To the Editor, In a prospective, randomized, single-center trial including a total of 314 patients, Fossat et al. reported that early in-bed leg cycling exercises together with quadriceps muscles electrical stimulation added to standard rehabilitation program did not improve global muscle strength of critically ill patients at the time of intensive care unit (ICU) discharge [1]. Although the authors adequately pointed out the limitations of their study, the take-home message to critical care personnel may be misleading. Indeed, there are additional aspects in the intervention methods, baseline characteristics, and concomitant therapies that may have modified the observed results and conclusions. [...]
Laterre, P.-F., Hickmann, C., & Castanares Zapatero, D. (2019). Passive leg cycling and electrical stimulation cannot preserve strength in sepsis. Critical Care, 23(1), 37 [1-2]. https://doi.org/10.1186/s13054-018-2226-3 (Original work published 2019)