The Effect of Early Mobilization with Elastic Band Exercise on  the Duration of Mechanical Ventilator Weaning of Critically Ill  Patients.

Authors

Decha Pinkaew1 , Khanittha Wonglanga1 , Chanya Ueawattanasirikul1 , Tula Wongpalee2 , Suranee Chanritwattana2 , Potchanee Jaiwongpeng2 , Orachon Chiamdamrat3 , Kannika Wiengmoon3 , Niramon Pramason4 , Sutthipong Inpunkaew4

Early mobilization, ICU, elastic band exercise, weaning, mechanical ventilator

Objective The purpose of this study was to investigate the effect of early mobilization with elastic band

exercise on the duration of mechanical ventilator weaning in the patient in intensive care unit (ICU).

Methods: Seventy–five ICU and Sub ICU patients were recruited and randomly assigned to a control group(C)

and an intervention group including early mobilization (EM) for control group and early mobilization with

elastic band exercise (EMEB) for intervention group. The primary outcome was the duration of mechanical

ventilator weaning in ICU. The secondary outcomes were the strength of the arm muscle measuring by the

handgrip strength, and functional class level.

Results The all groups were not significant in a severity-of-disease classification system of ICU-scores. EM

and EMEB were significantly reduced the ventilation duration and functional class level in ICU. Nevertheless,

EMEB was significantly increased the strength of the arm muscle with a hand grip dynamometer compares

with EM group (p<0.05). EMBM was significantly decreased the ventilation duration in ICU and increased

handgrip strength, and level of physical activity (p<0.05). Thus, EMBM may be applied using treatment in

ICU.