TY  - JOUR
TI  - SAFE AND EFFECTIVE USE OF ARM CYCLE ERGOMETRY IN CRITICALLY ILL PATIENTS
AB  - 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.
AU  - Bilgin, Sevil
AU  - Inal-Ince, Deniz
AU  - Topeli, Arzu
AU  - Umaroglu, Mutlu
AU  - ayyıldız çinar, sinem
DO  - 10.21653/tjpr.664967
PY  - 2020
JO  - Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online)
VL  - 31
IS  - 2
SN  - 2651-4451
SP  - 123
EP  - 132
DB  - TRDizin
UR  - http://search/yayin/detay/369992
ER  -