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Very early exercise tailored by using a decisional algorithm helps relieve discomfort in adults in an intensive care unit: an open-label pilot study.

Abstract : BACKGROUND:Existing algorithms do not allow for setting up finely tuned progression or intensity for exercise training in intensive care units (ICUs). AIM:We aimed to assess the feasibility and tolerance of a very early exercise program tailored by using decisional algorithm that integrated both progression and intensity. DESIGN:Open-label pilot study. SETTING:ICU. POPULATION:30 adults hospitalized in ICU. METHODS:Once a day, patients performed manual range of motion, cycloergometry, and functional training exercises. The progression and intensity of training were standardized by using the constructed algorithm. The main outcome, discomfort on a 0-100 visual analog scale, was assessed before and after each exercise session. Secondary outcomes were muscle strength, ICU length of stay and adverse events related to exercise. RESULTS:In total, 125 exercise sessions were performed. Discomfort during exercise sessions decreased significantly by the fifth session (p=0.049). Early exercise sessions were feasible and did not produce major adverse events. CONCLUSIONS:We confirmed the safety and feasibility of very early exercise programs in ICUs. Early exercise tailored by using a decisional algorithm helps relieve the discomfort of ICU patients. CLINICAL REHABILITATION IMPACT:In everyday practice, the use of decisional algorithms should be encouraged to initiate and standardize early exercise in ICUs.
Keywords : algorithme adulte
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https://hal.inrae.fr/hal-02958112
Contributor : Sabine Rossi <>
Submitted on : Monday, October 5, 2020 - 4:02:37 PM
Last modification on : Tuesday, February 23, 2021 - 3:28:02 PM

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Hélène Laurent, Sylvie Aubreton, Aurélie Vallat, Bruno Pereira, Bertrand Souweine, et al.. Very early exercise tailored by using a decisional algorithm helps relieve discomfort in adults in an intensive care unit: an open-label pilot study.. European Journal of Physical and Rehabilitation Medicine, Edizioni Minerva Medica, 2020, ⟨10.23736/S1973-9087.20.06274-7⟩. ⟨hal-02958112⟩

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