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Should We Abandon Manual Muscle Strength Testing in the ICU?

Overview
Journal Crit Care
Specialty Critical Care
Date 2011 Mar 5
PMID 21371345
Citations 4
Authors
Greet Hermans
Rik Gosselink
Affiliations
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Abstract

Intensive-care-unit-acquired weakness is a major complication in critically ill patients. The paper by Hough and coworkers suggests that the current method of manual muscle strength testing with the Medical Research Council sum score is of limited value in the intensive care unit. However, their results raise a number of questions and provide important lessons for implementation of such evaluations in the intensive care unit.

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The Sick and the Weak: Neuropathies/Myopathies in the Critically Ill.

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Physical complications in acute lung injury survivors: a two-year longitudinal prospective study.

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References
1.
Kleyweg R, van der Meche F, Schmitz P . Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain-Barré syndrome. Muscle Nerve. 1991; 14(11):1103-9. DOI: 10.1002/mus.880141111. View
2.
de Jonghe B, Bastuji-Garin S, Durand M, Malissin I, Rodrigues P, Cerf C . Respiratory weakness is associated with limb weakness and delayed weaning in critical illness. Crit Care Med. 2007; 35(9):2007-15. DOI: 10.1097/01.ccm.0000281450.01881.d8. View
3.
Ali N, OBrien Jr J, Hoffmann S, Phillips G, Garland A, Finley J . Acquired weakness, handgrip strength, and mortality in critically ill patients. Am J Respir Crit Care Med. 2008; 178(3):261-8. DOI: 10.1164/rccm.200712-1829OC. View
4.
Leijten F, Poortvliet D, de Weerd A . The role of polyneuropathy in motor convalescence after prolonged mechanical ventilation. JAMA. 1995; 274(15):1221-5. View
5.
de Jonghe B, Sharshar T, Lefaucheur J, Authier F, Durand-Zaleski I, Boussarsar M . Paresis acquired in the intensive care unit: a prospective multicenter study. JAMA. 2002; 288(22):2859-67. DOI: 10.1001/jama.288.22.2859. View