Effects of early passive cycling exercise on quadriceps femoris thickness in critically ill patients: a controlled randomized pilot study

Maurício Tatsch Ximenes Carvalho; Everton Ludke; Dannuey Machado Cardoso; Dulciane Nunes Paiva; Janice Cristina Soares; Isabella Martins de Albuquerque

doi:10.1590/1809-2950/17025126032019

Authors

Maurício Tatsch Ximenes Carvalho Centro Universitário da Região da Campanha (URCAMP) – Bagé (RS), Brasil https://orcid.org/0000-0001-6679-2854
Everton Ludke Universidade Federal de Santa Maria. RS. Brasil https://orcid.org/0000-0002-3863-6069
Dannuey Machado Cardoso Universidade Federal do Rio Grande do Sul. RS. Brasil https://orcid.org/0000-0003-2891-1028
Dulciane Nunes Paiva Universidade de Santa Cruz do Sul. RS. Brasil https://orcid.org/0000-0001-5629-3285
Janice Cristina Soares University Hospital of Santa Maria https://orcid.org/0000-0001-6991-2591
Isabella Martins de Albuquerque Universidade Federal de Santa Maria. RS. Brasil https://orcid.org/0000-0002-7256-1881

DOI:

https://doi.org/10.1590/1809-2950/17025126032019

Keywords:

Physical Therapy Modalities, Intensive Care Units, Ultrasonography, Exercise Therapy, Early Ambulation

Abstract

The objective of this study was to evaluate the effects of early passive cycling exercise on quadriceps femoris thickness (QFT) in critically ill patients admitted in the intensive care unit (ICU) of a tertiary care university hospital. A controlled randomized pilot study was conducted with a sample of 24 patients (51±18.11 years, 16 male), on mechanical ventilation (MV) from 24 to 48 hours, who were randomly divided into two groups: control group (n=12), receiving conventional physical therapy; and an intervention one (n=12), receiving passive cycle ergometer, once a day, throughout seven days of protocol, in addition to conventional physical therapy. The QFT was measured by ultrasonography. The first ultrasonographic measurement was performed within 48 hours after the start of MV, and the second at the end of the protocol. There were no significant differences in QFT of the left (27,29±5,86mm vs 25,95±10,89mm; p=0,558) and right (24,96±5,59mm vs 25,9±9,21mm; p=0,682) in the control group, and in QFT of the left (27,2±7,38mm vs 29,57±7,89mm; p=0,299) and right (26,67±8,16mm vs 28,65±8,04mm; p=0,381) in the intervention group. There were no significant betweengroups differences for left QFT (3,61±1,07mm; p=0,248) and right QFT (2,75±0,85mm; p=0,738). The results of this pilot study demonstrate that application of early passive cycle ergometer exercises has not significantly change the muscle layer thickness. However, our findings indicate that conventional physical therapy is able to preserve the quadriceps femoris thickness in critically ill patients admitted in ICU.

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Effects of early passive cycling exercise on quadriceps femoris thickness in critically ill patients: a controlled randomized pilot study

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