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- Title
Result of muscle strength measurement using a hand dynamometer as a predictor of patients' ability to stand in the Intensive Care Unit.
- Authors
Robert, Fiut; Alicja, Wójcik-Załuska; Wojciech, Dąbrowski
- Abstract
Introduction: In the context of critically ill patients in the Intensive Care Unit (ICU), there is a growing interest in evaluating muscle strength as a potential predictor of the ability to stand. ICU-acquired weakness (ICU-AW) often accompanies sepsis, limited patient activity, and medication use. Early rehabilitation is crucial, but limitations related to patient clinical condition and staffing issues may affect its effectiveness. This study presents the results of muscle strength measurements in patients on the first day when measurement with a hand dynamometer was possible, with the main goal of assessing this strength as a predictor of the ability to stand. Materials and Methods: Muscle strength measurements were conducted on 35 men and 24 women on the first day when patient conditions allowed for the measurement of dominant hand strength. The ICU-AW criterion was set based on cutoff points of <11 kg for men and <7 kg for women. All patients underwent early mobilization, including standing. Results: The study results showed that 59% of men and 46% of women were diagnosed with ICU-AW. Early mobilization results indicated that 50% of women and 62% of men achieved the ability to walk in place at the time of discharge from the ICU. Conclusions: Muscle strength measurement on the first available day can be an effective diagnostic tool. Identifying patients with ICU-AW allows for earlier planning of effective rehabilitation. Early mobilization, including walking in place, may prevent prolonged complications and improve the functionality of critically ill patients.
- Subjects
CRITICALLY ill; MUSCLE strength; DYNAMOMETER; INTENSIVE care units; CLINICAL trials
- Publication
European Journal of Clinical & Experimental Medicine, 2024, p30
- ISSN
2544-2406
- Publication type
Article