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A utilização do cicloergómetro na reabilitação da pessoa em extracorporeal membrane oxygenation: contributos para a enfermagem de reabilitação
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Introdução: a pessoa em situação de doença crítica que necessita de suporte de extracorporeal membrane oxygenation enfrenta elevado risco de perda de massa muscular e limitações funcionais. O cicloergómetro é uma ferramenta com potencial para ser utilizada no programa de reabilitação desta população, com o objetivo de prevenir ou reduzir a atrofia muscular. Objetivo: mapear a utilização do cicloergómetro no programa de reabilitação da pessoa em extracorporeal membrane oxygenation. Metodologia: foi realizada uma scoping review de acordo com as orientações do Joanna Briggs Institute e PRISMA extension for scoping reviews. A pesquisa foi realizada sem limite temporal no dia 08/10/2024 nas bases de dados: CINAHL, MEDLINE, Psychology and Behavioral Sciences Collection, SPORTDiscus, PubMed, Scopus, Web of Science, MedicLatina, Scielo e Cochrane Database of Systematic Reviews. Resultados: Foram integrados 16 artigos, publicados entre 2009 e 2024, de natureza observacional ou retrospetiva, em que o cicloergómetro foi utilizado para treino dos membros inferiores. Foram analisadas variáveis como a frequência, intensidade, tipo e tempo do treino com o cicloergómetro, o profissional responsável pela sua aplicação, a ocorrência de efeitos adversos, os instrumentos de avaliação utilizados e os outcomes obtidos. A análise dos dados revelou lacunas no relato da intervenção com cicloergómetro, nomeadamente na descrição dos parâmetros do treino (frequência, intensidade, tipo e tempo), bem como na utilização consistente de instrumentos de avaliação e na apresentação dos outcomes obtidos. Conclusão: os achados desta revisão demonstram que o cicloergómetro é utilizado em programas de reabilitação de pessoas em extracorporeal membrane oxygenation, para o treino dos membros inferiores. Evidencia-se, contudo, a necessidade de novos estudos com amostras representativas, protocolos bem definidos e uma descrição detalhada dos parâmetros de treino.
Introduction: critically ill individuals requiring extracorporeal membrane oxygenation support are at high risk of muscle mass loss and functional limitations. The cycle ergometer is a tool with potential for use in rehabilitation programs for this population, aiming to prevent or reduce muscle atrophy. Objective: To map the use of the cycle ergometer in the rehabilitation programs of individuals on extracorporeal membrane oxygenation. Methodology: A scoping review was conducted following the Joanna Briggs Institute guidelines and the PRISMA Extension for Scoping Reviews. The search was carried out without time restriction on October 8, 2024, across the following databases: CINAHL, MEDLINE, Psychology and Behavioral Sciences Collection, SPORTDiscus, PubMed, Scopus, Web of Science, MedicLatina, Scielo, and the Cochrane Database of Systematic Reviews. Results: 16 articles published between 2009 and 2024 were included, all observational or retrospective in nature, in which the cycle ergometer was used for lower limb training. Variables such as training frequency, intensity, type, and duration, the professional responsible for administering the intervention, the occurrence of adverse events, assessment tools used, and reported outcomes were analyzed. Data analysis revealed gaps in the reporting of the cycle ergometer intervention, particularly in the description of training parameters (frequency, intensity, type, and time), the consistent use of assessment tools, and the presentation of outcomes. Conclusion: the findings of this review demonstrate that the cycle ergometer is used in rehabilitation programs for individuals on ECMO for lower limb training. However, there is a clear need for further studies with representative samples, well-defined protocols, and detailed descriptions of training parameters
Introduction: critically ill individuals requiring extracorporeal membrane oxygenation support are at high risk of muscle mass loss and functional limitations. The cycle ergometer is a tool with potential for use in rehabilitation programs for this population, aiming to prevent or reduce muscle atrophy. Objective: To map the use of the cycle ergometer in the rehabilitation programs of individuals on extracorporeal membrane oxygenation. Methodology: A scoping review was conducted following the Joanna Briggs Institute guidelines and the PRISMA Extension for Scoping Reviews. The search was carried out without time restriction on October 8, 2024, across the following databases: CINAHL, MEDLINE, Psychology and Behavioral Sciences Collection, SPORTDiscus, PubMed, Scopus, Web of Science, MedicLatina, Scielo, and the Cochrane Database of Systematic Reviews. Results: 16 articles published between 2009 and 2024 were included, all observational or retrospective in nature, in which the cycle ergometer was used for lower limb training. Variables such as training frequency, intensity, type, and duration, the professional responsible for administering the intervention, the occurrence of adverse events, assessment tools used, and reported outcomes were analyzed. Data analysis revealed gaps in the reporting of the cycle ergometer intervention, particularly in the description of training parameters (frequency, intensity, type, and time), the consistent use of assessment tools, and the presentation of outcomes. Conclusion: the findings of this review demonstrate that the cycle ergometer is used in rehabilitation programs for individuals on ECMO for lower limb training. However, there is a clear need for further studies with representative samples, well-defined protocols, and detailed descriptions of training parameters
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cicloergómetro enfermagem de reabilitação reabilitação extracorporeal membrane oxygenation pessoa em situação de doença crítica