SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS

Bilgin, Sevil; Inal-Ince, Deniz; Topeli, Arzu; Umaroglu, Mutlu; ayyıldız çinar, sinem

doi:10.21653/tjpr.664967

SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS

Sinem AYYILDIZ ÇİNAR, (Hacettepe Üniversitesi, Tıp Fakültesi, İç Hastalıkları Bölümü, Yoğun Bakım Ünitesi, Ankara, Türkiye)

Arzu TOPELİ, (Hacettepe Üniversitesi, Tıp Fakültesi, İç Hastalıkları Bölümü, Yoğun Bakım Ünitesi, Ankara, Türkiye)

Mümtaz Mutlu UMAROĞLU, (Hacettepe Üniversitesi, Tıp Fakültesi, Biyoistatistik Bölümü, Ankara, Türkiye)

Deniz İNAL İNCE, (Hacettepe Üniversitesi, Fizik Tedavi ve Rehabilitasyon Fakültesi, Ankara, Türkiye)

Sevil BİLGİN (Hacettepe Üniversitesi, Fizik Tedavi ve Rehabilitasyon Fakültesi, Ankara, Türkiye)

Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online)

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Yıl: 2020 Cilt: 31 Sayı: 2 Sayfa Aralığı: 123 - 132 Metin Dili: İngilizce DOI: 10.21653/tjpr.664967 İndeks Tarihi: 27-10-2020

SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS

Öz:

Purpose: Patients in intensive care units (ICU) are often exposed to prolonged immobilization,which, in turn, plays a vital role in impaired functional status. Exercise with an arm cycle ergometer(ACE) could be a treatment option to minimize the harmful effects of immobility. This study wasaimed to investigate whether using ACE is a safe and effective intervention for preventing orattenuating the decrease in functional status in critically ill patients.Methods: A total of 35 adult critically ill patients were recruited for this study from amongthose admitted to the ICU. The subjects received conventional physiotherapy or conventionalphysiotherapy with an additional ACE intervention during their stay in the ICU. The interventionwas administered passively or actively based on clinical status for 20 minutes, once a day, fivedays a week. During the ACE training, cardiopulmonary responses and the highest/lowest valueswere recorded before, during, and immediately and 5 minutes after the exercise. Cardiopulmonaryresponses recorded at the first, the second, and discharge days of the training (last trainingsession) were analyzed. Ambulation Score and Barthel Index were used to evaluate the functionallevel.Results: Although cardiopulmonary responses were varied with ACE exercise (p<0.05), thesechanges stayed within the safety limits. At ICU discharge, there were no significant differencesbetween the groups regarding functional level scores (p>0.05).Conclusion: In the ICU, the daily exercise of ACE training is possible and safe. Further study isneeded to determine the effects of exercise training using ACE on the functional outcomes.

Anahtar Kelime:

YOĞUN BAKIMDA KOL BİSİKLET ERGOMETRESİNİN GÜVENLİ VE ETKİN KULLANIMI

Öz:

