Efficacy of Different Treatments for the Intensive Care Unit Acquired Weakness
NCT04613908 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 18
Last updated 2020-11-03
Summary
Experimental study that has how to compare the efficacy between conventional rehabilitation, transcutaneous electrostimulation or early mobilization to reduce the time needed to reverse the muscle weakness evaluated by the muscle strength scale of the MRC in patients with a clinical diagnosis of intensive care unit acquired weakness in the (ICUAW).The ambit of realization is a medical-surgical ICU of a general acute hospital (26 beds). A randomized controlled, uni-centric design was used. The interventions are divided into three groups namely; group 1 (control group) receiving standard or usual rehabilitation (GR-STD); group 2 receives transcutaneous electrostimulation (GR-TEE) and group 3 that consists of an early mobilization protocol (GR-EM). The main outcome variable of the study is the time, in days and sessions of treatment, to reverse the ICUAW.
Conditions
- Muscle Weakness
- Rehabilitation
Interventions
- DEVICE
-
neuro muscular electro stimulation
We used a commercial equipment of electro stimulation with a pulse width of 300 micro seconds, a frequency of 50 Hz, with symmetrical balanced biphasic rectangular wave and with an intensity of up to 80 milliampere.
- OTHER
-
Early Mobilization protocol
The protocol consisted in applying a specific treatment based on different levels of treatment to each subject. Admission to them was carried out according to the maximum capacity of each subject, the conditions of each level being the following: * Level 1: MRC (shoulder) \<3 + MRC \<3 (hip). * Level 2: MRC (shoulder) ≥ 3 + MRC (hip) \<3. * Level 3: MRC (shoulder) ≥ 3 + MRC (hip) ≥ 3 + sitting on the edge of the bed without assistance (minimum 15 minutes). * Level 4: Standing without assistance and walking with or without assistance.
- OTHER
-
standard care or usual rehabilitation
routine, non-protocolized rehabilitation treatment performed by the physiotherapist assigned to intensive care
Sponsors & Collaborators
-
Hospital Nacional Profesor Alejandro Posadas
lead OTHER
Principal Investigators
-
Ladislao P Diaz Ballve · Hospital Nacional Posadas
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-08-01
- Primary Completion
- 2016-08-31
- Completion
- 2016-08-31
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