床上腿部循环运动对重症监护病房获得性肌无力患者肌肉力量的影响：一项单中心回顾性研究。
THE EFFECT OF IN-BED LEG CYCLING EXERCISES ON MUSCLE STRENGTH IN PATIENTS WITH INTENSIVE CARE UNIT-ACQUIRED WEAKNESS: A SINGLE-CENTER RETROSPECTIVE STUDY.
作者信息
Shinohara Ayato, Kagaya Hitoshi, Komura Hidefumi, Ozaki Yusuke, Teranishi Toshio, Nakamura Tomoyuki, Nishida Osamu, Otaka Yohei
机构信息
Department of Rehabilitation, Fujita Health University Hospital.
Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University.
出版信息
J Rehabil Med Clin Commun. 2023 Dec 28;6:18434. doi: 10.2340/jrmcc.v6.18434. eCollection 2023.
OBJECTIVE
To examine the effect of in-bed leg cycling exercise on patients with intensive care unit-acquired weakness (ICU-AW).
DESIGN
Single-center retrospective study.
SUBJECTS/PATIENTS: Patients admitted to the ICU between January 2019 and March 2023 were enrolled in the ergometer group, and those admitted to the ICU between August 2017 and December 2018 were enrolled in the control group.
METHODS
The ergometer group performed in-bed leg cycling exercises 5 times per week for 20 min from the day of ICU-AW diagnosis. Furthermore, the ergometer group received 1 early mobilization session per day according to the early mobilization protocol, whereas the control group received 1 or 2 sessions per day. The number of patients with recovery from ICU-AW at ICU discharge and improvement in physical functions were compared.
RESULTS
Significantly more patients in the ergometer group recovered from ICU-AW than in the control group (87.0% vs 60.6%, = 0.039). Regarding physical function, the ergometer group showed significantly higher improvement efficiency in Medical Research Council sum score (1.0 [0.7-2.1] vs 0.1 [0.0-0.2], < 0.001).
CONCLUSION
In-bed leg cycling exercise, in addition to the early mobilization protocol, reduced the number of patients with ICU-AW at ICU discharge.
目的
探讨床上腿部蹬车运动对重症监护病房获得性肌无力（ICU-AW）患者的影响。
设计
单中心回顾性研究。
研究对象/患者：2019年1月至2023年3月入住ICU的患者纳入测力计组，2017年8月至2018年12月入住ICU的患者纳入对照组。
方法
测力计组自ICU-AW诊断之日起每周进行5次床上腿部蹬车运动，每次20分钟。此外，测力计组根据早期活动方案每天进行1次早期活动，而对照组每天进行1或2次。比较两组患者在ICU出院时从ICU-AW恢复的人数以及身体功能的改善情况。
结果
测力计组从ICU-AW恢复的患者明显多于对照组（87.0%对60.6%，P = 0.039）。在身体功能方面，测力计组在医学研究委员会总分上的改善效率明显更高（1.0[0.7-2.1]对0.1[0.0-0.2]，P<0.001）。
结论
除早期活动方案外，床上腿部蹬车运动减少了ICU出院时患有ICU-AW的患者数量。
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