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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
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.
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).
Cairo Unoversity
Giza, Egypt
RECRUITINGModified Functional Ambulation Category Test
it is a category test used to assess walking disability
Time frame: it will be measured after 1 month
functional vital capacity
the percentage of predicted value of functional vital capacity will be assessed
Time frame: It will be measured after 1 month
forced expiatory volume in the first second of expiration
the percentage of predicted value of FEV1 will be assessed
Time frame: It will be measured after 1 month
Partial Pressure of Oxygen
it is an arterial blood gas test
Time frame: It will be measured after 1 month
Partial Pressure of carbon dioxide
it is an arterial blood gas test
Time frame: It will be measured after 1 month
Oxygen saturation
it is an arterial blood gas test
Time frame: It will be measured after 1 month
inspiratory muscle strength
it will be measure in cm H2O
Time frame: It will be measured after 1 month
expiratory muscle strength
it will be measure in cm H2O
Time frame: It will be measured after 1 month
time up and go test
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it is time used to walk a three-meter distance
Time frame: It will be measured after 1 month
30-second sit to stand
number of (sit to stand) done in 30 seconds
Time frame: It will be measured after 1 month
six-minute walk test,
distance walked in 6 minute
Time frame: It will be measured after 1 month
10-meter walking test
it is time used to walk a 10-meter distance
Time frame: 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
Time frame: 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
Time frame: It will be measured after 1 month