title: Passive exercise of the lower limbs and trunk alleviates decreased intestinal motility in patients in the intensive care unit after cardiovascular surgery.
abstract: [Purpose] The purpose of this study was to clarify the effects of passive exercise of the lower limbs and trunk (PELT) in ICU patients after cardiovascular surgery with decreased bowel motility. [Subjects and Methods] Ten ICU patients with clinically-apparent decreased bowel motility during the period of April to July 2016 were enrolled this study. Bowel sounds (BS) for 5 minutes at rest and 5 minutes after PELT were recorded through an electronic stethoscope. A frequency analysis was performed and the BS before and after PELT were compared. In addition, the percent change in BS before and after PELT was determined, and the relationship between the percent change in BS and individual parameters (invasiveness of surgery, inflammation, nutrition, renal function) was examined. [Results] Average BS (integral value) for 5 minutes before and after PELT were 63.1 ± 41.3 mVsec and 115.0 ± 57.8 mVsec, respectively; therefore, BS was significantly increased by PELT. When compared to patients at rest, a significant increase was found 0-4 minutes after PELT. None of the individual parameters was significantly correlated with the percent change. [Conclusion] PELT can increase the bowel motility of ICU patients with decreased bowel motility.
authors.affiliation: Department of Physical Therapy, School of Rehabilitation, Hyogo University of Health Sciences, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Morisawa
authors.affiliation: Department of Physical Therapy, School of Health Sciences, Tokyo University of Technology, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Takahashi
authors.affiliation: Department of Rehabilitation, Hyogo College of Medicine Hospital, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Sasanuma
authors.affiliation: Department of Rehabilitation, Hyogo College of Medicine Hospital, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Mabuchi
authors.affiliation: Intensive Care Unit, Hyogo College of Medicine, Japan.
authors.forename: Kenta
authors.initials: K
authors.lastname: Takeda
authors.affiliation: Intensive Care Unit, Hyogo College of Medicine, Japan.
authors.forename: Naoto
authors.initials: N
authors.lastname: Hori
authors.affiliation: Intensive Care Unit, Hyogo College of Medicine, Japan.
authors.forename: Naotsugu
authors.initials: N
authors.lastname: Ohashi
authors.affiliation: Intensive Care Unit, Hyogo College of Medicine, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ide
authors.affiliation: Department of Rehabilitation Medicine, Hyogo College of Medicine, Japan.
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Domen
authors.affiliation: Intensive Care Unit, Hyogo College of Medicine, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Nishi
keywords: Bowel motility; Bowel sounds; Passive exercise