Amaç: Yoğun bakım ünitelerindeki (YBÜ) hastalar genellikle uzun süreli immobilizasyona maruz kalırlar ve bu da fonksiyonel durumun kötüleşmesinde önemli bir rol oynar. Kol bisiklet ergometresi (KBE) ile egzersiz, immobilizasyonun zararlı etkilerini en aza indirmek için kullanılabilecek bir tedavi seçeneği olabilir. Bu çalışmanın amacı, kritik hastalarda KBE kullanımının fonksiyonel durumdaki azalmayı önlemeye veya azaltmaya yönelik güvenli ve etkili bir müdahale olup olmadığını araştırmaktı. Yöntem: YBÜ’ye kabul edilenler arasından stabil, kritik hastalığı olan 35 erişkin hasta bu çalışmaya alındı. Bu hastalara, YBÜ’de kaldıkları süre boyunca konvansiyonel fizyoterapi veya konvansiyonel fizyoterapiye ek olarak KBE eğitimi uygulandı. Eğitim, klinik durumlarına göre haftada 5 gün, günde bir kez 20 dakika boyunca pasif veya aktif olarak uygulandı. KBE eğitiminde, egzersiz öncesi, egzersiz sırasında, hemen sonrasında ve 5 dakika sonrasında kardiyopulmoner yanıtlar ve en yüksek/düşük değerler kaydedildi. Eğitimin birinci ve ikinci günü ile taburculukta (son eğitim seansı) kaydedilen kardiyopulmoner yanıtlar istatistiksel olarak analiz edildi. Fonksiyonel düzeyi değerlendirmek için Ambulasyon Skoru ve Barthel İndeksi kullanıldı. Sonuçlar: Kardiyopulmoner yanıtlar KBE ile değişmekle birlikte (p<0,05), bu değişiklik güvenli sınırlar içinde kaldı. YBÜ’den taburculukta fonksiyonel düzey skorları açısından gruplar arasında anlamlı fark yoktu (p>0,05). Tartışma: YBÜ’de, günlük KBE egzersizinin yapılması mümkün ve güvenlidir. KBE eğitiminin fonksiyonel sonuçlar üzerindeki etkilerini belirlemek için daha fazla çalışmaya ihtiyaç vardır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ayyıldız çinar s, Topeli A, Umaroglu M, Inal-Ince D, Bilgin S (2020). SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS. , 123 - 132. 10.21653/tjpr.664967
Chicago	ayyıldız çinar sinem,Topeli Arzu,Umaroglu Mutlu,Inal-Ince Deniz,Bilgin Sevil SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS. (2020): 123 - 132. 10.21653/tjpr.664967
MLA	ayyıldız çinar sinem,Topeli Arzu,Umaroglu Mutlu,Inal-Ince Deniz,Bilgin Sevil SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS. , 2020, ss.123 - 132. 10.21653/tjpr.664967
AMA	ayyıldız çinar s,Topeli A,Umaroglu M,Inal-Ince D,Bilgin S SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS. . 2020; 123 - 132. 10.21653/tjpr.664967
Vancouver	ayyıldız çinar s,Topeli A,Umaroglu M,Inal-Ince D,Bilgin S SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS. . 2020; 123 - 132. 10.21653/tjpr.664967
IEEE	ayyıldız çinar s,Topeli A,Umaroglu M,Inal-Ince D,Bilgin S "SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS." , ss.123 - 132, 2020. 10.21653/tjpr.664967
ISNAD	ayyıldız çinar, sinem vd. "SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS". (2020), 123-132. https://doi.org/10.21653/tjpr.664967

APA	ayyıldız çinar s, Topeli A, Umaroglu M, Inal-Ince D, Bilgin S (2020). SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 31(2), 123 - 132. 10.21653/tjpr.664967
Chicago	ayyıldız çinar sinem,Topeli Arzu,Umaroglu Mutlu,Inal-Ince Deniz,Bilgin Sevil SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 31, no.2 (2020): 123 - 132. 10.21653/tjpr.664967
MLA	ayyıldız çinar sinem,Topeli Arzu,Umaroglu Mutlu,Inal-Ince Deniz,Bilgin Sevil SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.31, no.2, 2020, ss.123 - 132. 10.21653/tjpr.664967
AMA	ayyıldız çinar s,Topeli A,Umaroglu M,Inal-Ince D,Bilgin S SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2020; 31(2): 123 - 132. 10.21653/tjpr.664967
Vancouver	ayyıldız çinar s,Topeli A,Umaroglu M,Inal-Ince D,Bilgin S SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2020; 31(2): 123 - 132. 10.21653/tjpr.664967
IEEE	ayyıldız çinar s,Topeli A,Umaroglu M,Inal-Ince D,Bilgin S "SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 31, ss.123 - 132, 2020. 10.21653/tjpr.664967
ISNAD	ayyıldız çinar, sinem vd. "SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 31/2 (2020), 123-132. https://doi.org/10.21653/tjpr.664967