Chest
Clinical Investigations in Critical CarePeripheral Muscle Strength Training in Bed-Bound Patients With COPD Receiving Mechanical Ventilation: Effect of Electrical Stimulation
Section snippets
Patients
The study group was a convenience sample formed of the first 24 subjects who met the inclusion criteria, consented to participate, and completed 28 days of the rehabilitation program. Our entry criteria were chronic hypercapnic respiratory failure due to COPD (the diagnosis of COPD was made according to the Global Initiative for Chronic Obstructive Lung Disease Workshop Report15), need for invasive mechanical ventilation via a tracheostomy, and the presence of a severe peripheral muscle
Results
The patients’ demographic and anthropometric characteristics and blood gas values are shown in Table 2. All patients tolerated both ALM and ALM/ES; nobody refused the procedures. There were no deaths during the study period. Eleven patients were successfully weaned from mechanical ventilation and tracheostomy, 7 patients were weaned from mechanical ventilation but were discharged with a tracheostomy, and 6 patients were discharged still receiving mechanical ventilation.
There were no
Discussion
Exercise training is able to improve muscle strength even in bed-bound patients with COPD and a severe degree of functional impairment who are receiving mechanical ventilation. The addition of ES may further enhance the effects of classical rehabilitation treatment.
People with COPD are often confined to their house, isolated, and depressed as they try to avoid dyspnea. These features lead to significant debilitation, which further worsens dyspnea. Casaburi1 pointed out that the list of
ACKNOWLEDGMENT
The authors thank Dr. Rachel Stenner for review of the manuscript.
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