Evaluation of peripheral muscle strength of patients hospitalized with respiratory diseases submitted to early mobilization
Keywords:Exercise; Muscle strength dynamometer.
Objective: Evaluate the peripheral muscle strength of hospitalized individuals with respiratory disorders undergoing an early mobilization protocol. Methods: Sixteen hospitalized patients with pulmonary diseases were randomly randomized to the Early Mobilization (EM) group and the Early Mobilization group associated with the Cycle ergometer (EM+C). Cardiorespiratory parameters and peripheral muscle strength were evaluated before and after the intervention, through the Peg Board and Ring Test (6PBRT) and the Handgrip Strength (HGS) test. The data were expressed as (average and standard deviation) for parametric data and (median and interquartile range) for nonparametric data, using the GraphPad Prism 8.0 program, using the t-student test (paired and unpaired), Wilcoxon, one-way ANOVA and post test Tukey, Kruskal-Wallis and post test Dunn, with the significance level adopted for the statistical treatment of (p <0.05). Results: The 6PBRT revealed statistical difference when comparing pre and post intervention of the EM and EM+C groups, respectively (p=0.01) and (p=0.006). The HGS test revealed a statistically significant difference when comparing pre and post intervention of the EM and EM+C groups, respectively (p=0.03) and (p=0.008). Conclusion: It is concluded that early mobilization associated with the cycle ergometer may demonstrate a significant increase in peripheral muscle strength, confirmed by 6PBRT and HGS, which proved to be effective evaluation methods.
Akinremi A. A., Erinle O. A., & Hamzat T. K. (2019) ICU-acquired weakness: A multicentre survey of knowledge among ICU clinicians in South-Western Nigeria. Niger J Clin Pract, 22(9):1229-1235.
Appleton R. T., Kinsella J., & Quasim T.(2015) The incidence of intensive care unit-acquired weakness syndromes: A systematic review. J Intensive Care Soc, 16(2):126-136.
Dantas C. M., Silva P. F., Siqueira F. H., Pinto R. M., Matias S., Maciel C., & Tenório E. E. (2012). Influence of early mobilization on respiratory and peripheral muscle strength in critically ill patients. Ver Bras Ter Intensiva, 24(2):173-8.
Doiron K. A., Hoffmann T. C., & Beller E. M. (2018) Early intervention (mobilization or active exercise) for criticallyill adults in the intensive care unit. Cochrane DatabaseSyst Ver, 27;3:CD010754.
Dourado V. Z., Guerra R. L., Tanni S. E., Antunes L. C., & Godoy I. (2013) Reference values for the incremental shuttle walk test in healthy subjects: from the walk distance to physiological responses. J Bras Pneumol, 39(2):190-7.
Farhan H., Moreno-Duarte I., Latronico N., Zafonte R., & Eikermann M. (2016). Acquired Muscle Weakness in the Surgical Intensive Care Unit. Nosology, Epidemiology, Diagnosis, and Prevention. Anesthesiology, 124(1):207-34.
Fontela P. C., Lisboa T. C., Forgiarini-Júnior L. A., & Friedman G. (2018) Early mobilization practices of mechanically ventilated patients: a 1-day point-prevalence study in southern Brazil. Clinics, 29;73:e241.
Hoogendam Y. Y., Van Der Lijn F., Vernooij M. W., Hofman A., Niessen W. J., Van Der Lugt A., & Van Der Geest J. N. (2014) Older age relates to worsening of ﬁ ne motor skills: a population-based study of middle-aged and elderly persons. Front Aging Neurosci., 6:259.
Hu Y., Hu X., Xiao J., & Li D. (2019) Effect of early mobilization on the physical function of patients in intensive care unit: a Meta-analysis. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue, 31(4):458-463.
Karvonen J. J., Kentala E., & Mustala O. (1957) The effects of training on heart rate: a “longitudinal” study. Ann Med Exp Biol Fenn, 35: 307-15.
Koukourikos K., Tsaloglidou A., & Kourkouta L. (2014) Muscle atrophy in intensive care unit patients. Acta Inform Med. 2014;22(6):406-10.
Kress J. P., Hall J. B. (2014) ICU – acquired weakness and recovery from criticalillness. NEngl J Med, 24;370(17):1626-35.
Lima V. P., Almeida F. D., Janaudis-Ferreira T., Carmona B., Ribeiro-Samora G. A. Giane A., & Velloso M. (2018). Valores de referência para o pegboard de seis minutos e o teste do anel em adultos saudáveis no Brasil. Jornal Brasileiro de Pneumologia, 44 (3), 190-194.
Machado A. D. S., Pires-Neto R. C., Carvalho M. T. X., Soares J. C., Cardoso D. M., & Albuquerque I. M. (2017) Effects that passive cycling exercise have on muscle strength, duration of mechanical ventilation, and length of hospital stay in critically ill patients: a randomized clinical trial. J Bras Pneumol, 43(2):134-139.
Morishita S., Wakasugi T., Tanaka T., Harada T., Kaida K., Ikegame K., & Domen K. (2018) Changes in Borg scale for resistance training and test of exercise tolerance in patients undergoing allogeneic hematopoietic stem cell transplantation. Support Care Cancer, 26(9):3217-3223.
Nyberg A., Törnberg A., & Wadell K. (2016) Correlation between limb muscle endurance, strength, and functional capacity in people with chronic obstructive pulmonary disease. Physiother Can, 68(1):46-53.
Nydahl P., Sricharoenchai T., Chandra S., Kundt F.S., Huang M., Fischill M., & Needham D. M. (2017) Safety of Patient Mobilization and Rehabilitation in the Intensive Care Unit. Systematic Review with Meta-Analysis. Ann Am Thorac Soc, 14(5):766-777.
Samosawala N. R., Vaishali K., & Kalyana B. C. (2016) Measurement of muscle strength with handheld dynamometer in Intensive Care Unit. Indian J Crit Care Med, 20(1):21-6.
Santos W. C., Vancini-Campanharo C. R., Lopes M. C. B. T., Okuno M. F. P., & Batista R. E. A. (2016) Assessment of nurse’s knowledge about Glasgow coma scale at a university hospital. Einstein, 14(2): 213-218.
Seifi S., Khatony A., Moradi G., Abdi A., & Najafi F. (2018) Accuracy of pulse oximetry in detection of oxygen saturation in patients admitted to the intensive care unit of heart surgery: comparison of finger, toe, forehead and earlobe probes. BMC Nurs, 17:17:15.
Viveiro L. A. P., Almeida A. S., Meira D. M., Lavoura P. H., Carmo C. M., Silva J. M. Janete M., & Tanaka C. (2014) Declínio de atividades instrumentais de vida diária associado à perda de força de preensão palmar em idosos internados em enfermaria geriátrica. Rev. Bras. Geriatr. Gerontol, 17(2): 235-242.
Wollersheim T., Grunow J. J., Carbon N. M., Haas K., Malleike J., Ramme S. F., & Weber-Carstens S. (2019) Muscle wasting and function after muscle activation and early protocol-based physiotherapy: an explorative trial. J Cachexia Sarcopenia Muscle,10(4):734-747.
Yayla A., & Özer N.(2019) Effects of early mobilization protocol performed after cardiac surgery on patient care outcomes. Int J Nurs Pract, 16:e12784
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