THE EFFECT OF COMPREHENSIVE CHEST PHYSICAL THERAPY ON LENGTH OF HOSPITAL STAY IN PATIENTS FOLLOWING THORACOTOMIES.

2002 ◽  
Vol 13 (1) ◽  
pp. 23
Author(s):  
S E Baer ◽  
B A Ferreira ◽  
J Kuramoto ◽  
H Gaissert ◽  
D Robinson
2019 ◽  
Vol 42 (2) ◽  
pp. E7-E14 ◽  
Author(s):  
Peter J. Hartley ◽  
Victoria L. Keevil ◽  
Ledia Alushi ◽  
Rebecca L. Charles ◽  
Eimear B. Conroy ◽  
...  

Author(s):  
Tal Frenkel Rutenberg ◽  
Haim Izchak ◽  
Yoav Rosenthal ◽  
Uri Barak ◽  
Shai Shemesh ◽  
...  

AbstractFor patients with advanced osteoarthritis of the knee, total knee arthroplasty (TKA) has been shown to provide significant pain relief and improved function with consistent, reproducible results. Post-operative physical therapy (PT) plays an important role is restoring muscle strength and range of motion (ROM). Yet, the impact of earlier physical therapy initiation after TKA has not been well defined. We assessed 205 patients that underwent primary TKA including 136 patients who started PT on the first post-operative day (POD1) and a second group that started PT 3 days after surgery (POD3), or later. Length of hospital stay (LOS), opioid use during hospital stay, complications, re-admissions, knee ROM and the need for subsequent hospitalized rehabilitation were recorded. LOS was not significantly shorter in the early PT group, compared with the delayed PT group (6.4 ± 2.2 days vs. 6.8 ± 2 days, respectively, P = .217). Patients in the delayed PT group consumed more opioids during their inpatient stay compared with the early PT group on both POD 3 (89% vs 82%, p = 0.013) and POD 4 (81% vs 66%, p = 0.005). There was no significant difference in the incidence of Immediate post-operative complications or final knee ROM between the two groups. While early postoperative PT did not impact hospital LOS or final knee ROM, it was associated with an earlier reduction in postoperative opioid consumption after primary TKA.


2017 ◽  
Vol 43 (2) ◽  
pp. 134-139 ◽  
Author(s):  
Aline dos Santos Machado ◽  
Ruy Camargo Pires-Neto ◽  
Maurício Tatsch Ximenes Carvalho ◽  
Janice Cristina Soares ◽  
Dannuey Machado Cardoso ◽  
...  

ABSTRACT Objective: To evaluate the effects that passive cycling exercise, in combination with conventional physical therapy, have on peripheral muscle strength, duration of mechanical ventilation, and length of hospital stay in critically ill patients admitted to the ICU of a tertiary care university hospital. Methods: This was a randomized clinical trial involving 38 patients (≥ 18 years of age) on mechanical ventilation who were randomly divided into two groups: control (n = 16), receiving conventional physical therapy; and intervention (n = 22), receiving conventional physical therapy and engaging in passive cycling exercise five days per week. The mean age of the patients was 46.42 ± 16.25 years, and 23 were male. The outcomes studied were peripheral muscle strength, as measured by the Medical Research Council scale, duration of mechanical ventilation, and length of hospital stay. Results: There was a significant increase in peripheral muscle strength (baseline vs. final) in both groups (control: 40.81 ± 7.68 vs. 45.00 ± 6.89; and intervention: 38.73 ± 11.11 vs. 47.18 ± 8.75; p < 0.001 for both). However, the range of increase in strength was higher in the intervention group than in the control group (8.45 ± 5.20 vs. 4.18 ± 2.63; p = 0.005). There were no significant differences between the groups in terms of duration of mechanical ventilation or length of hospital stay. Conclusions: The results suggest that the performance of continuous passive mobilization on a cyclical basis helps to recover peripheral muscle strength in ICU patients. (ClinicalTrials.gov Identifier: NCT01769846 [http://www.clinicaltrials.gov/])


2012 ◽  
Vol 3 (1) ◽  
pp. 157-163 ◽  
Author(s):  
Neena K Sharma ◽  
Paul M Arnold ◽  
Joan K McMahon ◽  
Lindsay Loyd ◽  
Carla H Sabus ◽  
...  

Author(s):  
Gudrun Möller ◽  
Ian Goldie ◽  
Egon Jonsson

AbstractA pilot study was done to assess the feasibility of reducing the hospital stays of patients with total hip replacement (THR). The length of hospital stay for these patients depends largely on how rehabilitation, mostly physical therapy, is organized. This study shows that not more than a half hour per postoperative day was devoted to care services and rehabilitation activities. It is feasible and less expensive to reduce substantially hospital stay by planned physical therapy in the patient's home. These results have prompted a randomized controlled clinical trial to assess hospital versus home rehabilitation.


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