Format

Send to:

Choose Destination
See comment in PubMed Commons below
Biol Res Nurs. 2008 Jul;10(1):21-33. doi: 10.1177/1099800408319055.

Mobility interventions to improve outcomes in patients undergoing prolonged mechanical ventilation: a review of the literature.

Author information

  • 1University of Pittsburgh School of Nursing, 3500 Victoria Street, Pittsburgh, PA 15261, USA. jic11@pitt.edu

Abstract

Survivors of critical illness often undergo an extended recovery trajectory. Reduced functional ability is one of several adverse outcomes of prolonged bed rest and mechanical ventilation during critical illness. Skeletal muscle weakness is known to be one of the major phenomena that account for reduced functional ability. Although skeletal muscle weakness is evident after prolonged mechanical ventilation (PMV), few studies have tested the benefits of various types of mobility interventions in this population. The purpose of this article is to review the published research on improving mobility outcomes in patients undergoing PMV. For this review, published studies were retrieved from MEDLINE, PubMed, CINAHL, and the Cochrane Database of Systematic Reviews from January 1990 to July 2007. A total of 10 relevant articles were selected that examined the effect of whole body physical therapy, electrical stimulation (ES), arm exercise, and inspiratory muscle training (IMT). Overall, there is support for the ability of mobility interventions to improve outcomes in patients on PMV but limited evidence of how to best accomplish this goal. Generating more data from multicenter studies and randomized controlled trials is recommended.

PMID:
18647758
[PubMed - indexed for MEDLINE]
PMCID:
PMC2724770
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk