Effects of continuous rehabilitation on intensive care unit-acquired weakness after open-heart surgery: a case report.
Ryoichi Nishida, Kasumi Yoshii
PMID 37266361WHAT IT FOUND
A 78-year-old woman with ICU-acquired weakness after open-heart surgery received ADL training, Theraband resistance, and bicycle ergometer exercise in hospital and after discharge.
In this single case, over 240 days her strength, walking distance, and ADL scores improved.
Key findings
01At the start of rehabilitation, the patient had an MRC score of 28 points, which indicated ICU-acquired weakness.
02On day 14, grip strength was 5.0 kg, and on day 240 it was 16.0 kg.
03On day 240, the 6-minute walk distance was 500 m and the SPPB total score was 12.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
This is a case report of one patient, so it cannot show an average treatment effect. There was no comparison group, so improvement cannot be compared with patients who did not receive this rehabilitation. The patient received multiple components together, including ADL training, Theraband resistance, bicycle ergometer exercise, and nutritional attention, so the contribution of any single component cannot be separated. The authors state there was no external validity and comparisons with other patients could not be drawn. Follow-up was 240 days in one woman, so results for other patients are unknown.
Declared interests
The authors declared no conflict of interest. The paper does not state funding.
The easy way to misread this
Do not conclude that continuous rehabilitation caused the improvements. This was one patient with no comparison, and the postoperative course, nutrition, ADL training, Theraband resistance, and bicycle ergometer exercise all occurred together.