Feasibility and impact of a structured, exercise-based rehabilitation programme for intensive care survivors

@article{Mcwilliams2009FeasibilityAI,
  title={Feasibility and impact of a structured, exercise-based rehabilitation programme for intensive care survivors},
  author={D. Mcwilliams and D. Atkinson and A. Carter and B. Fo{\"e}x and S. Benington and D. Conway},
  journal={Physiotherapy Theory and Practice},
  year={2009},
  volume={25},
  pages={566 - 571}
}
Our objective was to assess the impact of an outpatient physiotherapy-led rehabilitation programme on exercise capacity and anxiety and depression scores in a cohort of adult intensive care survivors. In a prospective study in a teaching hospital, 38 general intensive care survivors following hospital discharge underwent an established physiotherapy-led outpatient rehabilitation programme. The programme involved 2 hours of supervised exercise and education sessions each week and two… Expand
Effectiveness of a programme of exercise on physical function in survivors of critical illness following discharge from the ICU: study protocol for a randomised controlled trial (REVIVE)
TLDR
The effectiveness and cost-effectiveness of a 6-week programme of exercise on physical function in patients discharged from hospital following critical illness compared to standard care is investigated to inform the design of a future multicentre phase III clinical trial of exercise following recovery from critical illness. Expand
Outpatient-based physical rehabilitation for survivors of prolonged critical illness: A randomized controlled trial
TLDR
A 7-week, outpatient-based exercise and education program resulted in improved health-related quality of life scores but not improved exercise capacity. Expand
Improving rehabilitation after critical illness through outpatient physiotherapy classes and essential amino acid supplement: A randomized controlled trial.
TLDR
Enhanced rehabilitation combined with GEAA supplement may enhance physical recovery and reduce anxiety and depression. Expand
Does 6-Month Home Caregiver-Supervised Physiotherapy Improve Post-Critical Care Outcomes?: A Randomized Controlled Trial
TLDR
Carrying over regular bronchial hygiene techniques, physical activity, and exercise into the home after long critical care stays is safe and has a beneficial effect on respiratory muscles, decannulation, pulmonary function, and quality of life. Expand
The role of physiotherapy in Enhanced Recovery after Surgery in the intensive care unit
TLDR
Establishing a standardised rehabilitation programme, informed by key ERAS principles and delivered by specialist physiotherapists supported by a well-informed ICU team can have long term benefits to patients post-discharge. Expand
Discordance Between Distance Ambulated as Part of Usual Care and Functional Exercise Capacity in Survivors of Critical Illness Upon Intensive Care Discharge: Observational Study
TLDR
The 6MWT appears to be a safe and useful test for inpatients recently discharged from the ICU and most participants ambulated at a low percentage of their measured exercise capacity. Expand
Physical recovery in intensive care unit survivors: a cohort analysis.
TLDR
Multiple factors are associated with physical recovery after critical illness and interventions to target multidimensional aspects of recovery such as sleep and exercise may result in improved physical function aftercritical illness. Expand
Exercise testing in survivors of intensive care—is there a role for cardiopulmonary exercise testing?
TLDR
Early CPET appears a practical method of assessing exercise capacity in ICU survivors and could be used to select patients who may benefit most from a targeted physical rehabilitation program, aid in exercise prescription, and help assess the response to intervention. Expand
Patient and carer experience of hospital-based rehabilitation from intensive care to hospital discharge: mixed methods process evaluation of the RECOVER randomised clinical trial
TLDR
Case management by dedicated RAs improves patients' experiences of post-ICU hospital-based rehabilitation and increases perceived quality of care. Expand
Early Mobilization Reduces Duration of Mechanical Ventilation and Intensive Care Unit Stay in Patients With Acute Respiratory Failure.
TLDR
The introduction of early mobilization for patients with MV in the ICU shortened MV durations and ICU stays and showed that a multidisciplinary team that includes the patient's family can work together to improve the patient’s clinical outcomes. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 25 REFERENCES
Rehabilitation after critical illness: A randomized, controlled trial
TLDR
A self-help rehabilitation manual is effective in aiding physical recovery and reducing depression in patients recalling delusional memories from the ICU, however, further psychological care may be needed to reduce the incidence of anxiety and PTSD-related symptoms. Expand
Study protocol: Home-based physical rehabilitation for survivors of a critical illness [ACTRN12605000166673]
TLDR
Whether a home-based physical rehabilitation programme improves the recovery trajectory for survivors of critical illness will provide a model that can be easily adapted and adopted by existing primary care or community services to improve the recovery of individuals following critical illness is determined. Expand
Identifying post intensive care patients who may need physical rehabilitation
TLDR
To identify mobility problems in intensive care (ICU) patients following hospital discharge and those factors that best predict a need for physical rehabilitation, a cohort study of at risk patients attending a post ICU follow-up service in a District General Hospital is conducted. Expand
Rehabilitation of patients admitted to a respiratory intensive care unit.
  • S. Nava
  • Medicine
  • Archives of physical medicine and rehabilitation
  • 1998
TLDR
COPD patients who were admitted to a RICU in critical condition after an episode of acute respiratory failure and who, in most cases, required mechanical ventilation benefited from comprehensive early pulmonary rehabilitation, compared with patients who received standard medical therapy and progressive ambulation. Expand
Development of a shuttle walking test of disability in patients with chronic airways obstruction.
TLDR
The shuttle walking test constitutes a standardised incremental field walking test that provokes a symptom limited maximal performance and provides an objective measurement of disability and allows direct comparison of patients' performance. Expand
Pulmonary rehabilitation for chronic obstructive pulmonary disease.
TLDR
RCTs of rehabilitation in patients with COPD found that rehabilitation relieves dyspnea and fatigue, improves emotional function and enhances patients' sense of control over their condition. Expand
One-year outcomes in survivors of the acute respiratory distress syndrome.
TLDR
The absence of systemic corticosteroid treatment, the absence of illness acquired during the intensive care unit stay, and rapid resolution of lung injury and multiorgan dysfunction were associated with better functional status during the one-year follow-up. Expand
Quality of life in adult survivors of critical illness: A systematic review of the literature
TLDR
This systematic review provides a general understanding of QOL following critical illness and can serve as a standard of comparison for QOL studies in specific ICU subpopulations. Expand
Impact of whole-body rehabilitation in patients receiving chronic mechanical ventilation
TLDR
Patients receiving chronic ventilation are weak and deconditioned but respond to aggressive whole-body and respiratory muscle training with an improvement in strength, weaning outcome, and functional status. Expand
Effects of active recovery on plasma lactate and anaerobic power following repeated intensive exercise.
TLDR
Results showed that AR between bouts of intensive exercise decreased blood lactate concentration at high braking forces, and this decrease was accompanied by higher anaerobic power outputs at these forces. Expand
...
1
2
3
...