Effect of Therapeutic Modalities on the Physical Fitness and Functional Capacity in Critical Patient

NCT01881477 | Completed

• 1 other identifier: ICUPT
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

CONTEXT: The physical deconditioning in the critically ill patient is favored by prolonged immobilization, which compromises the ability to function. This perpetuates the stays in hospital and intensive care units (ICU). To combat this, there physiotherapy intervention methods that can reverse or reduce their occurrence. OBJECTIVE: The purpose of this research is to determine the effects of passive movements, assisted active and resisted, and changes of position on grip strength, joint mobility and functional capacity in patients in ICU. METHODS: A quasi-experimental intervention, before and after, no control group, in which 40 patients in an adult ICU in Medellin, receive physiotherapy care. Electrogoniometry, dynamometry and functional independence measure, will be made before the intervention and serial assessments every four days, until discharge from ICU.

Conditions

Physical Deconditioning; Weakness

Keywords

immobilization; physical therapy; intensive care; bed rest; movement

Outcome Measures

Primary Outcomes (2)

• Range of motion

  Evaluate the range of motion in the joints(Shoulder, Knee, Ankle) of the user before and after the physiotherapy intervention

  6 months

• hand grip strength

  6 months

Secondary Outcomes (1)

• Functional capacity

  6 months

Other Outcomes (3)

• Days of mechanical ventilation

  6 months

• Hospital stay

  6 months

• ICU stay

  6 months

Study Arms (1)

kinetics modalities

EXPERIMENTAL

passive movements active movements assisted movements resisted movements

Procedure: kinetics modalities

Interventions

kinetics modalities PROCEDURE

The duration of the intervention will be approximately 30 minutes to 1 hour and will take place 5 days a week. They constantly monitor the vital signs and signs of exercise intolerance. The intervention consists of four levels of complexity. The progression in kinetic patterns based on muscle strength during exercise Kinetic methods begin with passive movements and patients are assisted in the movement slowly until they are active, culminating in movements against resistance, in all joints, with a minimum of 10 repetitions for each joint. Additionally, it promotes the adoption and sitting positions long and short legged and walk.

Also known as: physiotherapy exercises, physical activity

kinetics modalities

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient with more than 24 hours of stay in the Intensive Care Unit, who is going to start physical therapy.
• A patient who has a family to sign the informed consent and who can provide information for the processing of the instrument.

You may not qualify if:

• Heart diseases hemodynamically unstable or severe.
• High blood pressure (systolic, + 200 mm Hg, diastolic, +110 mm Hg).
• Mean arterial pressure below 60 mm Hg.
• Uncontrolled systemic disease or terminal condition.
• Tip with unstable musculoskeletal injury or acute.
• Severe dementia or behaviors that do not allow to perform the procedure properly.
• Injuries and / or infection of the central nervous system.
• Neuromuscular diseases in which motor control lost limbs.
• Patient in ICU inotropic and vasoactive treatment high associated to sepsis and / or severe multisystem dysfunction medication order can not mobilize.

Sponsors & Collaborators

• CES University: lead

Study Sites (1)

Alejandra Mondragón

Medellín, Antioquia, Colombia

Location

MeSH Terms

Conditions

Asthenia

Interventions

Exercise

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Alejandra Mondragón

  University CES

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: October 10, 2012
• First Posted: June 19, 2013
• Study Start: August 1, 2011
• Primary Completion: February 1, 2013
• Study Completion: February 1, 2013
• Last Updated: June 19, 2013

Record last verified: 2013-06

Locations

CO (1)