期刊
JOURNAL OF CRITICAL CARE
卷 29, 期 4, 页码 -出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.jcrc.2014.03.017
关键词
Intensive care; Rehabilitation; Recovery of function; Electric stimulation therapy; Muscle weakness
资金
- National Health and Medical Research Council Dora Lush Scholarship [103923]
- Stella Mary Langford Scholarship
- Australian Intensive Care Foundation
- Austin Medical Research Foundation
- Society of Critical Care Medicine Vision Grant
- CR Roper Fellowship
- National Health and Medical Research Council
Purpose: The purpose was to determine (a) safety and feasibility of functional electrical stimulation (FES)-cycling and (b) compare FES-cycling to case-matched controls in terms of functional recovery and delirium outcomes. Materials and methods: Sixteen adult intensive care unit patients with sepsis ventilated for more than 48 hours and in the intensive care unit for at least 4 days were included. Eight subjects underwent FES-cycling in addition to usual care and were compared to 8 case-matched control individuals. Primary outcomes were safety and feasibility of FES-cycling. Secondary outcomes were Physical Function in Intensive Care Test scored on awakening, time to reach functional milestones, and incidence and duration of delirium. Results: One minor adverse event was recorded. Sixty-nine out of total possible 95 FES sessions (73%) were completed. A visible or palpable contraction was present 80% of the time. There was an improvement in Physical Function in Intensive Care Test score of 3.9/10 points in the intervention cohort with faster recovery of functional milestones. There was also a shorter duration of delirium in the intervention cohort. Conclusions: The delivery of FES-cycling is both safe and feasible. The preliminary findings suggest that FES-cycling may improve function and reduce delirium. Further research is required to confirm the findings of this study and evaluate the efficacy of FES-cycling. (C) 2014 Elsevier Inc. All rights reserved.
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