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Mobility Interventions to Improve Outcomes in Patients Undergoing Prolonged Mechanical Ventilation: A Review of the Literature
- Source :
- Biological Research For Nursing. 10:21-33
- Publication Year :
- 2008
- Publisher :
- SAGE Publications, 2008.
-
Abstract
- Survivors of critical illness often undergo an extended recovery trajectory. Reduced functional ability is one of several adverse outcomes of prolonged bed rest and mechanical ventilation during critical illness. Skeletal muscle weakness is known to be one of the major phenomena that account for reduced functional ability. Although skeletal muscle weakness is evident after prolonged mechanical ventilation, few studies have tested the benefits of various types of mobility interventions in this population. The purpose of this article is to review the published research on improving mobility outcomes in patients undergoing prolonged mechanical ventilation. For this review, published studies were retrieved from MEDLINE, PubMed, CINAHL, and the Cochrane Database of Systematic Reviews from January 1990 to July 2007. A total of 10 relevant articles were selected that examined the effect of whole body physical therapy, electrical stimulation, arm exercise and inspiratory muscle training. Overall, there is support for the ability of mobility interventions to improve outcomes in patients on prolonged mechanical ventilation but limited evidence of how to best accomplish this goal. Generating more data from multicenter studies and randomized controlled trials is recommended.
- Subjects :
- medicine.medical_specialty
Time Factors
Critical Care
medicine.medical_treatment
Population
MEDLINE
Electric Stimulation Therapy
Bed rest
Breathing Exercises
Article
law.invention
Physical medicine and rehabilitation
Randomized controlled trial
law
medicine
Humans
Survivors
Functional ability
Mobility Limitation
education
Physical Therapy Modalities
Mechanical ventilation
education.field_of_study
Muscle Weakness
Rehabilitation
Research and Theory
business.industry
Respiration, Artificial
Exercise Therapy
Causality
Nursing Research
Treatment Outcome
Systematic review
Research Design
Physical therapy
business
Bed Rest
Subjects
Details
- ISSN :
- 15524175 and 10998004
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Biological Research For Nursing
- Accession number :
- edsair.doi.dedup.....a4899c0498f8aedab52291ea1f6249e4