作者
Guillaume Fossat, Florian Baudin, Léa Courtes, Sabrine Bobet, Arnaud Dupont, Anne Bretagnol, Dalila Benzekri-Lefèvre, Toufik Kamel, Grégoire Muller, Nicolas Bercault, François Barbier, Isabelle Runge, Mai-Anh Nay, Marie Skarzynski, Armelle Mathonnet, Thierry Boulain
发表日期
2018/7/24
期刊
Jama
卷号
320
期号
4
页码范围
368-378
出版商
American Medical Association
简介
Importance
Early in-bed cycling and electrical muscle stimulation may improve the benefits of rehabilitation in patients in the intensive care unit (ICU).
Objective
To investigate whether early in-bed leg cycling plus electrical stimulation of the quadriceps muscles added to standardized early rehabilitation would result in greater muscle strength at discharge from the ICU.
Design, Setting, and Participants
Single-center, randomized clinical trial enrolling critically ill adult patients at 1 ICU within an 1100-bed hospital in France. Enrollment lasted from July 2014 to June 2016 and there was a 6-month follow-up, which ended on November 24, 2016.
Interventions
Patients were randomized to early in-bed leg cycling plus electrical stimulation of the quadriceps muscles added to standardized early rehabilitation (n = 159) or standardized early rehabilitation alone (usual care) (n = 155).
Main Outcomes and Measures
The primary …
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