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Despite several positive studies, benefits of early rehabilitation on recovery and motor performance improvement need to be demonstrate. A recent study finds that despite early rehabilitation, 1 survivor of 2 (52%) acquired an ICU weakness. The low intensity exercises applied in intensive care is common and most patients stay in bed.
Under these conditions, the optimal choice of the rehabilitation technique for bedridden patient and its intensity should be studied.
The objective of the study is to evaluate the cardiovascular and metabolic response of patients during four interventions: Passive legs mobilization, Passive cycloergometter, Quadriceps neuromuscular electrical stimulation and Functional electrical stimulation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Passive legs mobilisation | Active Comparator | A physiotherapist performs passive legs movement |
|
| Passive cycloergometer | Active Comparator | A motorized cycloergometer performs passive legs cycling |
|
| Muscular electrical stimulation | Active Comparator | Quadriceps neuromuscular electrical stimulation |
|
| FES cycling | Active Comparator | A motorised cycloergometer performs a quadriceps neuromuscular electrical stimulation during passive |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Passive legs mobilisation | Other | A physiotherapist performs a passive leg movement |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac output by cardiac ultrasonography | Every 3 minutes during 10 minutes exercise |
| Measure | Description | Time Frame |
|---|---|---|
| Muscular oxygenation of vastus lateralis muscle by Near Infrared Spectroscopy | Continuously during ten minutes exercise | |
| Pulmonary artery Pressure by cardiac ultrasonography | Every 3 minutes during 10 minutes exercise |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Le Havre, Jacques Monod Hospital | Montivilliers | 76290 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29703223 | Derived | Medrinal C, Combret Y, Prieur G, Robledo Quesada A, Bonnevie T, Gravier FE, Dupuis Lozeron E, Frenoy E, Contal O, Lamia B. Comparison of exercise intensity during four early rehabilitation techniques in sedated and ventilated patients in ICU: a randomised cross-over trial. Crit Care. 2018 Apr 27;22(1):110. doi: 10.1186/s13054-018-2030-0. | |
| 28255448 |
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| Passive cycloergometer | Other | A motorised cycloergometer performs a passive cycling |
|
| Muscular electrical stimulation | Other | A neuromuscular electrical stimulation device performs a quadriceps located stimulation |
|
| FES cycling | Other | A motorised cycloergometer performs a passive cycling with quadriceps neuromuscular stimulation |
|
| Tricuspid annular plane systolic excursion by cardiac ultrasonography | Every 3 minutes during 10 minutes exercise |
| Expiratory volume | Continuously during ten minutes exercise |
| Respiratory rate | Continuously during ten minutes exercise |
| Medrinal C, Combret Y, Prieur G, Robledo Quesada A, Bonnevie T, Gravier FE, Frenoy E, Contal O, Lamia B. Effects of different early rehabilitation techniques on haemodynamic and metabolic parameters in sedated patients: protocol for a randomised, single-bind, cross-over trial. BMJ Open Respir Res. 2017 Jan 30;4(1):e000173. doi: 10.1136/bmjresp-2016-000173. eCollection 2017. |