Document Type : Original Article
Authors
1
HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
2
Taqtaq Nursing Department, Koya Teaching Institute, Erbil Polytechnic University, Taqtaq, Kurdistan Region, Iraq
3
College of Nursing, Al-Kitab University, Kirkuk, Iraq
4
Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
5
Social Determinants of Health Research Center, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
6
Department of Critical Care Nursing, Faculty of Medicine and Health Sciences, Thamar University, Yemen
7
Department of Critical Care Medicine, Kerman University of Medical Sciences, Kerman, Iran
8
Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Abstract
Background: Muscle atrophy and weakness are major problems in intensive care units (ICUs). The goal of this study was to assess the effects of massage and range-of-motion (ROM) exercises on ICU-acquired weakness (ICU-AW).
Materials and Methods: We randomly allocated 90 conscious patients admitted to ICUs to one of three groups using block randomization: massage, ROM exercises, or control. The researcher gave the massage group members daily Swedish massages for seven days. They also performed a range-of-motion (ROM) exercise program on both the upper and lower extremities once daily for 7 days. The co-researcher used the Medical Research Council Sum Score (MRC-SS) to assess the Critical Care Unit-Acquired Weakness (ICU-AW) at various time points: before the intervention, on the fourth and seventh days of the intervention for the intervention groups, and on the first, fourth, and seventh days of admission at 8 pm for the control group.
Results: Following the intervention, the massage group showed a significant increase in muscular strength. Following the intervention, both the massage and ROM exercise groups exhibited substantially higher muscular strength than the control group (P<0.05). Furthermore, after the intervention, the ROM exercise group displayed a larger gain in muscular strength than the massage group (mean difference=3.23, SE=1.05, p=0.01).
Conclusion: The current study found that ROM exercises and massage were both effective therapies for preventing or improving ICU-AW in patients admitted to the ICU.
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