Clinical trial NCT06597136: The Effect of Kinesiology Tape Application on Functional Level and Respiratory Function in Intensive Care Unit Patients
Official title: Examination of the Effects of Kinesiology Tape Application for Respiratory Muscles on Early Functional Level and Respiratory Function in Intensive Care Unit Patients
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: İntensive Care Patients
Keywords: intensive care
respiratory muscle strength
respiratory function
kinesiotape
Lead sponsor: Istinye University
Sponsor class: OTHER
First posted: 2024-09-19
Enrollment: 48
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SEQUENTIAL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Investigation of the effects of respiratory muscles on the early functional system and respiratory function in the kinesiological period in intensive care patients.

Detailed description: Weakness of respiratory muscles delays weaning from the ventilator, prolongs hospital stay and increases treatment costs. Conventional treatments for respiratory muscles reverse these negative effects. Kinesiology taping has effects that support the muscle to which it is applied, increase circulation and improve its function. Studies have shown positive effects of kinesiology taping applied to COPD patients, and in light of this, it has been predicted that its application to intensive care patients will be beneficial. The results of our study will shed light on the rehabilitation of patients in intensive care and contribute to the literature.

In this study, the investigators aimed to increase the activation of respiratory muscles by taking advantage of the benefits of kinesiology taping in addition to conventional treatment.

Our study, which included a total of 48 participants will consist of 4 groups. Only conventional treatment will be applied to the 1st group, diaphragmatic kinesiology taping will be applied to the 2nd group in addition to conventional treatment, kinesiological taping to the accessory respiratory muscles will be applied to the 3rd group and sham taping will be applied to the 4th group.

Eligibility criteria: Inclusion Criteria:

* Individuals receiving inpatient treatment in intensive care who volunteer to participate in the research or who are allowed by their first-degree relatives if they are unconscious,
* Being over 18 years of age
* Being eligible to receive physiotherapy and rehabilitation from an intensive care physician
* Are in clinically stable condition

Exclusion Criteria:

* Patients with coagulation disorders (PT (Prothrombin Time); INR (International Normalized Ratio) value higher than 1.5 and platelet amount less than 50,000 m³)
* Patients with signs of increased intracranial pressure
* Skin wounds, ulcerations, allergic reactions
* Patients in contact isolation due to infection
* In shock
* Having malignancy
* Having multiple organ failure
* Having visual impairment
* Patients who are unconscious

Primary outcomes:
measure: Respiratory Muscle Strength
timeFrame: 3 days
measure: Respiratory Muscle Strength
timeFrame: 3 days
measure: Richmond Agitation-Sedation Scale
timeFrame: 3 days
measure: SOFA (Sequential Organ Failure Assessment)
timeFrame: 3 days
measure: Visuel Anaolog Scale
timeFrame: 3 days
measure: The Glasgow Coma Scale
timeFrame: 3 days
measure: APACHE II Score
timeFrame: 3 days
measure: Chelsea Critical Care Physical Assessment Tool (CPAx)
timeFrame: 3 days
measure: Body temperature
timeFrame: 3 days
measure: Blood pressure
timeFrame: 3 days
measure: Respiratory rate
timeFrame: 3 days
measure: Pulse rate
timeFrame: 3 days
measure: The Physical Function in ICU Test
timeFrame: 3 days
measure: Hand Strength
timeFrame: 3 days
measure: Modified Borg Dyspnea Scale
timeFrame: 3 days
measure: Pa02
timeFrame: 3 days
measure: PaC02
timeFrame: 3 days
measure: HCO3
timeFrame: 3 days
measure: Ph
timeFrame: 3 days
measure: Confusion Assessment Method for the ICU
timeFrame: 3 days
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: İstinye University
name: Yasemin Çırak, Prof Dr.
role: STUDY_DIRECTOR
References:
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