Impact of Early Passive Exercise With Cycle Ergometer on Ventilator Interaction

Introduction: Patients in the intensive care unit (ICU) have several deleterious effects of immobilization, including weakness acquired in the ICU. Exercise appears as an alternative for early mobilization in these patients. Objective: This work aims to highlight the hemodynamic repercussions and the applicability of exercise in the ICU. Methods: An integrative literature review was carried out, with articles published between 2010 and 2018, in the Lilacs, PubMed and Scielo databases, using the following search terms: exercise, cycle ergometer, intensive care units, early mobilization, mechanical ventilation, artificial respiration. Results: 13 articles were included, addressing hemodynamic monitoring and the role of exercise as early mobilization, with or without ventilatory support. The exercise sessions were feasible and safe within the ICU environment. Conclusion: Physical exercise can be performed safely in an ICU environment, if respecting a series of criteria such as those presented here. It is important that the assistant professional seeks to prescribe interventions based on Exercise Physiology that can positively intervene in the functional prognosis in critically ill patients.Keywords: exercise, intensive care units, patient safety.

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Wearing surgical masks does not affect heart rate and blood lactate accumulation during cycle ergometer exercise

The Journal of Sports Medicine and Physical Fitness ◽

10.23736/s0022-4707.20.11378-1 ◽

2020 ◽

Vol 60 (11) ◽

Author(s):

Lorenzo Boldrini ◽

Furio Danelon ◽

Davide Fusetti ◽

Giacomo Lucenteforte ◽

Giulio S. Roi

Keyword(s):

Heart Rate ◽

Blood Lactate ◽

Cycle Ergometer ◽

Lactate Accumulation ◽

Cycle Ergometer Exercise ◽

Surgical Masks ◽

Ergometer Exercise ◽

Blood Lactate Accumulation ◽

Affect Heart Rate

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Multiple Sclerosis: Treadmill Versus Cycle Ergometry Maximal Exercise Test Responses

Journal of Clinical Exercise Physiology ◽

10.31189/2165-6193-9.3.113 ◽

2020 ◽

Vol 9 (3) ◽

pp. 113-117

Author(s):

Garett Griffith ◽

Badeia Saed ◽

Tracy Baynard

Keyword(s):

Multiple Sclerosis ◽

Aerobic Capacity ◽

Work Capacity ◽

Cross Sectional Study ◽

Cycle Ergometer ◽

Cycle Ergometry ◽

Cross Sectional ◽

Complete Test ◽

Peak Aerobic Capacity ◽

Predicted Values

ABSTRACT Background: Multiple sclerosis (MS) is an autoimmune disease that impacts the central nervous system. MS generally results in decreased mobility and work capacity. Our objective was to determine exercise testing responses on both a treadmill and cycle ergometer among individuals with MS who were able to ambulate freely. Methods: Twenty-six individuals with MS participated in a cross-sectional study (44 ± 11 years; body mass index 26.8 ± 6.2 kg·m−2; expanded disability scale score 3.1 ± 0.9), with 24 individuals with complete test data for both treadmill and cycle ergometry tests. Peak aerobic capacity (VO2peak) for both treadmill and cycle ergometry tests were measured with indirect calorimetry. Results: Participants safely completed both treadmill and cycle ergometry tests, and treadmill testing yielded higher values (26.7 ± 6.4 mL·kg−1·min−1) compared with cycle ergometry (23.7 ± 5.7 mL·kg−1·min−1), with values ~12% greater for treadmill. When comparing tests to their respected predicted values within modality, treadmill tests were 8% lower and cycle ergometry tests were 10% lower than predicted. Conclusions: While peak aerobic capacity was very low for this population, treadmill tests were still higher than cycle ergometry data, with this difference between modes being similar to that observed in healthy adult populations. Additional research is required to determine if these findings are impacted by participation in physical activity or regular exercise.

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