Journal of Jishou University(Natural Sciences Edition) ›› 2020, Vol. 41 ›› Issue (5): 70-76.DOI: 10.13438/j.cnki.jdzk.2020.05.014

• Medical Science • Previous Articles     Next Articles

Influence of Lower Limb Movement on Muscle Strength in COPD Patients with Invasive Mechanical Ventilation

CHEN Shan, LI Yucui, ZHAO Chenggang, CHEN Siyu, DENG Lilin, ZHOU Lili, CHENG Peiyu   

  1. (1. School of Nursing, University of South China, Hengyang, 421000, Hunan China;2. The First People's Hospital of Xiangtan City, Xiangtan 411100, Hunan China)
  • Online:2020-09-25 Published:2021-02-04

Abstract: To compare the influences of exercise mode on COPD patietns with   invasive mechanical ventilation, 112 COPD patients who stayed in ICU conducted a group controlled experiment. According to the predetermined proposals, two groups of patients took different lower limb movement. The intervention group performed in-bed bicycle exercise, while the control group performed traditional in-bed exercise. The results indicated that there were significant differences subjective and objective indicators of lower limb, level of activation in ICU when patients left ICU as well as Barthel index scores when patients left ICU and discharged from hospital respectively between two groups (P<0.05). There were no significant differences in upper limb muscle strength measured either by electronic grip gauge or MRC scale between two groups (P>0.05). There was no significant difference in Barthel index score measured in the first six months after discharge (P>0.05). The results show that early in-bed bicycle exercise is secure and workable for COPD patietns with invasive mechanical ventilation, which can improve lower limb muscle strength and mobility and  promote recovery of activities of daily living.

Key words: Chronic Obstructive Pulmonary Disease, Mechanical Ventilation, Early Mobilization, Muscle Strength

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