2017, Cilt 4, Sayı 3, Sayfa(lar) 001-012
Examination of Studies on Intensive Care Unit-Acquired Muscle Weakness in Last Decade: A Systematic Review
Canan KARADAŞ, Sevgisun KAPUCU
Hacettepe Üniversitesi Hemşirelik Fakültesi İç Hastalıkları Hemşireliği Anabilim Dalı, Ankara, Türkiye
Keywords: Exercise, muscle weakness, critical illness, polyneuropathy, intensive care unit

Aim: This study aims to investigate the studies conducted in last 10 years on prevention of intensive care unit acquired weakness (ICU-AW) by alteration in muscles and the effect of exercises.

Material and Methods: By reaching total of 126 studies published between 2005-2015 in December 2015 via using Pubmed and EBSCO Databases, eight of these studies that met the study criteria were included in the sample. “ICU-AW”, “Muscle Weakness”, “Critical illness myopathy”, “Critical illness polyneuropathy”, “Intensive care unit”, and “Exercise” were the keywords for the study. Randomized controlled trials (RCTs), prospective cohorts and prospective observational studies that contains “ICU-AW and Exercise” issues were included in the study.

Results: Total of eight studies, including four RCTs and four prospective studies, were investigated in our study. Reviewed studies showed that loss of muscle strength and myosin occurred with immobility, these losses increased with the extension of ICU stay. It was observed that recovery period of the problem caused by muscle weakness took longer than 12 months. Regardless of type, duration, intensity of exercise, and the patients’ characteristics; studies stated that exercise had positive effects.

Conclusion: It has been determined that studies on ICU-AW in last ten years have recently shown an increase, research methodologies are not homogeneous, and the measuring instruments varied. More evidence-based study are needed to determine and manage the underlying factors of ICU-AW.