Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients

Authors

DOI:

https://doi.org/10.5902/2236583440611

Keywords:

Intensive Care Unit, Ultrasonography, Quadriceps muscle, Muscle strength.

Abstract

Objective: To verify whether there is an association between quadriceps muscle thickness (QMT) and rectus femoral cross-sectional area (RF), muscle strength and gait speed of critically ill patients. Methods: Cross-sectional study conducted at an adult intensive care unit of a tertiary hospital in southern Brazil. The QMT and RF were measured by ultrasonography, within the first 24 hours of mechanical ventilation, muscle strength was measured using the Medical Research Council scale on the awakening of patient. Gait speed was measured by the 6-m gait speed test at hospital discharge. Results: The sample consisted of 28 patients (46 ± 18 years, 20 males). The QMT showed a strong positive correlation with RF (r=0.708; p <0.0001) and moderate positive correlation with gait speed (r = 0.627; p = 0.003). Multivariate analysis showed the RF was the independent predictor variable of the QMT (β=0.14; p=0.003). Conclusion: The study showed that QMT was associated with rectus femoral cross-sectional area and gait speed of critically ill patients at the evaluated moments. In addition, RF was an independent predictor of EMQ. These results are clinically relevant because they describe the early applicability of quantitative ultrasound measurements in the setting of critically ill patients, as well as the relationship with functional outcomes.

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Author Biographies

Maurício Tatsch Ximenes Carvalho, Centro Universitário da Região da Campanha, Bagé, RS

Mestre em Reabilitação Funcional pela Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brasil.

Tamires Daros dos Santos, Universidade Federal de Santa Maria, Santa Maria, RS

Mestre em Reabilitação Funcional pela Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brasil.

Bárbara Lago Aragones, Universidade Federal de Santa Maria, Santa Maria, RS

Especialização em Reabilitação Físico-Motora pela Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brasil.

Everton Ludke, Universidade Federal de Santa Maria, Santa Maria, RS

Doutor em Radioastronomia pela University of Manchester, Inglaterra. Professor do Curso de Pós-Graduação Educação em Ciências: Química da Vida e Saúde da Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brasil.

Aron Ferreira da Silveira, Universidade Federal de Santa Maria, Santa Maria, RS

Professor do Departamento de Morfologia e do Programa de Pós-Graduação em Distúrbios da Comunicação Humana pela Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brasil.

Isabella Martins de Albuquerque, Universidade Federal de Santa Maria, Santa Maria, RS

Doutora em Medicina: Ciências Médicas pela Universidade Federal do Rio Grande do Sul (UFRGS). Professora do Programa de Pós-Graduação em Reabilitação Funcional da Universidade Federal de Santa Maria (UFSM) – Santa Maria, RS (Brasil). 

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Published

2020-04-27

How to Cite

Carvalho, M. T. X., Santos, T. D. dos, Aragones, B. L., Ludke, E., Silveira, A. F. da, & Albuquerque, I. M. de. (2020). Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients. Saúde (Santa Maria), 46(1). https://doi.org/10.5902/2236583440611

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