消极运动似乎不能预防或减少中长期ICU患者的关节硬:一个随机,受控,参与者内部的试验
Kathy R Stiller1, Simone Dafoe2, Christabel S Jesudason3
1Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
被动运动 (PMs) 并没有防止重症监护室 (ICU) 患者的关节硬. 这项研究发现,接受PM的四肢与对照四肢之间的运动范围或关节硬度没有显著差异.
科学领域:
- 关键护理医学 关键护理医学
- 康复科学 康复科学 康复科学
- 物理疗法物理治疗
背景情况:
- 重症监护室 (ICU) 患者面临关节硬的高风险,原因是严重的疾病和不运动.
- 关于被动运动 (PMs) 在预防或减少这种人群关节硬的疗效的证据是有限的.
研究的目的:
- 调查被动运动 (PMs) 是否可以预防或减少重症重症病房患者的关节硬.
主要方法:
- 一项随机的,受控的,参与者内部的,评估者盲目的研究在一个48张床位的第三级护理成人ICU中进行.
- 包括需要长时间机械呼吸 (超过48小时) 的输管患者,以及至少5天的重症监护室停留,无法执行主动运动范围 (ROM) 的患者.
- 身体的一侧接受PM (10分钟每关节,每天两次,每周5天) 长达4周,而另一侧作为对照.
主要成果:
- 分析了来自25名参与者的数据,他们的平均ICU停留时间为15.6天.
- 在干预和对照两侧之间,没有观察到足背部屈曲,脚屈曲或肘部ROM的统计学上显著差异.
- 参与者报告的关节疼痛和硬 (口语模拟尺度) 也显示,两侧没有显著差异.
结论:
- 在本研究中对中长期住院ICU患者进行的被动运动 (PMs) 没有在预防或减少关节硬方面表现出有效性.
- 可能需要进一步的研究来探索最优的时间,持续时间或ICU环境中关节流动性干预的类型.
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