No outcomes evaluated the effect on participation restrictions .
NMES , as an adjunct to current rehabilitation practice s in critically ill patients , may maintain muscle strength .
OBJECTIVE To review , in conformance with the Preferred Reporting Items for Systematic Review s and Meta-Analyses guidelines , the totality of evidence for the use of neuromuscular electrical stimulation ( NMES ) in the critical care setting , when compared with usual care , under all domains of the World Health Organisation , International Classification of Functioning , Disability and Health ( ICF ) framework .
Effects of Exercise Training on Pulmonary Mechanics and Functional Status in Patients With Prolonged Mechanical Ventilation
BACKGROUND : The functional status and outcomes in patients with prolonged mechanical ventilation ( PMV ) are often limited by poor endurance and pulmonary mechanics , which result from the primary diseases or prolonged time bedridden . We evaluate the impact of exercise training on pulmonary mechanics , physical functional status , and hospitalization outcomes in PMV patients . METHODS : Twenty-seven subjects with PMV in our respiratory care center ( RCC ) were divided r and omly into an exercise training group ( n = 12 ) and a control group ( n = 15 ) . The exercise program comprised 10 sessions of exercise training . The measurement of pulmonary mechanics and physical functional status ( Functional Independence Measurement and Barthel index ) were performed pre- study and post- study . The hospitalization outcomes included : days of mechanical ventilation , hospitalization days , and weaning and mortality rates during RCC stay . RESULTS : The training group had significant improvement in tidal volume ( 143.6 mL vs 192.5 mL , P = .02 ) and rapid shallow breathing index after training ( 162.2 vs 110.6 , P = .009 ) . No significant change was found in the control group except respiratory rate . Both groups had significant improvement in functional status during the study . However , the training group had greater changes in FIM score than the control group ( 44.6 vs 34.2 , P = .024 ) . The training group also had shorter RCC stay and higher weaning and survival rates than the control group , although no statistical difference was found . CONCLUSIONS : Subjects with PMV in our RCC demonstrated significant improvement in pulmonary mechanics and functional status after exercise training . The application of exercise training may be helpful for PMV patients to improve hospitalization outcomes
No outcomes evaluated the effect on participation restrictions .
NMES , as an adjunct to current rehabilitation practice s in critically ill patients , may maintain muscle strength .
OBJECTIVE To review , in conformance with the Preferred Reporting Items for Systematic Review s and Meta-Analyses guidelines , the totality of evidence for the use of neuromuscular electrical stimulation ( NMES ) in the critical care setting , when compared with usual care , under all domains of the World Health Organisation , International Classification of Functioning , Disability and Health ( ICF ) framework .