ASSESS THE IMPACT OF PASSIVE RANGE OF MOTIONS (PROMS) ON PHYSIOLOGICAL VARIABLES & BEHAVIORAL PAIN OF ICU PATIENTS

Namra Tanvir, Amna Batool, Amna Saeed

Abstract


Background: Patients admitted in the Intensive Care Unit (ICU) due to serious medical conditions spend majority of their time in bed and are frequently on a ventilator. The purpose of this study was to see how Passive Range of Motions (PROMs) affected physiological variables and behavioral pain in ICU patients.

Materials & Methods: Descriptive, cross-sectional, quantitative study conducted at Sir Ganga Ram Hospital from 15th Feb 2022 to 31th March 2022, in which 80 patients admitted in adult ICU were included in the study through convenient sampling. Self-administered proforma was used to collect the demographics of study participants as well as physiological variables. Behavioral Pain Scale (BPS) was used to assess the impact of pain before, during and after performing PROM. Physiological factors (BP, HR, RR, Oxygenation, and CVP) were measured at 10min, 20min, and 1 hour intervals.

Results: Patients having age range from 18 years to 57 years old recruited for the study whose mean age was (X̅=41.38 ±7.0). Overall, no significant change was observed in the mean values of Physiological factors, but reduction in behavioral pain was noticed after one hour of intervention (PROM) in 63.75% patient.

Conclusion: Passive range of motions (PROM) can be effective and efficient way to lessen the behavioral pain of ICU patients.


Keywords


Passive range of motion; Physiological variables; Behavioral Pain; Mechanically Ventilation; Intensive care units.

Full Text:

PDF

References


Berney SC. Prospective observation of physical activity in critically ill patients who were intubated for more than 48 hours. J Crit Care. 2015;30(4):658-63. https://doi.org/10.1016/j.jcrc.2015.03.006

Kress JP, Hall JB. ICU-acquired weakness and recovery from critical illness. N Engl J Med. 2014;370(17):1626-35. https://doi.org/10.1056/NEJMra1209390

Engel HJ. Physical therapist-established intensive care unit early mobilization program: Quality improvement project for critical care at the university of California San Francisco medical center. Phys Ther. 2013;93(7):975- 85. https://doi.org/10.2522/ptj.20110420

Stiller K. Physiotherapy in intensive care: An updated systematic review. Chest. 2013;144(3):825-47. https://doi.org/10.1378/chest.12-2930

Stiller K. Physiotherapy in intensive care: Towards an evidence based practice. Chest. 2000;118(6):1801-13. https://doi.org/10.1378/chest.118.6.1801

De Groot M, Spoor CW, Snijders CJ. Terminology used in the analysis of joint function. J Back Musculoskelet Rehabil. 2005;18(1- 2):45-9. https://doi.org/10.3233/BMR-2005-181-207

Gosselink R. Physiotherapy for adult patients with critical illness: Recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Intensive Care Med. 2008;34(7):1188-99. https://doi.org/10.1007/s00134-008-1026-7

Stockley RC. An investigation of the use of passive movements in intensive care by UK physiotherapists. Physiotherapy. 2010;96(3):228-33. https://doi.org/10.1016/j.physio.2009.11.014

Burtin C. Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med2009;37(9):2499-505. https://doi.org/10.1097/CCM.0b013e3181a38937

Camargo Pires-Neto R. Very Early Passive Cycling Exercise in Mechanically Ventilated Critically Ill Patients: Physiological and Safety Aspects - A Case Series. PLoS One2013;8(9). https://doi.org/10.1371/journal.pone.0074182

Amidei C. an exploratory study of physiologic responses to a passive exercise intervention in mechanically ventilated critically ill adults. Intensive and Critical Care Nursing 2012;28: 58-72. https://doi.org/10.1016/j.iccn.2011.09.002

Burtin C, Clerckx B and Robbeets C. Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med 2009; 37(9):2499-2505. https://doi.org/10.1097/CCM.0b013e3181a38937

Zafiropoulos B, Alison J, McCarren B. Physiological responses to the early mobilization of the intubated, ventilated abdominal surgery patients. Aust J Physiother2004; 50:95-100. https://doi.org/10.1016/S0004-9514(14)60101-X

Genc A, Koca U and Gunerli A. What are the hemodynamic and respiratory effects of passive limb exercise for mechanically ventilated patients receiving low-dose vasopressor /inotropic support. Crit Care Nurs quarterly J 2014; 37(2):152-158. https://doi.org/10.1097/CNQ.0000000000000013

Rahu M, Cohn J, Munro C, Lyon D and Sessler C. Facial expression as an indicator of pain in critically ill intubated adults during endotracheal suctioning. American journal of critical care 2013;22(5): 412-422. https://doi.org/10.4037/ajcc2013705

Bailey P, Miller R, Clemmer T. Culture of early mobility in mechanically ventilated patients. Crit Care Med 2009; 37(10): S429-35. https://doi.org/10.1097/CCM.0b013e3181b6e227

Payen J, Bru O, Bosson J and Lagrasta A. Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med J 2001;29(12): 2258-63. https://doi.org/10.1097/00003246-200112000-00004


Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Namra Tanvir, Amna Batool, Amna Saeed

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Gomal Medical College, Daraban Road, Dera Ismail Khan, Pakistan

ISSN: 1819-7973, e-ISSN: 1997-2067

Website: https://www.gmcdikhan.edu.pk

Phone: +92-966-747373

Scimago Journal & Country Rank