Key result
A physical therapy protocol based on physical exercise improved heart rate variability and significantly reduced the time of invasive mechanical ventilation and ICU stay compared to standard care.
Why the study?
The effectiveness of different physical therapy protocols on autonomic modulation of heart rate, time on invasive mechanical ventilation, and hospital stay in pediatric ICU patients needed investigation.
Does a physical therapy protocol based on physical exercise improve autonomic modulation of heart rate and reduce time of invasive mechanical ventilation in children in the intensive care unit?
RCT (n=20)
Does a physical therapy protocol based on physical exercise improve autonomic modulation of heart rate and reduce time of invasive mechanical ventilation in children in the intensive care unit?
An exercise-based physical therapy protocol improves heart rate variability and reduces mechanical ventilation time and ICU length of stay in critically ill children.
Answers are grounded in this paper and cite their sources.
May shorten IMV and ICU stay in ventilated children; extends small RCT evidence for exercise-based protocols.
PURPOSE: This study aimed to investigate the effectiveness of different physical therapy protocols on the autonomic modulation of heart rate, time of invasive mechanical ventilation (IMV), and length of hospital stay. METHODS: This was a randomized clinical study with 20 children on IMV in an intensive care unit (ICU), between July 2018 and September 2019. The control group (n = 10) performed the hospital's physical therapy protocol and the experimental group (n = 10) performed the physical therapy protocol based on physical exercise. RESULTS: Higher values of heart rate variability were found in the experimental group, both in individual and intergroup analyses. There was a significant reduction in the time of IMV and ICU stay. CONCLUSION: There was an improvement in heart rate variability, reduced time on mechanical ventilation and length of stay in the ICU in individuals who performed the study protocol.
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Souza et al. (2021) conducted an RCT in Children on invasive mechanical ventilation in an intensive care unit (n=20). Physical therapy protocol based on physical exercise vs. Hospital's standard physical therapy protocol was evaluated on Autonomic modulation of heart rate, time of invasive mechanical ventilation, and length of hospital stay. A physical therapy protocol based on physical exercise improved heart rate variability and significantly reduced the time of invasive mechanical ventilation and ICU stay compared to standard care.
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