The relationship between disease severity and mortality risk in critical care patients with respiratory muscle strength, muscle biomechanical properties and muscle architecture

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dc.authoridhttps://orcid.org/0000-0003-0985-0100
dc.contributor.authorTanrıöğen, Beyza
dc.contributor.authorYurdalan, Saadet Ufuk
dc.contributor.authorKardeş, Kübra
dc.contributor.authorKabasakal, Elif
dc.contributor.authorParlak, Hakan
dc.contributor.authorElbaşı, Nurgül Dürüstkan
dc.contributor.authorYelvar, Gül Deniz Yılmaz
dc.date.accessioned2026-02-23T06:05:01Z
dc.date.available2026-02-23T06:05:01Z
dc.date.issued2025
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.description.abstractAims: Long-term immobilization in critical care (CC) patients negatively affects the respiratory and musculoskeletal systems. Increased disease severity may worsen these systems, but the relationship with muscle strength, biomechanics, and architecture is unclear. Understanding these effects is essential for developing effective physiotherapy strategies. Methods: CC patients who were not on mechanical ventilation were included. Disease severity and mortality risk of was evaluated with the Acute Physiology and Chronic Health Evaluation II (APACHE II) score. The respiratory muscle strength was recorded by maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP). Ultrasonographic measurements were taken from quadriceps femoris (QF) for muscle thickness. Muscle tone was recorded from the rectus femoris (RF) and vastus lateralis (VL) with myotonometer. Results: 31 CC patients with an age of 65.42±8.84 were included. Positive correlation between APACHE II score and right-left VL muscle tone (p=0.041, r=0.370, p=0.294, r=0.195, respectively) and right-left RF muscle tone (p=0.039, r=0.372, p=0.020, r=0.415); A negative correlation was detected between APACHE II score and right-left QF muscle thickness (p=0.001, r=-0.569, p=0.005, r=-0.493) and MIP and MEP (p=0.028, r=-0.394, p=0.045, r=-0.363). Conclusion: An increase in disease severity negatively affects respiratory muscle strength, muscle biomechanics, and muscle architecture. Future studies investigating the impact of respiratory physiotherapy on these parameters may highlight the effect of physiotherapy approaches on clinical state in CC.
dc.identifier.citationKaya, D. ve Dinçer, B. (2023). Web of Science veri tabanına dayalı bibliyometrik analiz: Uzamsal düşünme, uzamsal görselleştirme ve uzamsal yetenek[Web of Science veritabanına dayalı bibliyometrik analiz: Mekansal düşünme, mekansal görselleştirme ve mekansal yetenek]. Ulu(1), 174–20https://doi10.1183/13993003.congress-2025.PA4904
dc.identifier.doi10.1183/13993003.congress-2025.PA4904
dc.identifier.issn0903-1936
dc.identifier.issue69
dc.identifier.urihttps://hdl.handle.net/20.500.12941/382
dc.identifier.volume66
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.institutionauthorYurdalan, Saadet Ufuk
dc.institutionauthoridhttps://orcid.org/0000-0003-0985-0100
dc.language.isoen
dc.publisherERS Publications
dc.relation.ispartofEuropean Respiratory Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectRespiratory System
dc.titleThe relationship between disease severity and mortality risk in critical care patients with respiratory muscle strength, muscle biomechanical properties and muscle architecture
dc.typeArticle

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