: Critically ill patients experience muscle weakness, which leads to functional disability. Both functional electrical stimulation (FES) and in-bed cycling can be an alternative measure for intensive care unit (ICU) patients who are not feasible for active exercise. The aim of this study was to examine whether FES and in-bed cycling have a positive effect on muscle mass in ICU patients. Methods: Critically ill patients who received mechanical ventilation for at least 24 hours were included. After passive range of motion exercise, in-bed cycling was applied for 20 minutes, and FES was applied for 20 minutes on the left leg. The right leg received in-bed cycling and the left leg received both FES and in-bed cycling. Thigh circumferences and rectus femoris cross-sectional area (CSA) were assessed with ultrasonography before and after the intervention. Muscle strength was assessed by Medical Research Council scale. Results: A total of 10 patients were enrolled in this study as a pilot study. Before and after the intervention, the CSA of right rectus femoris increased from 5.08 ± 1.51 cm2 to 6.01 ± 2.21 cm2, which was statistically significant (P = 0.003). The thigh circumference was also increased and statistically significant (P = 0.006). There was no difference between left and right in regard to FES application. There is no significant change in muscle strength before and after the intervention (right and left, P = 0.317 and P = 0.368, respectively). Conclusions: In-bed cycling increased thigh circumferences rectus femoris CSA. Adding FES did not show differences.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Schweickert WD / 2007 / ICU-acquired weakness / Chest 131:1541~1549
De Jonghe B / 2002 / Paresis acquired in the intensive care unit: a prospective multicenter study / JAMA 288:2859~2867
Stevens RD / 2007 / Neuromuscular dysfunction acquired in critical illness: a systematic review / Intensive Care Med 33:1876~1891
Ali NA / 2008 / Acquired weakness, handgrip strength, and mortality in critically ill patients / Am J Respir Crit Care Med 178:261~268
Elliott D / 2014 / Exploring the scope of post-intensive care syndrome therapy and care: engagement of non-critical care providers and survivors in a second stakeholders meeting / Crit Care Med 42:2518~2526
De Jonghe B / 2002 / Paresis acquired in the intensive care unit: a prospective multicenter study / JAMA 288:2859~2867
Stevens RD / 2007 / Neuromuscular dysfunction acquired in critical illness: a systematic review / Intensive Care Med 33:1876~1891
Ali NA / 2008 / Acquired weakness, handgrip strength, and mortality in critically ill patients / Am J Respir Crit Care Med 178:261~268
Elliott D / 2014 / Exploring the scope of post-intensive care syndrome therapy and care: engagement of non-critical care providers and survivors in a second stakeholders meeting / Crit Care Med 42:2518~2526
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