scholarly journals Impact of peripheral muscle strength on prognosis after extubation and functional outcomes in critically ill patients: a feasibility study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Tsung-Hsien Wang ◽  
Chin-Pyng Wu ◽  
Li-Ying Wang
Keyword(s):  
Muscle Strength ◽  
Hospital Mortality ◽  
Functional Outcomes ◽  
Extubation Failure ◽  
General Ward ◽  
Walk Test ◽  
Peripheral Muscle ◽  
Observational Cohort ◽  
Minute Walk ◽  
Overall Mortality

AbstractThe influence of peripheral muscle strength on prognosis after extubation and subsequent functional outcomes is not evident. The objectives of this study were to determine (1) whether peripheral muscle strength can be used as a predictor for patients’ prognoses after extubation, and (2) whether the peripheral muscle strength before extubation is correlated with patients’ subsequent ambulation ability and in-hospital mortality. This study was a prospective observational cohort study. A hand-held dynamometer was used for evaluated the muscle strength of the biceps and quadriceps right before extubation. Besides, after the patients had been transferred from the ICU to the general ward, a 2-minute walk test was performed. A total of 52 patients were enrolled in this study, and the rate of extubation failure was 15%. The muscle strength of the quadriceps was significantly correlated with the prognosis after extubation, 48% of the patients were able to ambulate after being transferred to the general ward. The overall mortality rate was 11%, and there was a significant correlation between the biceps muscle strength and in-hospital mortality. Peripheral muscle strength may serve as an important predictor of a patients’ prognoses after extubation. Poor peripheral muscle strength is indicative of not only a higher risk of re-intubation but also higher in-hospital mortality and poorer functional outcomes.Trial registration: ISRCTN16370134. Registered 30 May 2019, prospectively registered. https://www.isrctn.com/ISRCTN16370134.

Respiratory Muscle Strength, the Six-Minute Walk Test and Quality of Life in Chagas Cardiomyopathy

2013 ◽  
Vol 19 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Fabiana Cavalcanti Vieira ◽  
Patrícia Érika de Melo Marinho ◽  
Daniella Cunha Brandão ◽  
Odwaldo Barbosae e Silva
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Walk Test ◽  
Chagas Cardiomyopathy ◽  
Six Minute Walk Test ◽  
Minute Walk

scholarly journals Respiratory Muscle Strength in Chronic Stroke Survivors and Its Relation With the 6-Minute Walk Test

2016 ◽  
Vol 97 (2) ◽  
pp. 266-272 ◽  
Author(s):  
Ana Lista Paz ◽  
Luz González Doniz ◽  
Serafín Ortigueira García ◽  
Jesús Luis Saleta Canosa ◽  
Christian Moreno Couto
Keyword(s):  
Muscle Strength ◽  
Respiratory Muscle ◽  
Chronic Stroke ◽  
Stroke Survivors ◽  
Respiratory Muscle Strength ◽  
Walk Test ◽  
6 Minute Walk Test ◽  
Minute Walk

scholarly journals Six-minute walk test and respiratory muscle strength in patients with uncontrolled severe asthma: a pilot study

2015 ◽  
Vol 41 (3) ◽  
pp. 211-218 ◽  
Author(s):  
Luiz Fernando Ferreira Pereira ◽  
Eliane Viana Mancuzo ◽  
Camila Farnese Rezende ◽  
Ricardo de Amorim Côrrea
Keyword(s):  
Muscle Strength ◽  
Severe Asthma ◽  
Respiratory Muscle ◽  
University Hospital ◽  
Respiratory Muscle Strength ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Significant Difference ◽  
Oral Corticosteroids ◽  
Minute Walk

OBJECTIVE: To evaluate respiratory muscle strength and six-minute walk test (6MWT) variables in patients with uncontrolled severe asthma (UCSA). METHODS: This was a cross-sectional study involving UCSA patients followed at a university hospital. The patients underwent 6MWT, spirometry, and measurements of respiratory muscle strength, as well as completing the Asthma Control Test (ACT). The Mann-Whitney test was used in order to analyze 6MWT variables, whereas the Kruskal-Wallis test was used to determine whether there was an association between the use of oral corticosteroids and respiratory muscle strength. RESULTS: We included 25 patients. Mean FEV1 was 58.8 ± 21.8% of predicted, and mean ACT score was 14.0 ± 3.9 points. No significant difference was found between the median six-minute walk distance recorded for the UCSA patients and that predicted for healthy Brazilians (512 m and 534 m, respectively; p = 0.14). During the 6MWT, there was no significant drop in SpO2. Mean MIP and MEP were normal (72.9 ± 15.2% and 67.6 ± 22.2%, respectively). Comparing the patients treated with at least four courses of oral corticosteroids per year and those treated with three or fewer, we found no significant differences in MIP (p = 0.15) or MEP (p = 0.45). CONCLUSIONS: Our findings suggest that UCSA patients are similar to normal subjects in terms of 6MWT variables and respiratory muscle strength. The use of oral corticosteroids has no apparent impact on respiratory muscle strength.

scholarly journals The Relationship Between Walk Distance and Muscle Strength, Muscle Pain in Visually Disabled People

2018 ◽  
Vol 6 (4) ◽  
pp. 104
Author(s):  
Betül Akyol
Keyword(s):  
Muscle Strength ◽  
Muscle Pain ◽  
Pain Threshold ◽  
Walk Test ◽  
Disabled People ◽  
Walk Distance ◽  
Six Minute Walk Test ◽  
The Relationship ◽  
Visually Disabled ◽  
Minute Walk

