THE IMPORTANCE OF EARLY MOBILIZATION WITH THE USE OF THE CYCLOERGOMETER IN THE CRITICAL PATIENTS- SYSTEMATIC REVIEW

Authors

  • Vanessa Soares Paiva da Silva
  • Diana Ferreira Pacheco

Keywords:

Ergometer, Early ambulation, Exercise therapy, Intensive care units, Respiratory exercise

Abstract

Critical Patients, because of decreased mobility, often develops skeletal muscle decline, atelectasis, pressure injury, and bone demineralization. One method that has proven to be of great value in early mobilization in critically ill patients is the cycle ergometer, which is a bedside bike that the patient can do passive, active and weathered exercises improving or maintaining functional capacity. Objective of this study was to systematically review the effects of early mobilization with the use of the cycloergometer in critically ill patients. We searched the electronic databases Pubmed, Jama, Sielo, Medlene and PEDro. In addition, a search of the published references was searched. In English, Portuguese, languages, published in the last 10 years. Including seven randomized controlled trials, randomized controlled trials and experimental study, studies were reviewed three of them applied the method in the MMSS and five in the MMI. The cycle ergometer proved to be a safe and viable method for critically ill patients with significant improvements in functional capacity and peripheral muscle strength, respiratory muscle strength, reducing the sensation of dyspnea and fatigue.

References

Needham DM, Truong AD, Fan E. Technology to enhance physical rehabilitation of critically ill patients. Crit Care Med. 2009;37: S436-S441.

Needham DM. Mobilizing Patients in the Intensive Care Unit: Improving neuromuscular weakness and physical function. JAMA. 2008; 300: 1685-1689.

Truong AD, Fan E, Brower RG, Needham DM: Bench-to-bedside review: Mobilizing patients in the Intensive care unit – from pathophysiology to clinical trials. Crit Care 2009: 1-8.

Silva APP, Maynard K, Cruz MR, Efeitos da fisioterapia motora em pacientes críticos: revisão de literatura. Revista Brasileira Terapia Intensiva 2010; 22 :85-91.

Li Z, Peng X, Zhu Bo, Zhang Y, Xi X, Active Mobilization for Mechanically Ventilated Patients: A Systematic Review. By the American Congress of Rehabilitation Medicine,2013 : 94; 551-561.

Coutinho WM, Santo LJ, Fernandes J, Vieira SR, Junior LAF, Dias SA: Efeito agudo da utilização do cicloergômetro durante atendimento fisioterapêutico em pacientes críticos ventilados mecanicamente. 2016 :23;278-283.

Santos LJ, Lemos FA, Bianchi T, Sachetti A, Acqua AMD, Naue WS et al : Early rehabilitation using a passive cycle ergometer on muscle morphology in mechanically ventilated critically ill patients in the Intensive Care Unit (MoVe-ICU study): study protocol for a randomized controlled. 2015 p. 1-6.

Stiller K, Phillips A, Safety aspects of mobilising acutely ill inpatients. Physiotherapy Theory and Practice, Adelaide, Physiotherapy and Practice, 2003: 19; 239-257.

Stiller K, Safety Issues That Should Be Considered When Mobilizing Critically I11 Patients. Crit Care Clin v.23 p.35 -53.

Porta R, Vitacca M, Gile LS, Clini E, Bianchi L, Zanotti E, et al. Supported Arm Training in Patients Recently Weaned From Mechanical Ventilation.CHEST 2005: 128; 2511-2520

Vitacca M, Bianchi L, Sarvá M, Panaroni M, Balbi B, Physiological responses to arm exercise in difficult to wean patients with chronic obstructive pulmonary disease. Intenive Care Med 2006: 1159-1166.

Burtin C, Clerckx B, Robbeets C, Ferdinande P, Langer D, Troosters T, et al Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med 2009: 37 ; 2499-2505.

Pires-Neto RC, Pereira AL, Parente C, Sant´Ana GN, Esposito DD, Kimura AK, et al, Characterization of the use of a cycle ergometer to assist in physicltheatment of critically ill patients. Rev Bras Ter Inteniva 2013 : 25 ; 39-43.

Almeida KS, Novo AFMP, Carneiro SR, Araújo LNQ, Análise das Variáveis Hemodinâmicas em idosos Revascularizados após Mobilização Precoce no Leito. Rev Bras Cardiol. 2014: 27 ; 165-71.

Machado AS, Pires-Neto RC, Carvalho MTX, Soares CJ, Cardoso DM, Efeito do exercício passivo em cicloergômetro na força muscular, tempo de ventilação mecânica e internação hospitalar em pacientes críticos 2017: 43; 134-9.

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Published

2018-03-20

How to Cite

Silva, V. S. P. da, & Pacheco, D. F. (2018). THE IMPORTANCE OF EARLY MOBILIZATION WITH THE USE OF THE CYCLOERGOMETER IN THE CRITICAL PATIENTS- SYSTEMATIC REVIEW . Revista De Divulgação Científica Sena Aires, 6(2), 144–151. Retrieved from https://rdcsa.emnuvens.com.br/revista/article/view/751

Issue

Vol. 6 No. 2 (2017): REVISA

Section

Literature Review

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