Objekt-Metadaten

Whole-body vibration to prevent intensive care unit-acquired weakness
Wollersheim, Tobias ;  Haas, Kurt ;  Wolf, Stefan ;  Mai, Knut ;  Spies, Claudia ;  Steinhagen-Thiessen, Elisabeth ;  Wernecke, Klaus-D. ;  Spranger, Joachim ;  Weber-Carstens, Steffen

HaupttitelWhole-body vibration to prevent intensive care unit-acquired weakness
Titelzusatzsafety, feasibility, and metabolic response
AutorWollersheim, Tobias
AutorHaas, Kurt
AutorWolf, Stefan
AutorMai, Knut
AutorSpies, Claudia
AutorSteinhagen-Thiessen, Elisabeth
AutorWernecke, Klaus-D.
AutorSpranger, Joachim
AutorWeber-Carstens, Steffen
Seitenzahl10 S.
Freie SchlagwörterIntensive care unit-acquired weakness; Physiotherapy; Whole-body; vibration; Mobilization; Muscle wasting; Metabolism
DDC610 Medizin und Gesundheit
Auch erschienen inCritical Care. - 21 (2017), Artikel Nr. 9
ZusammenfassungBackground

Intensive care unit (ICU)-acquired weakness in critically ill patients is a common and significant complication affecting the course of critical illness. Whole-body vibration is known to be effective muscle training and may be an option in diminishing weakness and muscle wasting. Especially, patients who are immobilized and not available for active physiotherapy may benefit. Until now whole-body vibration was not investigated in mechanically ventilated ICU patients. We investigated the safety, feasibility, and metabolic response of whole-body vibration in critically ill patients.

Methods

We investigated 19 mechanically ventilated, immobilized ICU patients. Passive range of motion was performed prior to whole-body vibration therapy held in the supine position for 15 minutes. Continuous monitoring of vital signs, hemodynamics, and energy metabolism, as well as intermittent blood sampling, took place from the start of baseline measurements up to 1 hour post intervention. We performed comparative longitudinal analysis of the phases before, during, and after intervention.

Results

Vital signs and hemodynamic parameters remained stable with only minor changes resulting from the intervention. No application had to be interrupted. We did not observe any adverse event. Whole-body vibration did not significantly and/or clinically change vital signs and hemodynamics. A significant increase in energy expenditure during whole-body vibration could be observed.

Conclusions

In our study the application of whole-body vibration was safe and feasible. The technique leads to increased energy expenditure. This may offer the chance to treat patients in the ICU with whole-body vibration. Further investigations should focus on the efficacy of whole-body vibration in the prevention of ICU-acquired weakness.

Trial registration

Applicability and Safety of Vibration Therapy in Intensive Care Unit (ICU) Patients. ClinicalTrials.gov NCT01286610. Registered 28 January 2011.
Dokumente
PDF-Datei von FUDOCS_document_000000026353
Falls Ihr Browser eine Datei nicht öffnen kann, die Datei zuerst herunterladen und dann öffnen.
 
Fachbereich/EinrichtungMedizinische Fakultät Charité - Universitätsmedizin Berlin
Erscheinungsjahr2017
Dokumententyp/-SammlungenWissenschaftlicher Artikel
SpracheEnglisch
RechteCreative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Anmerkungen des AutorsDer Artikel wurde in einer reinen Open-Access-Zeitschrift publiziert.
Erstellt am16.02.2017 - 10:48:45
Letzte Änderung16.02.2017 - 10:57:59
 
Statische URLhttp://edocs.fu-berlin.de/docs/receive/FUDOCS_document_000000026353
DOI10.1186/s13054-016-1576-y
Zugriffsstatistik
 

LOADING...