Post Hospital Discharge Functional Recovery of Critical Illness Survivors. Systematic Review
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08 may 2023
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Categoría del artículo: Review
Publicado en línea: 08 may 2023
Páginas: 87 - 96
Recibido: 04 dic 2022
Aceptado: 02 mar 2023
DOI: https://doi.org/10.2478/jccm-2023-0011
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© 2023 Irini Patsaki et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Fig. 1.
Description of the studies included in the systematic-review_
| Study | Group (N) APACHE-II | Intervention | Configuration | Duration | Outcomes |
|---|---|---|---|---|---|
| Batterham et al. (2014) | CG:30 |
CG: Standard care(medical follow-up, no rehabilitation) |
SF-36 (PF) | 9 weeks |
SF-36 (PF): IG : 43.5 (18)vs CG: 40.1(23), |
| Battle et al. (2018) | CG :30 |
CG : Standard care (no rehabilitation prescription) |
6MWT, Berg balance, HG | 6 weeks after |
At 6 weeks |
| Connolly et al. (2015) | CG :10 |
CG: Weekly telephone follow-up |
ISWT, 6MWT, SF-36 (PCS), | 3 months after |
Change in outcomes |
| Elliot et al. (2011) | CG: 91 |
CG : Standard care (medical follow-up) |
SF-36 (PF), 6MWT | 8 weeks |
SF-36 (PF) :IG :39.9 vs CG :41.0, p<0.05, |
| McDowell et al. (2016) | CG : 30 |
CG : Standard care(no support) |
SF-36(PF),ISWT HG | 6 weeks |
SF-36(PF) :IG :6.8(10.9) vs CG:3.9(8.2),p=0,26 |
| McWilliams et al. (2016) | CG :36 |
CG : Standard care (no exercise prescription or consultation) |
SF-36 (PCS), | 7 weeks | Degree of improvement SF-36 (PF) IG :3.5(95% CI;1.6-6.7 vs CG :8.6(95%;5.4-10.6), p=0,048) |
| Vitacca et al. (2016) | CG :24 |
OE: Standard care (medical support, free to conduct physical activity without monitoring or support) |
MIP/MEP, BADL, MRC-SS, | 6 months | MIP: IG : +33cm H2O vs CG : +26cm H2O,p<0.03 |
| Veldema et al. (2019) | CG : 14 |
OE: Standard care |
FAC, TUG test, 10MWT, MMS test SF-36(PF) | 2 weeks |
6MWT (4 weeks): p<0.05 within groups |
| Shelly et al (2017) | CG:18, IG:17 | IG: 4 weeks unsupervised home rehabilitation program |
SF-36 (PF) | 4weeks | SF-36 (PF ): IG: 10.32(8.51-14.92) vs CG: 7.36(3.68-8.48), p=0.003 |
Description of the rehabilitation program that the intervention group followed_
| Study | Duration / Intensity / Frequency | Intervention |
|---|---|---|
| Duration: 30 minutes | Cardiorespiratory exercises: cycle ergometer (12-14 Borg Scale) | |
| Intensity: moderate and progressively increasing | 3 minutes at 60rpm and 3 minutes break | |
| Frequency: 2 times/week | Pedal resistance increased by 10 and 20W/min (The program included warm-up and recovery) | |
| Duration: 60 minutes | Cardiorespiratory exercises: cycle ergometer, treadmill, rowing machines | |
| Intensity: progressively increasing | Muscle strength and balance exercises with strength balls and bands, weights | |
| Frequency: 2 times/week | Functional balance exercises in a sitting and standing position, balance board | |
| Duration: 40 minutes | Cardiorespiratory exercises | |
| Intensity: progressively increasing | Exercises to strengthen upper and lower limb muscle strength | |
| Frequency: 2 times/week | Balance exercises | |
| Functional exercises (The program included warm-up and recovery) | ||
| Duration: 20-30 minutes | Cardiorespiratory exercises-5 exercises (walking at 80% walking speed) | |
| Intensity: moderate to heavy (progressively increasing) | Core stabilization exercises (3 exercises) | |
| Upper-lower limb strengthening exercises with weights (8 reps/3 sets with progressive weight increase from 0.25 to 1.5 kg) | ||
| Frequency: 5 times/week | Flexibility exercises and stretching (3 exercises and 4 respectively) (Total 16 different exercises) | |
| Duration: 60 minutes | Strengthening exercises (10 repetitions upper-lower limbs-trunk and stretching exercises) | |
| Intensity: moderate-gradually increasing | Cardiorespiratory exercises: walking, cycle ergometer, treadmill (from 10-30 minutes and 3-4 Borg) | |
| Frequency: 3 times/week | (The program included warm-up and recovery) | |
| Duration: 20 minutes | Circuit Training 10 stations [(1 minute exercise/statìon)*2] (3-4 Borg) | |
| Intensity: moderate-progressively increasing | ||
| Frequency: 3 times/week | ||
| Duration: 60 minutes | Program of passive-active and assisted exercises (increasing range of motion-passive transfers-standing-stand-up/sit down) | |
| Intensity: progressively increasing | Breathing exercises (2 sessions daily-breathing cycle-chest expansion-violent breathing-coughing) | |
| Frequency: 6 times/week | ||
| Balance exercises | ||
| Application of electroneuromuscular stimulation to the lower limbs | ||
| Cardiorespiratory exercises: cycle ergometer, treadmill | ||
| Strengthening exercises | ||
| Duration: 20 minutes | Cardiorespiratory exercises: cycle ergometer (13 Borg Scale) | |
| Intensity: moderate to heavy-progressively increasing | Strength exercises with weights (4 sets/15 repetitions with a 30-40” rest) | |
| Frequency: 5 times/week | ||
| Duration: 30-40 minutes | Ambulation | |
| Frequency: 5 times/week | Exercises on bed (each exercise 10times/per set) | |
| Ambulation twice a day (11-13 on Borg scale) | Respiratory exercises | |
| Dynamic quadriceps |
Quality of the RCT studies of stroke patients on Pedro Scale (item1 doesn’t contribute to total score)
| Batterham et al (2014) | Battle et al (2018) | Connolly et al (2015) | Elliott et al (2011) | McDowell et al (2016) | McWilliams et al (2016) | Vitacca et al (2016) | Veldema et al (2019) | Shelly et al (2017) | |
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