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Original Research

Open Access

The effect of the addition of in-bed leg cycling using a MOTOmed device to standard rehabilitation on the length of mechanical ventilation: a randomized clinical trial

  • Jan Maca1,2,3,*,
  • Chwalkova Iva4
  • Fiedorova Iva4
  • Knapkova Lucie4
  • Koci Marketa1,2
  • Nytra Ivana1,2
  • Kucerova Zuzana1,2
  • Zoubkova Renata1,4

1Department of Anesthesiology and Intensive Care Medicine, University Hospital Ostrava, 70300 Ostrava, Czech Republic

2Institute of Intensive Care and Emergency, Faculty of Medicine, University of Ostrava, 70300 Ostrava, Czech Republic

3Institute of Physiology and Pathophysiology, Faculty of Medicine, University of Ostrava, 70300 Ostrava, Czech Republic

4Department of Physiotherapy, University Hospital Ostrava, 70852 Ostrava, Czech Republic

DOI: 10.22514/sv.2022.024 Vol.19,Issue 1,January 2023 pp.57-64

Submitted: 05 November 2021 Accepted: 28 December 2021

Published: 08 January 2023

*Corresponding Author(s): Jan Maca E-mail:


Successful weaning from mechanical ventilation (MV) belongs to the challenges in critical care. The study evaluated the effect of the addition of in-bed leg cycling using a MOTOmed device to standard rehabilitation on the length of MV. Randomized open-label clinical trial. Sixty-seven mechanically ventilated patients were random allocated in the in-bed leg cycling MOTOmed group (m-group) and the control group (c-group). The standard physiotherapy was carried out twice a day in both groups. The m-group received additional in-bed leg cycling rehabilitation using a MOTOmed device once daily. We included 20 patients in m-group and 19 in c-group in the final analysis. In the m-group, a non-significant reduction in both total length of MV (21.0 ± 9.78 vs. 24.4 ± 10.88 days, p = 0.915) and length of MV from randomization (5.4 ± 6.17 vs. 8.7 ± 8.00 days, p = 0.860) was observed. Both groups had significant muscle strength improvement (knee joint extension, handgrip). However, the m-group patients reached the same muscle strength level in a shorter time (8.70 ± 6.44 vs. 6.8 ± 4.3 days, p = 0.534). In our study, adding the MOTOmed device in-bed leg cycling to standard rehabilitation did not significantly reduce mechanical ventilation length in critically ill patients.


In-bed cycling; Rehabilitation; Mechanical ventilation; Critical care; Weaning

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Jan Maca,Chwalkova Iva,Fiedorova Iva,Knapkova Lucie,Koci Marketa,Nytra Ivana,Kucerova Zuzana,Zoubkova Renata. The effect of the addition of in-bed leg cycling using a MOTOmed device to standard rehabilitation on the length of mechanical ventilation: a randomized clinical trial. Signa Vitae. 2023. 19(1);57-64.


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