Brakelé, E.M. (2017) Is there a need for an additional early mobility intervention in burn ICU patients? Setting up a protocol to assess physical load and load capacity. thesis, Human Movement Sciences.
Full text available on request.Abstract
- Background: Over the past decade the negative effects of being bedbound on ICU patients became of great interest. To overcome these effects, early mobility interventions (EMI’s) were applied to medical and surgical ICU patients, which led to beneficial outcomes. However, only two studies assessed the effect of such EMI’s on burn ICU patients. The physical load burn ICU patients already receive in their usual care is expected to be higher and the physical load capacity lower than that of medical and surgical ICU patients. To answer the question whether burn ICU patients can also benefit from an EMI, the load of their usual care in relation to their load capacity has to be assessed first. - Objectives: To set up a protocol that is able to register burn ICU patients’ physical load and load capacity during wound dressing changes and physiotherapy sessions and to test a pilot version of this protocol. - Phase 1: Multiple instruments to assess load and load capacity during wound dressing changes and physiotherapy sessions were compared to predetermined requirements and evaluated on feasibility in the burn ICU. The most suitable instruments were included in the protocol; external load was measured with the adapted Motor Activity Rating Scale (MARS), load capacity with the adapted Casteleijn safety score and internal load with Session Rating of Perceived Exertion (s-RPE). - Phase 2: Results showed that external load, load capacity and internal load were lower on day 5 post burn (pb) than on day 2 pb. The pilot measurements made clear that the protocol is feasible to use in the burn ICU. - Conclusions: A decent design for a feasible protocol has been set up with methods that met all instrument requirements. The protocol can form the basis for studies to determine whether burn ICU patients can benefit from an additional early mobility intervention. Keywords: protocol, burn ICU patients, external load, internal load, load capacity, early mobility intervention
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Mouton, dr. L.J. and Nieuwenhuis, dr. M.K. |
| Faculty: | Medical Sciences |
| Date Deposited: | 04 May 2022 09:44 |
| Last Modified: | 04 May 2022 09:44 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3225 |
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