The Effect of In-bed Cycling/Stepping on Functional Mobility in Critically Ill Patients
Critically Ill Patient, Intensive Care Unit Acquired Weakness
About this trial
This is an interventional treatment trial for Critically Ill Patient focused on measuring in-bed cycling, in-bed stepper, Multimodal exercise
Eligibility Criteria
Inclusion Criteria: Age ≥ 45 Admission to ICU ≤ 72 hours Patient deemed to need ≥ 48 hours of ICU care Premorbid functional ambulation category≥ 2 Exclusion Criteria: Neurologic disorders i.Central nervous system: acute stroke, advanced dementia, hypoxic-ischemic encephalopathy ii. Peripheral nervous system: amyotrophic lateral sclerosis, myasthenia gravis, acute inflammatory demyelinating polyneuropathy Acute deep venous thrombosis, pulmonary embolism Pneumothorax External fixator, superficial metallic implants, amputation, eschar, etc Expected ICU discharge within 3 days of admission Pregnant Difficulty in obtaining consent (rejection, no family, if the family does not agree) If the life expectancy is less than 6 months
Sites / Locations
- Seoul National University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Conventional rehabilitation
Conventional rehabilitation plus multimodal exercise
Conventional rehabilitation corresponds to general rehabilitation for critically ill patients and is mainly performed according to functional mobility with a range of motion. This includes Lying without contractures, turning self, sitting balance, sitting at the edge, standing and transfer, assisted gait, and gait endurance.
Conventional rehabilitation corresponds to general rehabilitation for critically ill patients and is mainly performed according to functional mobility with a range of motion. This includes Lying without contractures, turning self, sitting balance, sitting at the edge, standing and transfer, assisted gait, and gait endurance. Patients in the intervention group additionally receive multimodal exercise using the in-bed cycle/stepper.