Hand- och benstyrka vid intensivvårdsavdelning (IVA)-mottagning, -en retrospektiiv studie
DOI:
https://doi.org/10.7557/14.4849Emneord (Nøkkelord):
ICU follow-up reception, hand-strength, leg-strength, postIVA-mottagning, handstyrka, benstyrkaSammendrag
Strength in hand and legs at intensive care unit (ICU) follow up-reception: a retrospective study
Early mobilization is well established in intensive care and includes sitting, standing and walking and thereby lower extremity activation. Equivalent strategy for upper extremity activation is lacking, therefore, there might be a higher degree of remaining disability in the hand/arm. This retrospective study aimed to describe the strength in hand and legs, and the relationship therebetween, at an intensive care unit (ICU) follow up-reception. Hand dynamometer and Timed-Stands Test (TST) were measured and correlated to illness severity by Simplified Acute Physiology Score III (SAPS3). Data from 47 participants was compared to matched control values. The hand strength was lower (p=0,028) with low effect (r=-0,2), of clinical relevance as it may affect the ability in activities of daily living (ADL). There were no significant differences for strength in the legs, correlation between strength and illness severity and for comparison of strength divided by illness severity. Larger studies are recommended.
Statistikk
Laster statistikk…
Referanser
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patienter som vårdas på intensivvårdsavdelning. Hämtad 2018-11-20 från https://www.fysioterapeuterna.se/globalassets/professionsutveckling/kliniska-riktlinjer/dokument/kliniska-riktlinjer-for-tidig-mobilisering-iva.pdf
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Kinnunen, D. A., Colon, G., Espinoza, D., Overby, L. Y., & Lewis, D. K. (2001). Anthropometric correlates of basketball free-throw shootings by young girls. Percept Mot Skills, 93(1), 105-108. doi:10.2466/pms.2001.93.1.105
Koukourikos, K., Tsaloglidou, A., & Kourkouta, L. (2014). Muscle atrophy in intensive care unit patients. Acta Inform Med, 22(6), 406-410. doi:10.5455/aim.2014.22.406-410
Lagerström, C., & Nordgren, B. (1998). On the reliability and usefulness of methods for grip strength measurement. Scandinavian journal of rehabilitation medicine, 30(2), 113-119. doi: 10.1080/003655098444228
Latronico, N., & Bolton, C. F. (2011). Critical illness polyneuropathy and myopathy: a major cause of muscle weakness and paralysis. The Lancet neurology, 10(10), 931-941. doi:10.1016/S1474-4422(11)70178-8
Mathiowetz, V., Weber, K., Volland, G., & Kashman, N. (1984). Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am, 9(2), 222-226. doi: 10.1016/S0363-5023(84)80146-X
Mohamed-Hussein, A. A. R., Makhlouf, H. A., Selim, Z. I., & Gamaleldin Saleh, W. (2018). Association between hand grip strength with weaning and intensive care outcomes in COPD patients: A pilot study. Clin Respir J, 12(10), 2475-2479. doi:10.1111/crj.12921
Newcomer, K. L., Krug, H. E., & Mahowald, M. L. (1993). Validity and reliability of the timed-stands test for patients with rheumatoid arthritis and other chronic diseases. J Rheumatol, 20(1), 21-27. https://www.researchgate.net/publication/14758470_Validity_and_reliability_of_the_Timed-Stands-Test_for_patients_with_rheumatoid_arthritis_and_other_chronic_diseases
Nydahl, P., Sricharoenchai, T., Chandra, S., Kundt, F. S., Huang, M., Fischill, M., & Needham, D. M. (2017). Safety of Patient Mobilization and Rehabilitation in the Intensive Care Unit. Systematic Review with Meta-Analysis. Annals of the American Thoracic Society, 14(5), 766-777. doi:10.1513/AnnalsATS.201611-843SR
Pasiva. (u.å.). Om pasiva. Hämtad 2019-02-03 från https://www.pasiva.se/#aboutPage
Paton, M., Lane, R., & Hodgson, C. L. (2018). Early Mobilization in the Intensive Care Unit to Improve Long-Term Recovery. Crit Care Clin, 34(4), 557-571. doi:10.1016/j.ccc.2018.06.005
Pettersson, H., Boström, C., Bringby, F., Walle-Hansen, R., Jacobsson, L., Svenungsson, E., . . . Alexanderson, H. (2019). Muscle endurance, strength, and active range of motion in patients with different subphenotypes in systemic sclerosis: a cross-sectional cohort study. Scandinavian journal of rheumatology, 48(2), 1-8. doi:10.1080/03009742.2018.1477990
Pozuelo-Carrascosa, D. P., Torres-Costoso, A., Alvarez-Bueno, C., Cavero-Redondo, I., López Muñoz, P., & Martínez-Vizcaíno, V. (2018). Multimodality respiratory physiotherapy reduces mortality but may not prevent ventilator-associated pneumonia or reduce length of stay in the intensive care unit: a systematic review. Journal of physiotherapy, 64(4), 222-228. doi:10.1016/j.jphys.2018.08.005
Pugh, S. F., Kovaleski, J. E., Heitman, R. J., & Pearsall, A. W. (2001). Upper and lower body strength in relation to underhand pitching speed by experienced and inexperienced pitchers. Percept Mot Skills, 93(3), 813-818. doi:10.2466/pms.2001.93.3.813
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Nedlastinger
Publisert
31.01.2020
Hvordan referere
Eliasson, S., Wanecek, M., & Block, T. (2020). Hand- och benstyrka vid intensivvårdsavdelning (IVA)-mottagning, -en retrospektiiv studie. Nordisk tidsskrift for helseforskning, 16(1), 24. https://doi.org/10.7557/14.4849
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