ACTRN12620001202954已完成未知
Investigating the effect of passive movements on ankle dorsiflexion range of motion in intensive care unit patients
Kathy Stiller0 个研究点目标入组 25 人开始时间: 2020年11月12日最近更新:
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 25
研究概览
简要总结
We investigated whether passive movements could prevent or reduce joint stiffness in longer term ICU patients. Participants received passive movements to the ankle and elbow, twice a day, for up to 4 weeks on one side of their body. The other side did not receive passive movements so acted as the 'control'. We measured joint range of motion. We did not find any clinically meaningful differences in range of motion between the treatment and control sides of the body. This suggests that, for this sample of patients, passive movements did not prevent or reduce joint stiffness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomised controlled trial
- 主要目的
- Prevention
- 盲法
- Blinded (masking used)
入排标准
- 年龄范围
- 18 Years 至 o limit（—）
- 性别
- All
入选标准
- •Admitted to the Royal Adelaide Hospital ICU.
- •Intubated and expected to remain invasively mechanically ventilated > 48 hours (total).
- •Anticipated ICU length of stay greater than or equal to 5 days.
- •Aged greater than or equal to 18 years.
- •Unable to move their limbs through full range of motion voluntarily (either unconscious/sedated patients and/or those who are not able to move their limbs due to their underlying medical condition). This is likely to include patients with medical illnesses (e.g. severe respiratory failure, sepsis) who are receiving sedative medications as part of their care and/or patients after spinal cord injury or traumatic brain injury.
排除标准
- •Refused consent (by patient or the person legally responsible or medical decision maker for that patient [if the patient is unable to consider participation due to their medical status]).
- •Admitted with a burn injury.
- •COVID-19 positive.
- •Pre-existing condition/injury that has adversely affected joint range of motion (e.g. rheumatoid arthritis, neurological condition resulting in spasticity and contracture).
- •Documented pre-existing inability to understand written or spoken English to the extent that it would prevent comprehension of the aims and methodology of the proposed study.
- •Medical or surgical condition where the management includes no passive movements in a limb (e.g. limb fractures).
- •Death is deemed inevitable as a result of the current illness.
- •If the ICU admission is not the first ICU admission in the current hospitalisation.
- •Currently enrolled in another ICU interventional rehabilitation study.
研究者
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