The purpose of this study is to examine the relationship between six-minute walk test and muscle pain, muscle strength in visually disabled people. The study includes 50 visually disabled people, aged between 17, 21 ± 5,3. Participants were classified into three categories according to their degree of vision (B1, B2, B3). All participants were administered to six-minute walk test, muscle test and muscle pain threshold test.In B2 and B3 group there is significant moderate correlation between the walk distance and muscles. There were significant differences in pain threshold of quadriceps, pain threshold of hamstring and pain threshold of tibialis anterior among the groups. The data were evaluated using IBM SPSS Statistics 23.0 package software, and the level of significance was taken as p < 0.005.When the visually disabled people were classified according to their visual degree, it was noticed that visual area is important while walking. Muscle power is thought to be effective in walking ability. The muscles of the legs, backs and buttocks act as they walk and allow them to stay in balance. In addition to the muscular strength, people with muscle pain do not want to continue walking because they are feeling pain in their muscles as they walk.As a result, if we want to increase walking distance, which is an important part of daily life activities of visually impaired individuals, an exercise program should be organized to strengthen muscle groups that are effective in walking and to rehabilitate painful muscles.

Respiratory muscle strength and pulmonary function in children with rhinitis and asthma after a six-minute walk test

2017 ◽  
Vol 55 (3) ◽  
pp. 259-265 ◽  
Author(s):  
Ana Alice de Almeida Soares ◽  
Camila Moraes Barros ◽  
Cássia Giulliane Costa Santos ◽  
Maria Renata Aragão dos Santos ◽  
José Rodrigo Santos Silva ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Pulmonary Function ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Minute Walk

scholarly journals Impairment Variables Predicting Activity Limitation in Individuals with Lower Limb Amputation

2010 ◽  
Vol 34 (1) ◽  
pp. 73-84 ◽  
Author(s):  
Michele A. Raya ◽  
Robert S. Gailey ◽  
Ira M. Fiebert ◽  
Kathyrn E. Roach
Keyword(s):  
Muscle Strength ◽  
Lower Limb ◽  
Activity Limitation ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Outcome Variable ◽  
Walk Test ◽  
Personal Factors ◽  
Six Minute Walk Test ◽  
Minute Walk

The purpose of this study was to determine whether measures of impairment (i.e., muscle strength, balance), personal factors (i.e., comorbidities, demographic information) and amputation specific variables (i.e., time since amputation, cause of amputation, level of amputation) were able to predict performance on the six-minute walk test, a measure of activity limitation, in individuals with lower limb amputation. A total of 72 individuals with lower limb amputation ranging in age from 21–83 were tested for balance, limb muscle strength and function. Medical comorbidities were recorded and activity limitation was measured using the six-minute walk test. Data were analyzed and multivariate relationships were examined using multiple linear regression. Impairment variables of strength, balance, subject demographics, time since amputation, cause of amputation and level of amputation were all significant predictors and explained 72% of the variance in the outcome variable. Strength of the hip extensors was the strongest predictor, accounting for 30.9% of the total variance. Multiple factors impact six minute walk scores in individuals with lower limb amputation. Impairments in hip strength and balance appear to be the two most significant. The findings of this study support the use of the six-minute walk test to underscore impairments of the musculoskeletal system that can affect ambulation ability in the amputee.

scholarly journals Inspiratory muscle training in pulmonary hypertension: TREMMI protocol

2020 ◽  
pp. 1-5
Author(s):  
Marília Souza Leão ◽  
Lucas Mellaci Bergamascki ◽  
Vivian Bertoni Xavier ◽  
Rodrigo Boemo Jaenisch ◽  
Roberto Stirbulov ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Muscle Strength ◽  
Functional Capacity ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Walk Test ◽  
Muscle Training ◽  
Six Minute Walk Test ◽  
Minute Walk ◽  
Training Protocol

Background: Although the progressive nature of pulmonary hypertension (PH), including the impairment of respiratory muscle function, studies have demonstrated beneficial effects of physical exercise on the functional limitations caused by the disease in this population, being an important ally to the conventional drug therapy. There is no training protocol focused exclusively on respiratory musculature that is performed without supervision, since these patients have low adherence to the rehabilitation programs performed in an outpatient setting. Respiratory muscle training (RMT) improves functional capacity and quality of life (QoL) in patients with chronic diseases such as heart failure and COPD. However, the effects of an unsupervised RMT protocol on PH are not yet known. Objective: To developed an unsupervised, home-based RMT protocol for patients with PH. Methods: A double-blind, controlled, randomized clinical trial to evaluate the effectiveness of this protocol on respiratory muscle strength and endurance, functional capacity, by the six-minute walk test and QoL with the questionnaire The Medical Outcomes Study 36- item Short Form Health Survey (Sf-36) before and after an unsupervised training protocol and performed in a home environment with POWERbreathe. Two groups (IMT and SHAM) will be followed for 12 weeks with training performed 30 minutes daily. Results: We hope the intervention idealized by the protocol may will increase the respiratory muscle strength and endurance, the walk distance in six-minute walk test and QoL. Conclusions: Patients with PH who perform the intervention with inspiratory muscle training protocol may will be increase the respiratory muscle strength, functional capacity and QoL.

scholarly journals Body composition, muscle strength and quality of active elderly women according to the distance covered in the 6-minute walk test

2013 ◽  
Vol 17 (3) ◽  
pp. 289-296 ◽  
Author(s):  
Karla H. C. Vilaca ◽  
Natalia M. C. Alves ◽  
Jose A. O. Carneiro ◽  
Eduardo Ferriolli ◽  
Nereida K. C. Lima ◽  
...  
Keyword(s):  
Body Composition ◽  
Muscle Strength ◽  
Elderly Women ◽  
Walk Test ◽  
6 Minute Walk Test ◽  
Minute Walk
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