Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Intensive care unit-acquired weakness (ICU-acquired weakness) may be caused by a variety of different causes. Several studies have shown that ICU-acquired weakness occurs in up to 30% of critically ill patients. It affects daily activities, walking, and functional performance
Forty ICU-acquired weakness elderly patients will be randomly assigned to group A and group B, 20 elderly for each. Both groups will receive chest physiotherapy (cough training, vibration, percussion, rib springing, and postural drainage), 30 minutes of resisted training on upper- and lower-limb muscles (15 min on upper limb and 15 min on lower limb), and 30 minutes of neuromuscular electrical stimulation of lower- and upper-limb muscles (triceps and wrist extensors, dorsiflexors, and quadriceps). sessions will be executed 5 times weekly). Group A only will receive 3-set IMT (two sessions daily via threshold IMT, the set contain 10 repetitions) 5 times weekly. The study duration will be 1 month.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group A | Experimental | twenty ICU-acquired weakness elderly patients will receive chest physiotherapy (cough training, vibration, percussion, rib springing, and postural drainage), 30 minutes of resisted training on upper- and lower-limb muscles (15 min on upper limb and 15 min on lower limb), and 30 minutes of neuromuscular electrical stimulation of lower- and upper-limb muscles (triceps and wrist extensors, dorsiflexors, and quadriceps). sessions will be executed 5 times weekly). this Group will receive 3-set IMT (two sessions daily via threshold IMT, the set contain 10 repetitions) 5 times weekly. The study duration will be 1 month. |
|
| group B | Active Comparator | twenty ICU-acquired weakness elderly patients will receive chest physiotherapy (cough training, vibration, percussion, rib springing, and postural drainage), 30 minutes of resisted training on upper- and lower-limb muscles (15 min on upper limb and 15 min on lower limb), and 30 minutes of neuromuscular electrical stimulation of lower- and upper-limb muscles (triceps and wrist extensors, dorsiflexors, and quadriceps). sessions will be executed 5 times weekly). The study duration will be 1 month. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Threshold IMT and traditional physical therapy program | Behavioral | twenty ICU-acquired weakness elderly patients will receive chest physiotherapy (cough training, vibration, percussion, rib springing, and postural drainage), 30 minutes of resisted training on upper- and lower-limb muscles (15 min on upper limb and 15 min on lower limb), and 30 minutes of neuromuscular electrical stimulation of lower- and upper-limb muscles (triceps and wrist extensors, dorsiflexors, and quadriceps). sessions will be executed 5 times weekly). this Group will receive 3-set IMT (two sessions daily via threshold IMT, the set contain 10 repetitions) 5 times weekly. The study duration will be 1 month. |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Functional Ambulation Category Test | it is a category test used to assess walking disability | it will be measured after 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| functional vital capacity | the percentage of predicted value of functional vital capacity will be assessed | It will be measured after 1 month |
| forced expiatory volume in the first second of expiration |
Not provided
Inclusion Criteria:
Exclusion Criteria:
self-representation of gender identity
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ali MA Ismail, lecturer | Contact | 01005154209 | ali.mohamed@pt.cu.edu.eg | |
| hany elsisi, professor | Contact | elsisihany309@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Ali MA Ismail, lecturer | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo Unoversity | Recruiting | Giza | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39899253 | Derived | Alahmari M, Elsisi HF, Ismail AMA. Functional outcomes of inspiratory muscle training in elderly with intensive care unit-acquired weakness and severe walking disability. Ir J Med Sci. 2025 Apr;194(2):761-769. doi: 10.1007/s11845-025-03876-w. Epub 2025 Feb 3. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| traditional physiotherapy program | Behavioral | twenty ICU-acquired weakness elderly patients will receive chest physiotherapy (cough training, vibration, percussion, rib springing, and postural drainage), 30 minutes of resisted training on upper- and lower-limb muscles (15 min on upper limb and 15 min on lower limb), and 30 minutes of neuromuscular electrical stimulation of lower- and upper-limb muscles (triceps and wrist extensors, dorsiflexors, and quadriceps). sessions will be executed 5 times weekly). |
|
the percentage of predicted value of FEV1 will be assessed
| It will be measured after 1 month |
| Partial Pressure of Oxygen | it is an arterial blood gas test | It will be measured after 1 month |
| Partial Pressure of carbon dioxide | it is an arterial blood gas test | It will be measured after 1 month |
| Oxygen saturation | it is an arterial blood gas test | It will be measured after 1 month |
| inspiratory muscle strength | it will be measure in cm H2O | It will be measured after 1 month |
| expiratory muscle strength | it will be measure in cm H2O | It will be measured after 1 month |
| time up and go test | it is time used to walk a three-meter distance | It will be measured after 1 month |
| 30-second sit to stand | number of (sit to stand) done in 30 seconds | It will be measured after 1 month |
| six-minute walk test, | distance walked in 6 minute | It will be measured after 1 month |
| 10-meter walking test | it is time used to walk a 10-meter distance | It will be measured after 1 month |
| mental division of short form 36 | it assess mental component of short form 36 quality of life questionnare | It will be measured after 1 month |
| physical division of short form 36 | it assess physical component of short form 36 quality of life questionnare | It will be measured after 1 month |