Effects of physical training on functional status in patients with prolonged mechanical ventilation

Ling Ling Chiang, Li Ying Wang, Chin Pyng Wu, Huey Dong Wu, Ying Tai Wu

研究成果: 雜誌貢獻文章同行評審

132 引文 斯高帕斯(Scopus)

摘要

Background and Purpose. Patients requiring prolonged mechanical ventilation (PMV) are frequently deconditioned because of respiratory failure precipitated by the underlying disease, the adverse effects of medications, and a period of prolonged immobilization. The effects of 6 weeks of physical training on the strength of respiratory and limb muscles, on ventilator-free time, and on functional status in patients requiring PMV were examined. Subjects. Thirty-nine patients with PMV were initially enrolled in the study and were assigned to either a treatment group (n=20) or a control group (n=19). Three subjects in the treatment group and 4 subjects in the control group died during the 6-week intervention period and thus their data were excluded from the final analysis. Methods. Subjects in the treatment group received physical training 5 days a week for 6 weeks. Strength of respiratory and limb muscles, ventilator-free time, and functional status, which was measured by the Barthel Index of Activities of Daily Living (BI) and Functional Independence Measure (FIM), were examined at baseline and at the third and sixth weeks of the study period. Results. Respiratory and limb muscle strength improved significantly at the third and sixth weeks in the treatment group compared with baseline measurements. Total BI and FIM scores increased significantly in the treatment group and remained unchanged in the control group. Effect sizes of the BI and FIM scores were 2.02 and 1.93, respectively, at the sixth week. Discussion and Conclusion. The results show that a 6-week physical training program may improve limb muscle strength and ventilator-free time and thus improve functional outcomes in patients requiring PMV.
原文英語
頁(從 - 到)1271-1281
頁數11
期刊Physical Therapy
86
發行號9
DOIs
出版狀態已發佈 - 九月 2006

ASJC Scopus subject areas

  • 物理治療、運動療法和康復
  • 健康職業 (全部)
  • 骨科和運動醫學

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