Highlights
- •Immobility and muscle deconditioning impact early mobilization in the ICU setting.
- •Muscle strength in critically ill patients can be measured as a clinical assessment.
- •Integrating muscle strength tests, interprofessional engagement and patient assessment optimizes patient outcomes.
- •Research is required on the influence of muscle strength on early mobility.
Abstract
Background
Muscle strength may be one indicator of readiness to mobilize that can be used to
guide decisions regarding early mobility efforts and to progressively advance mobilization.
Objectives
To provide a synthesis of current measures of muscle strength in the assessment of
early mobilization in critically ill adult patients who are receiving MV therapy.
Methods
Research studies conducted between 2000-2015 were identified using PubMed, CINHAL,
MEDLINE, and the Cochrane Database of Systematic Reviews databases using the search
terms “muscle strength”, “intensive care”, “mechanical ventilation” and “muscle weakness”.
Results
Nine articles used manual muscle testing, the Medical Research Council scale and/or
hand-held dynamometer to provide objective measures for assessing muscle strength
in the critically ill adult patient population.
Conclusions
Further research is needed to examine the application of standardized measures of
muscle strength for guiding decisions regarding early and progressive advancement
of mobility goals in adult ICU patients on MV.
Keywords
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Article info
Publication history
Accepted:
October 4,
2017
Received in revised form:
September 18,
2017
Received:
December 17,
2016
Footnotes
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Disclaimer: The views expressed in this manuscript represent those of the authors and are not the opinions of Virginia Commonwealth University.
Identification
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© 2017 Elsevier Inc. All rights reserved.
