This study aimed to investigate the effectiveness of different physical therapy protocols on the autonomic modulation of heart rate, time of invasive mechanical ventilation (IMV), and length of hospital stay. Methods: This was a randomized clinical study with 20 children on IMV in an intensive care unit (ICU), between July 2018 and September 2019. The control group (n = 10) performed the hospital's physical therapy protocol and the experimental group (n = 10) performed the physical therapy protocol based on physical exercise. Results: Higher values of heart rate variability were found in the experimental group, both in individual and intergroup analyses. There was a significant reduction in the time of IMV and ICU stay.

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Gabrielle Sousa Barros Souza, Mariana Furtado Marques Novais, Guilherme Euzébio Lemes, Mary Lucy Ferraz Maia Fiuza de Mello, Susan Carolina Diniz de Sales, Larissa Salgado de Oliveira Rocha and Rodrigo Santiago Barbosa Rocha

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Learning objectives

  1. Understand the difference between child vs adult response to invasive mechanical ventilation with or without exercise.
  2. Identify two specific complications associated with invasive mechanical ventilation.
  3. Appreciate the relationship between heart rate variability, time on invasive mechanical ventilation, and length of stay in the intensive care unit.
  4. Assess the difference between standard cardiopulmonary measures in children and adults.
  5. Explain the exercise parameters used in the experimental group that resulted in the outcomes found in the study.


Academy of Pediatric Physical Therapy

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Type:E-Learning Course
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Enrollment:Prior to  12/31/2022
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