Local vibration combined with early rehabilitation helps to prevent acquired weakness in patients in intensive care
10.3760/cma.j.cn421666-20250310-00211
- VernacularTitle:局部振动联合早期康复干预防治重症患者ICU获得性衰弱的疗效观察
- Author:
Yansong LIU
1
;
Min LU
;
Mushao HOU
;
Yongzheng HE
;
Hongling LI
Author Information
1. 河北医科大学第二医院康复医学二科，石家庄 050000
- Publication Type:Journal Article
- Keywords:
Vibration therapy;
Severe illness;
Intensive care;
Acquired weakness
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(9):827-833
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy and safety of supplementing early rehabilitation with local vibration therapy in the prevention and treatment of ICU-acquired weakness (ICU-AW).Methods:Ninety-six critically ill patients were randomly divided into a control group, a rehabilitation group, and a combination group, each of 32. All received routine treatment and care, but the rehabilitation group and the combination group received earlier rehabilitation and the combination group early rehabilitation + local vibration therapy. Before and after 2 weeks of the treatments, the incidence of ICU-AW was recorded, Acute Physiology and Chronic Health Evaluation II (APACHE-II) scoring was performed and ultrasound was used to detect the rehabilitation effect. The incidence of adverse events was also recorded.Results:The incidence of ICU-AW was significantly lower in the combination group than among the rehabilitation group, while that of the rehabilitation group was significantly lower than among the control group. The APACHE II scores showed the same progression. The thickness, cross-sectional area, muscle echo, and diaphragm thickness and activity of the rectus femoris, rectus abdominis, and biceps brachii muscles in the combination group were, on average, significantly better than among the rehabilitation group, but with the rehabilitation group′s results significantly better than among the control group. The average mechanical ventilation time and ICU stay of patients in the combination group were significantly shorter than the rehabilitation group′s averages, which in turn were significantly shorter than those of the control group. The combination group′s average Barthel Index after the experiment was significantly higher than that of the rehabilitation group, which was in turn significantly higher than the control group′s average. The incidence of adverse events in the combination group was significantly lower than in the rehabilitation group, with that of the latter significantly lower than among the control group.Conclusions:Combining local vibration therapy with early rehabilitation is beneficial for the safe prevention and treatment of ICU-AW.
