Evidence map›Paper›PMID 31723900›Full record

ReviewAcute and critical care2019

Pulmonary and Physical Rehabilitation in Critically Ill Patients.

Myung Hun Jang, Myung-Jun Shin, Yong Beom Shin

3 registry-linked trialsOpen access · diamondAbstract readReview
In one paragraph

Review in Acute and critical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 34 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 5 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04649736 nacompletednot on this mapstarted 2020, after this paper: background citation

Prevalence of Altered Pulmonary Function Post-infection by COVID-19 and Impact of Participation in a Pilot Program of Comprehensive Rehabilitation in the Short and Medium-term

TypeinterventionalSponsorUniversidad Peruana Cayetano HerediaRan2020 to 2021Enrolled108ConditionsCovid19, Respiratory Disease, Mental Health DisorderArmsRespiratory and psychological rehabilitation
NCT06021106 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of Respiratory Exercise Applied to COPD Patients With Virtual Reality Glasses on Dyspnea, Anxiety and Quality of Life

TypeinterventionalSponsorArdahan UniversityRan2023 to 2023Enrolled48ConditionsCopd, Breathing ExercisesArmsBreathing exercise application with virtual reality glasses, routine treatment and care
NCT06597136 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Examination of the Effects of Kinesiology Tape Application for Respiratory Muscles on Early Functional Level and Respiratory Function in Intensive Care Unit Patients

TypeinterventionalSponsorIstinye UniversityRan2024 to 2024Enrolled48Conditionsİntensive Care PatientsArmsDiaphragmatic kinesiology taping, Accessory respiratory muscle kinesiology taping, Sham kinesiology taping
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 5 syntheses or guidelines pooled it, 79 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Myung Hun JangDepartment of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.ORCID 0000-0002-9694-5409
Myung-Jun ShinDepartment of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.ORCID 0000-0003-4010-0383
Yong Beom ShinDepartment of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.ORCID 0000-0001-5026-1696
Pusan National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Some patients admitted to the intensive care unit (ICU) because of an acute illness, complicated surgery, or multiple traumas develop muscle weakness affecting the limbs and respiratory muscles during acute care in the ICU. This condition is referred to as ICU-acquired weakness (ICUAW), and can be evoked by critical illness polyneuropathy (CIP), critical illness myopathy (CIM), or critical illness polyneuromyopathy (CIPNM). ICUAW is diagnosed using the Medical Research Council (MRC) sum score based on bedside manual muscle testing in cooperative patients. The MRC sum score is the sum of the strengths of the 12 regions on both sides of the upper and lower limbs. ICUAW is diagnosed when the MRC score is less than 48 points. However, some patients require electrodiagnostic studies, such as a nerve conduction study, electromyography, and direct muscle stimulation, to differentiate between CIP and CIM. Pulmonary rehabilitation in the ICU can be divided into modalities intended to remove retained airway secretions and exercise therapies intended to improve respiratory function. Physical rehabilitation, including early mobilization, positioning, and limb exercises, attenuates the weakness that occurs during critical care. To perform mobilization in mechanically ventilated patients, pretreatment by removing secretions is necessary. It is also important to increase the strength of respiratory muscles and to perform lung recruitment to improve mobilization in patients who are weaned from the ventilator. For these reasons, pulmonary rehabilitation is important in addition to physical therapy. Early recognition of CIP, CIM, and CIPNM and early rehabilitation in the ICU might improve patients' functional recovery and outcomes.

Indexed as

critical illnessintensive care unitsmuscular diseasesphysical therapy modalitiespolyneuropathiesrehabilitation

Identifiers

PMID31723900
PMCPMC6849048
OpenAlexW2922238216

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.