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IRCT20211119053107N1 IRCT 2022-01-09 Kermanshah University of Medical Sciences Study of the effect of passive walking exercises on the cardiac and respiratory system of patients admitted to intensive care units Study of the effect of passive walking -like Exercise on cardiac and respiratory parameters of patients admitted to intensive care units: Controlled Clinical Trial 2021-12-31 anticipated 50 Complete https://irct.ir/trial/60073 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: 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. N/A Condition 1: Respiratory failure. Condition 2: Heart failure. Intervention 1: Intervention group: For the intervention group, in addition to routine care, it will perform passive walking exercises. The passive walking method is repeated 5 times a week for 2 weeks and 20 minutes of practice each time. Walking involves moving the hip, knee and ankle joints. Due to the unavailability of the device and the high cost of providing the device, the simulated walking of the protocol is performed as follows: Step 1: Flexion-extension of the right thigh with a maximum range of 45 degrees at a speed of 30 times per minute , Runs for 10 minutes; Second stage: Flexion-extension of the left thigh is practiced similarly to the right thigh; Runs 30 times per minute for 10 minutes; Step 4: According to the third step, flexion-knee extension and dorsi-plantar flexion of the left ankle are practiced; The researcher goes to the intensive care unit and on the patient's bed, performs this procedure for 2 weeks (5 sessions per week) while the patient is lying down and about 30 degrees above the head. Intervention 2: Control group: do not receive intervention, receive routine care. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Yosra Karimi
School of Nursing and Midwifery; Dolatabad; Isar Square
Kermanshah Iran (Islamic Republic of) 6714673159 +98 83 3816 2532 yosrakarimi@ymail.com Kermanshah University of Medical Sciences scientific Alireza Abdi
School of Nursing and Midwifery; Dolatabad; Isar Square
Kermanshah Iran (Islamic Republic of) 6714673159 +98 83 3816 2532 A_abdi61@yahoo.com Kermanshah University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) At least 18 years old Connecting to a mechanical ventilation that is at least 24 hours old Hemodynamic and cardiac stability Confirmation of the treating physician that the patient is not prohibited from performing the protocol Obtaining written consent from the patient's legal guardian 18 years 90 years Both Increasing of intracranial pressure Having a history of previous or rapidly growing neuromuscular disease Spinal cord injury Cardiopulmonary arrest Having fractures in the pelvis and lower limbs J96.9 I50.9 Respiratory failure, unspecified Heart failure, unspecified Treatment - Other Treatment - Other Intervention group: For the intervention group, in addition to routine care, it will perform passive walking exercises. The passive walking method is repeated 5 times a week for 2 weeks and 20 minutes of practice each time. Walking involves moving the hip, knee and ankle joints. Due to the unavailability of the device and the high cost of providing the device, the simulated walking of the protocol is performed as follows: Step 1: Flexion-extension of the right thigh with a maximum range of 45 degrees at a speed of 30 times per minute , Runs for 10 minutes; Second stage: Flexion-extension of the left thigh is practiced similarly to the right thigh; Runs 30 times per minute for 10 minutes; Step 4: According to the third step, flexion-knee extension and dorsi-plantar flexion of the left ankle are practiced; The researcher goes to the intensive care unit and on the patient's bed, performs this procedure for 2 weeks (5 sessions per week) while the patient is lying down and about 30 degrees above the head. Control group: do not receive intervention, receive routine care. Average shock index. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Shock Index=(Heart Rate)/(Systolic Blood Pressure)- Physiological indicators(Cardiorespiratory monitoring). Average of mean arterial pressure. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Mean arterial pressure = (systole + 2 diastole) / 3 _ Physiological indicators(pressure indicator). Average airway resistance. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Airway resistance= tail end wedge pressure - alveolar_ ventilator pressure_ ventilator. Average compliance. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Compliance = volume change / pressure change_ ventilator. Average relative arterial oxygen pressure to percentage of tail oxygen. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: PaO2 / FiO2=Relative arterial oxygen pressure / percentage of tail oxygen - a tool for measuring _Physiological indicators(Cardiorespiratory monitoring). Average peak inspiratory pressure. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: ventilator. Average systolic and diastolic blood pressure. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Physiological indicators(pressure indicator). Average heart rate. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Physiological indicators(Cardiorespiratory monitoring). Average respiration rate. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Physiological indicators(Cardiorespiratory monitoring). Average percentage of peripheral blood oxygen saturation. Timepoint: Before the intervention and 2 weeks after the intervention. Method of measurement: Physiological indicators(Cardiorespiratory monitoring). Kermanshah University of Medical Sciences Approved 2021-12-14 Ethics committee of Kermanshah University of Medical Sciences Deputy of Research and Technology; Building No. 2 of Medical Sciences; Shahid Beheshti Boulevard Kermanshah Kermanshah Iran (Islamic Republic of)