Study of the effect of passive walking -like Exercise on cardiac and respiratory parameters of patients admitted to intensive care units: Controlled Clinical Trial

Determining the effect of passive walking-like exercises on cardiac and respiratory parameters of patients admitted to intensive care units

Clinical trial with control group, with parallel groups, without blinding, open-lable, random with 50 patients. Used to randomize the blocking method with Allocation Random software.

The study in the intensive care unit, on patients' beds, the passive walking method is repeated 5 times a week for 2 weeks, each time for 20 minutes is performed. Due to the unavailability of the device, the simulated protocol is performed. Step 1and 2: Flexion-extension of the right and then left thigh with a maximum range of 45 degrees at a speed of 30 times per minute for 10 minutes; Steps 3 and 4: Flexion-extension of the right knee and then left with a maximum range of motion of 60 degrees and dorsi-plantar flexion of the right ankle and then left with a maximum range of motion of 10 and 15 degrees simultaneously at speed of 30 times per minute, for 10 minutes.

Inclusion criteria: at least 18, connected to a mechanical ventilation hemodynamic and cardiac stability, confirmation of the treating physician, written consent؛ Exclusion criteria: increased intracranial pressure, having a neuromuscular disease, spinal cord injury, cardiopulmonary arrest, fractures in the lower limbs

For the control group, routine care and for the intervention group, in addition to routine care, passive walking exercises are performed

Shock index؛ MAP؛ Airway resistance؛ Compliance؛ PaO2 / FiO2؛ Peak pressure؛ SBP and DBP؛ HR؛ respiration rate؛ Saturation of Peripheral Oxygen

The first step of creating a random sequence: In this study, the limited randomization method of block randomization will be used. In this two-group experiment, we will have four blocks consisting of two participants in the intervention group and two participants in the control group. There will be six different modes in these four blocks; So we prepare six cards as follows: 3. PMPM 2. PMMP 1. PPMM 4. MPMP 6. MPPM 5. MMPP Given that the number of patients studied is estimated at 50, we remove 13 of the above cards by replacement. The second step of hiding accident allocation: The selection of cards will be determined using a table of random numbers in Software Allocation Random. Blocking and allocation sequencing for concealment will be done by the person not involved in the research. Then, based on the obtained blocks and allocation sequence, they will be divided into intervention and control groups.