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- Effectiveness of massage and range of motion exercises on muscle strength and intensive care unit-acquired weakness in Iranian patients with COVID-19: a randomized parallel-controlled trial
- Mohammad Ali Zakeri, Adnan Rashid Aziz, Elham Rahiminezhad, Mahlagha Dehghan
- Acute Crit Care. 2024;39(1):78-90. Published online December 13, 2023
- DOI: https://doi.org/10.4266/acc.2023.00416
- 12,616 View
- 292 Download
- 3 Web of Science
- 3 Crossref
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Abstract
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Supplementary Material - Background
Muscle weakness is prevalent in intensive care patients. This study focused on comparing the effects of massage and range of motion (ROM) exercises on muscle strength and intensive care unit-acquired weakness (ICU-AW) among patients with coronavirus disease 2019 (COVID-19).
Methods
This study was a randomized clinical trial that recruited patients (n=45) with COVID-19 admitted to the ICU and divided them into three groups (ROM exercises, massage, and control). We evaluated muscle strength and ICU-AW in the arms and legs using a hand dynamometer. The Medical Research Council sum score was determined before and after the intervention.
Results
The study findings were that 0%, 20%, and 100% of the participants in the ROM exercises, massage, and control groups had ICU-AW on the 7th day of ICU admission. The ROM exercise group had greater muscle strength in the hands and legs than the massage and control groups, and the massage group had greater muscle strength than the control group.
Conclusions
Massage and ROM exercises could improve muscle strength and reduce ICU-AW in COVID-19 patients admitted to the ICU. -
Citations
Citations to this article as recorded by
- Rehabilitation in critically ill patients with COVID-19 infection: A systematic review and meta-analysis
Julie C. Reid, Joanna S. Semrau, Heather K. O'Grady, Jen Hoogenes, Jeniszka Gill, Hibaa Hasan, Sophie von Teichman, Yelena Bogdanova, Shannon McKenney, Olivia Sokol, Tania J. Pereira, Vanessa Campes Dannenberg, Christopher Farley, Jose Colleti Junior, Ama
Australian Critical Care.2026; 39(1): 101500. CrossRef - Interventions for adult survivors discharged from the intensive care unit: a scoping review
Tong Wu, Fanghong Yan, Guoli Zhang, Rongrong Zhao, Guotian Peng, Ruiyi Sun, Yuxia Ma, Lin Han, Jinping Liu
BMJ Open.2025; 15(8): e096634. CrossRef - Physical Therapist-Led Therapeutic Exercise and Mobility in Adult Intensive Care Units: A Scoping Review of Operational Definitions, Dose Progression, Safety, and Documentation
Kyeongbong Lee
Journal of Clinical Medicine.2025; 14(24): 8948. CrossRef
- Rehabilitation in critically ill patients with COVID-19 infection: A systematic review and meta-analysis
- The Effectiveness of Foot -Reflexo- Massage on the Postoperative Pain of Gastrectomy Patients
- Houng Hwa Han, Young Ju Lee, Yun Jeong Chae, Jong Sin Eun, Hyun Ho Lee, Jee Won Park
- Korean J Crit Care Med. 2005;20(2):136-143.
- 2,933 View
- 19 Download
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Abstract
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- BACKGROUND
The objects of this study were to determine the effects of foot reflexo massage on the postoperative pain of the subtotal gastrectomy patients according to quasi-experimental research design, and to provide demonstrative data for using the foot reflexo massage as an intervention for pain nursing. METHODS: The foot reflexo massages were performed on 34 subtotal gastrectomy patients after informed consent was obtained. They were divided into two groups, i.e. control group (n=17) and experimental group (n=17). After 6 hours and 12 hours from the subtotal gastrectomy, the massage was carried out on each foot for 10 minutes twice. Visual analogue scale (VAS) was employed as the measurement tools of pain, and the degree of postoperative pain was measured through frequency of prn (pro re nata) analgesia in chart review. RESULTS: The experimental group with foot reflexo massage 6 hours after the operation have significantly less score of postoperative pain than the control group (5.76+/-0.83, 4.35+/-1.0, p=.000). The experimental group with foot reflexo massage 12 hours after the operation have significantly less score of postoperative pain than the control group (5.12+/-0.53, 3.00+/-1.17, p=.000). The experimental group with foot reflexo massage have significantly less frequency of prn analgesics than the control group from six hours to twelve hours after the operation (p=.004). CONCLUSIONS: It is considered foot reflexo massage is effective for reducing postoperative pain of subtotal gastrectomy patients, as well as useful for an immediate nursing intervention.
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