Early mobilization in victims of traumatic brain injury

Main Article Content

Cintia Freire Carniel
José Carlos Molero Junior
Beatriz da Costa Aguiar Alves
Laura Beatriz Mesiano Maifrino
David Feder
Fernando Luiz Affonso Fonseca

Abstract

Introduction: Several studies have shown that early mobilization is safe and beneficial for patients admitted to the intensive care units (ICUs), especially for those with mechanical ventilation (MV). Objective: To investigate the benefits of early mobilization physiotherapeutic techniques applied to patients who suffered craniocerebral trauma (CCT). Methods: This is an experimental study that evaluated clinical data from 27 patients. In sedated patients, mobilization and passive stretching were performed on the upper and lower limbs; in those without sedation, active-assisted, free and resisted exercises were included. Results: The experimental group was composed of 51.8% of the participants and the control group by 48.2%, the majority being male (81.5%) with a median age of 43 years. The patients in the experimental group had an average of 9.5 days (2.2-14.7) of mechanical ventilation (MV), and those belonging to the control group, of 17 days (7-21.7) with MV (p=0.154). The patients in the experimental group had an average of 13.5 days in the ICU, against an average of 17 days in the control group (p=0.331), and an average of 20.5 days in hospital against 24 days in the control group (p=0.356). Conclusion: Early mobilization should be applied to critically ill patients as it can decrease the length of stay in the ICU and the hospital.

Downloads

Download data is not yet available.

Article Details

How to Cite
Carniel, C. F., Molero Junior, J. C., Alves, B. da C. A., Maifrino, L. B. M., Feder, D., & Fonseca, F. L. A. (2022). Early mobilization in victims of traumatic brain injury. ABCS Health Sciences, 47, e022207. https://doi.org/10.7322/abcshs.2019114.1372
Section
Original Articles

References

1. Mota CM, Silva VG. A segurança da mobilização precoce em pacientes críticos: uma revisão de literatura. Interfaces Cient Saude Ambiente. 2012;1(1):83-91. http://doi.org/10.17564/2316-3798.2012v1n1p83-91

2. Prieto R, Gutiérrez-González R, Pascual JM, Roda JM, Cerdán S, Matias-Guiu J, et al. Modelos experimentales de traumatismo craneocefálico. Neurocirurgia. 2009;20:225-44.

3. Dantas CM, Silva PFS, Siqueira FHT, Pinto RMF, Matias S, Maciel C, et al. Influência da mobilização precoce na forca muscular periférica e respiratória em pacientes críticos. Rev Bras Ter Intensiva. 2012;24(2):173-8. http://dx.doi.org/10.1590/S0103-507X2012000200013

4. Aquim EE, Bernardo WM, Buzzini RF, Azeredo NSG, Cunha LS, Damasceno MCP et al. Brazilian Guidelines for Early Mobilization in Intensive Care Unit. Rev Bras Ter Intensiva. 2019;31(4):434-43. http://dx.doi.org/10.5935/0103-507x.20190084

5. Fontela PC, Lisboa TC, Forgiarini-Júnior LA, Friedman G. Early mobilization practices of mechanically ventilated patients: a 1-day point-prevalence study in southern Brazil. Clinics. 2018;73:e241. http://dx.doi.org/10.6061/clinics/2018/e241

6. Li Z, Peng X, Zhu B, Zhang Y, Xi X. Active mobilization for mechanically ventilated patients: a systematic review. Arch Phys Med Rehabil. 2013;94(3):551-61. http://dx.doi.org/10.1016/j.apmr.2012.10.023

7. Adler J, Malone D. Early mobilization in the intensive care unit: a systematic review. Cardiopulm Phys Ther J. 2012;23(1):5-13.

8. Koizumi MS, Lebrao ML, Mello-Jorge MHP, Primerano V. Morbimortalidade por Traumatismo Crânio-encefálico no município de São Paulo, 1997. Arq Neuropsiquiatr. 2000;58(1):81-8. http://dx.doi.org/10.1590/S0004-282X2000000100013

9. Nozawa E, Sarmento GJV, Vega JM, Costa D, Silva JEP, Feltrim MIZ. Perfil de fisioterapeutas brasileiros que atuam em unidades de terapia intensiva. Fisioter Pesqui. 2008;15(2):177-82. http://dx.doi.org/10.1590/S1809-29502008000200011

10. Malkoç M, Karadibak D, Yildirim Y. The effect of physiotherapy on ventilatory dependency and the length of stay in an intensive care unit. Int J Rehabil Rev. 2009;32(1):85-8. http://doi.org/10.1097/MRR.0b013e3282fc0fce

11. Toledo C, Garrido C, Troncoso E, Lobo SM. Efeitos da fisioterapia respiratória na pressão intracraniana e pressão de perfusão cerebral no traumatismo cranioencefálico grave. Rev Bras Ter Intensiva. 2008;20(4):339-43. http://dx.doi.org/10.1590/S0103-507X2008000400004

12. Sanders C, Oliveira F, Souza G, Medrado M. Mobilização precoce na UTI: uma atualização. Fisioscience. 2010;55-68.

13. Mundy LM, Leet TL, Darst K, Schnitzler MA, Dunagan WC. Early mobilization of patients hospitalized with Community-Acquired Pneumonia. Chest. 2003;124(3):883-9. https://doi.org/10.1378/chest.124.3.883

14. Feliciano VA, Albuquerque CG, Andrade FMD, Dantas CM, Lopez A, Ramos FF, et al. A influência da mobilização precoce no tempo de internamento na unidade de terapia intensiva. Assobrafir Cienc. 2012;3(2):31-42. http://dx.doi.org/10.47066/2177-9333/ac.11702

15. Borges VM, Oliveira LRC, Peixoto E, Carvalho NAA. Fisioterapia motora em pacientes adultos em terapia intensiva. Rev Bras Ter Intensiva. 2009;21(4):446-52. http://dx.doi.org/10.1590/S0103-507X2009000400016

16. Feitoza CL, Jesus PKS, Novais RO, Gardenghi G. Eficácia da fisioterapia motora em unidades de terapia intensiva, com ênfase na mobilização precoce. Rev Eletron Saude Cienc. 2014;4(1):19-27.