Table 1

Characteristics of included systematic reviews

Author (year)
Aim of SR
Stage of recovery continuumSearch dates*
No. studies included
Patients included (range; total)
Population†InterventionComparatorCategory of outcome
Outcome measure/s (*denotes primary)
Quality appraisal method
Kayambu et al (2013)26
Review the evidence base for exercise in critically ill patients
In ICU1980 to January 2012
10
24–140; 790
Patients receiving physical therapy in the ICUPhysical therapyNo or minimal physical therapy in contrast to the intervention groupImpairment:
  • Peripheral muscle strength

  • Respiratory muscle strength

Activity limitation: PFParticipation restriction: Quality of life
  • Healthcare utilisation: Ventilator-free days

  • ICU and hospital LOS

  • Mortality

PEDro
Revised-AMSTAR
Hermans et al (2014)25
Review the evidence for any intervention to reduce the incidence of CIP or CIM in critically ill individuals
In ICU1966 to 4 October 2011
2
104–140; 244
Adult (≥18 years of age) admitted to a medical, surgical or mixed ICUPhysiotherapy
EMS
Rehabilitation programme
Placebo, no treatment or a different treatmentImpairment: Incidence of CIP/CIM in ICU*Healthcare utilisation:
  • Duration of MV

  • ICU LOS

  • 30d and 180d mortality

Adverse events:Serious adverse events
Cochrane Risk of Bias
Wageck et al (2014)27
Investigate the applications and effects of NMES in critically ill patients in the ICU
In ICUUp until 26 November 2013
8
16–52; 274
Adult (≥18 years of age) critically ill patients in the ICU for ≥48 hoursNMESNot specifiedImpairment:
  • Muscle strength

  • Muscle structure

Healthcare utilisation:
  • ICU LOS

  • Duration MV

Adverse events:
Complications from immobilisation and bed rest
PEDro
Calvo-Ayala et al (2013)24§
Identify effective interventions that improve long-term PF in ICU survivors
Across all stagesJanuary 1990 to December 2012
7
16–195; 678
Inclusion
Adult (≥18 years of age) patients admitted to an ICUExclusion
Acquired brain injury or underlying neuropathy/myopathy
Long-term acute-care hospital patients
Exercise/physical therapyPlacebo, no treatment or a different treatmentActivity limitation: Long-term PF or its surrogates*PEDro
Connolly et al (2015)13
Assess effectiveness of exercise rehabilitation programmes initiated after ICU discharge in adult ICU survivors
Post-ICU discharge1966 to 15 May 2014
6
16–195; 483
Inclusion
Adult (≥18 years of age) patients admitted to an ICU or critical care unit; MV ≥24 hours
Discharged from ICU at the time of receiving the interventionExclusion
Palliative care
Patients with targeted rehabilitation pathways
Exercise rehabilitation or trainingAny other intervention, control or ‘usual care’ programmeActivity limitation: Functional exercise capacity*Participation restriction: Health-related quality of life*Healthcare utilisation: MortalityAdverse events: Adverse eventsCochrane Risk of Bias
  • *Search dates reported as per individual systematic review and may/may not include specific detail.

  • Population described as per individual systematic review and may/may not include specific ‘Inclusion’ and ‘Exclusion’ criteria.

  • SR includes any treatment related to decreasing risk of CIP/CIM; data reported relate to physical rehabilitation interventions included.

  • §SR includes any treatment where long-term PF was an outcome; data reported relate to physical rehabilitation interventions included.

  • NB include ‘Other’ outcomes related to trial intervention, for example, withdrawal rates, adherence and loss to follow-up.

  • AMSTAR, Assessment of Multiple Systematic Reviews; CIM, critical illness myopathy; CIP, critical illness polyneuropathy; EMS, electrical muscle stimulation; ICU, intensive care unit; LOS, length of stay; MV, mechanical ventilation; NMES, neuromuscular electrical stimulation; PEDro, Physiotherapy Evidence Database; PF, physical function.