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Measurement of muscle strength with handheld dynamometer in Intensive Care Unit.

Samosawala NR, Vaishali K, Kalyana BC - Indian J Crit Care Med (2016)

Bottom Line: There was a reduction in peripheral muscle strength from day 3 to day 5 as well from day 5 to day 7 of ICU stay (P < 0.01).The average reduction in peripheral muscle strength was 11.8% during ICU stay.This study showed a progressive reduction in peripheral muscle strength as measured by handheld dynamometer during early period of ICU stay.

View Article: PubMed Central - PubMed

Affiliation: Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal, Udupi, Karnataka, India.

ABSTRACT

Background: Intensive Care Unit (ICU) acquired weakness is a common complication in critically ill patients affecting their prognosis. The handheld dynamometry is an objective method in detecting minimum muscle strength change, which has an impact on the physical function of ICU survivors. The minimal change in the force can be measured in units of weight such as pounds or kilograms.

Aim of the study: To detect the changes in peripheral muscle strength with handheld dynamometer in the early stage of ICU stay and to observe the progression of muscle weakness.

Methodology: Three upper and three lower limb muscles force measured with handheld dynamometer during ICU stay. Data were analyzed using repeated measures ANOVA to detect changes in force generated by muscle on alternate days of ICU stay.

Results: There was a reduction in peripheral muscle strength from day 3 to day 5 as well from day 5 to day 7 of ICU stay (P < 0.01). The average reduction in peripheral muscle strength was 11.8% during ICU stay.

Conclusion: This study showed a progressive reduction in peripheral muscle strength as measured by handheld dynamometer during early period of ICU stay.

No MeSH data available.


Related in: MedlinePlus

Flow of recruitment of subjects
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Figure 1: Flow of recruitment of subjects

Mentions: A total of 184 patients were screened during the study period. Fifty-one subjects did not meet RASS and ASE score, to participate in the study. Seventy-eight subjects were recruited for the study. The assessment of 14 subjects was incomplete as they were shifted from ICU within 7 days of admission (n = 12), and death (n = 2) during the study period. Sixty-four subjects completed the study [Figure 1].


Measurement of muscle strength with handheld dynamometer in Intensive Care Unit.

Samosawala NR, Vaishali K, Kalyana BC - Indian J Crit Care Med (2016)

Flow of recruitment of subjects
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4759989&req=5

Figure 1: Flow of recruitment of subjects
Mentions: A total of 184 patients were screened during the study period. Fifty-one subjects did not meet RASS and ASE score, to participate in the study. Seventy-eight subjects were recruited for the study. The assessment of 14 subjects was incomplete as they were shifted from ICU within 7 days of admission (n = 12), and death (n = 2) during the study period. Sixty-four subjects completed the study [Figure 1].

Bottom Line: There was a reduction in peripheral muscle strength from day 3 to day 5 as well from day 5 to day 7 of ICU stay (P < 0.01).The average reduction in peripheral muscle strength was 11.8% during ICU stay.This study showed a progressive reduction in peripheral muscle strength as measured by handheld dynamometer during early period of ICU stay.

View Article: PubMed Central - PubMed

Affiliation: Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal, Udupi, Karnataka, India.

ABSTRACT

Background: Intensive Care Unit (ICU) acquired weakness is a common complication in critically ill patients affecting their prognosis. The handheld dynamometry is an objective method in detecting minimum muscle strength change, which has an impact on the physical function of ICU survivors. The minimal change in the force can be measured in units of weight such as pounds or kilograms.

Aim of the study: To detect the changes in peripheral muscle strength with handheld dynamometer in the early stage of ICU stay and to observe the progression of muscle weakness.

Methodology: Three upper and three lower limb muscles force measured with handheld dynamometer during ICU stay. Data were analyzed using repeated measures ANOVA to detect changes in force generated by muscle on alternate days of ICU stay.

Results: There was a reduction in peripheral muscle strength from day 3 to day 5 as well from day 5 to day 7 of ICU stay (P < 0.01). The average reduction in peripheral muscle strength was 11.8% during ICU stay.

Conclusion: This study showed a progressive reduction in peripheral muscle strength as measured by handheld dynamometer during early period of ICU stay.

No MeSH data available.


Related in: MedlinePlus