Modelos de protocolo e estratégias de periodização de exercícios da mobilização precoce na Unidade de Terapia Intensiva: uma revisão sistemática
The mortality reduction in intensive care unit (ICU) has been accompanied by comorbidities for at least five years after hospital discharge. Early mobilization is the main intervention to prevent hospitalization-related declines. The prescription of physical exercise for this population is still...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/28331 |
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| Resumo: | The mortality reduction in intensive care unit (ICU) has been accompanied by comorbidities
for at least five years after hospital discharge. Early mobilization is the main intervention to
prevent hospitalization-related declines. The prescription of physical exercise for this
population is still poorly explored regarding dose response and exercise periodization. The aim
of this study was to conduct a systematic review of the scientific literature to describe protocol
models and periodization strategies of early mobilization prescription in ICUs in critical
patients. Methods: The Preferred Reporting Itens for Systematic Reviews and Meta-Analyses
(PRISMA) recommendations were followed. Medical Subject Headings (MeSH) was used for
the search strategy: with combined concepts and boolean operators adapted to the databases:
Medline, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science and
Scopus. After searching, 6,392 resumes were found and after screening, 121 complete articles
were read and 13 were included in the systematic review. No study has shown inferior quality
according to the Physiotherapy Evidence Database (PEDro) scale. It was analyzed 1,380
individuals who participated of the included papers in this review. The mobilization protocols
found presented a duration of 10 to 30 minutes, 2x / day for 7x / week, with weekly accumulated
volume equal to or greater than 200 minutes/week, consisting of mobility and progressive
exercises based on sedation level and patient tolerance. The lack of data on protocols damage
the periodization strategy use, however, based on the most commonly used progress statistics,
the periodization of early mobilization resembles the wavy strategy. The studies still present an
incipient presentation regarding the use of these systematized strategies in Intensive Care Units,
despite the large number of available studies, an exercise prescription, dose response and
periodization of ICU exercise. |
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