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Updated: Jun 11, 2026

Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients

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Published on: April 12, 2011

用手柄动力仪测量ICU患者的肌肉力量和ICU获得的弱点:一个前性的单中心观察研究

Robert Fiut¹, Weronika Wasyluk², Izabela Świetlicka³

¹Department of Clinical Physiotherapy, Medical University of Lublin, Lublin, Poland.

Medical science monitor : international medical journal of experimental and clinical research

|September 27, 2025

概括

在ICU获得的弱点恢复有很大的差异. 诸如重症监护室停留时间和镇静等因素会影响肌肉力量的恢复,这凸显了重症患者个性化康复策略的必要性.

科学领域:

关键护理医学关键护理医学
神经学神经学
康复科学康复科学康复科学

背景情况:

在重症监护室获得的软弱 (ICU-AW) 是重症患者肌肉衰竭的主要原因.
关于恢复时间表和影响因素的不一致数据阻碍了有效的康复策略.
了解康复动态对于优化患者的治疗结果至关重要.

研究的目的:

为了确定肌肉力量超过ICU-AW诊断值所需的时间.
确定影响肌肉力量恢复速度的因素.
评估在ICU停留期间达到特定强度百分点 (P10,P50) 的患者比例.

主要方法:

对178名接受早期物理治疗的患者进行前性,单中心的观察性研究.
使用手握式动力表来评估肌肉力量.
分析达到诊断截止值以上强度的时间 (男性≥11公斤,女性≥7公斤) 和影响因素.

主要成果:

超过ICU-AW门的平均恢复时间为26.84天.
四分位分析:25%在5天内恢复,50%在13天内恢复,75%在41天内恢复.
集中治疗室停留时间,镇静,机械通风,恢复意识,初始力量和体重显著影响了恢复速度.

结论:

在ICU患者的肌肉力量恢复中存在显著的变化.
个性化康复计划对于优化康复至关重要.
进一步的研究应侧重于优化已识别的因素,以提高治疗结果.

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