Evaluation effects of multimodal rehabilitation on recovery of ICU Acquired weakness following coronavirus infection(COVID-19)

Mazandaran University of Medical Sciences0 个研究点目标入组 27 人开始时间: 待定最近更新: 2022年5月2日

试验速览

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•Definitive diagnosis of Coronavirus based on Polymerase Chain Reaction (PCR) or lung CT Scan and expert opinion
•Intensive Care Unit Acquired Weakness (ICUAW) diagnosis based on the following criteria: - Total muscle strength points of 6 muscle groups bilaterally (Forearm flexion, wrist extension, Hip flexion, knee extension, Ankle dorsiflexion, Arm abduction) in manual examination according to Medical Research Council(MRC) criteria is less than 48 (out of 60 total points) - Normal consciousness based on Glasgow Coma Scale(GCS) (score 15 out of 15) - Opinion of an Anesthesiologist or Intensive Care Fellowship - History of hospitalization in ICU for more than 48 hours (with and without the need for Mechanical ventilation)

•Loss of consciousness
•Uncontrolled hypertension means: resting systolic blood pressure> 180 mmHg and / or resting diastolic blood pressure> 110 mmHg
•Uncontrolled sinus tachycardia (> 120 beats / min) or Sinus bradycardia (HR <60)
•Concurrent heart disease such as: Decompensated heart failure and evidence of Ischemic heart disease, Symptomatic arrhythmia
•Hypoxia at rest (Oxygen saturation (SPO2)< 88%)
•Pulmonary artery hypertension (Pulmonary Artery Pressure(PAP) > 30mmHg)
•Fever or Acute systemic disease
•Uncontrolled Diabetes Mellitus( DM)
•Severe Orthopedic or Neurological problems that prevent exercise
•Other metabolic conditions such as: Acute thyroiditis, Hyperkalemia, Hypokalemia and Hypovolemia (Until adequate treatment)
•Severe Psychological disorders
•Poor compliance
•Problem transporting the patient to the Rehabilitation Center
•Absence of the patient from rehabilitation sessions (More than 2 sessions)

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