Department of Physiotherapy, Kasturba Medical College, Manipal Academy of Higher Education, Mangaluru, India.
Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
Physiother Theory Pract. 2022 Oct;38(10):1345-1357. doi: 10.1080/09593985.2020.1840683. Epub 2020 Nov 23.
Patients admitted to the intensive care units (ICU) have limited mobility due to their illness and its management and are at a risk for immobility-related complications. Early mobilization has been suggested to prevent or limit physical dysfunction due to these complications. Effectiveness of early mobilization protocols is studied using various outcomes.
To study the effectiveness of an early mobilization protocol on mobility status of patients in Medical ICU.
Patients admitted to Medical ICU were screened for eligibility and allotted into two groups. Intervention group received mobilization according to a protocol while control group received mobilization as per usual mobilization practices in our ICU. Mobility was assessed using the Perme ICU mobility score on the first day of ICU, first day of rehabilitation and last day of rehabilitation.
63 patients were included in the study. The median difference in the Perme ICU mobility score from first day of rehabilitation to last day of rehabilitation was 9 and 2 in the intervention group and control group respectively. Significant improvements in the mobility scores were not present from first day of ICU to first day of rehabilitation in both, the intervention ( = .069) and control group ( = .124). Improvement in the scores from first day of rehabilitation to last day of rehabilitation was significant within and between both the groups ( < .001).
Early Mobilization Protocol was effective in improving mobility status of patients in Medical ICU.
入住重症监护病房（ICU）的患者由于疾病及其治疗而活动受限，存在与活动受限相关的并发症风险。早期活动被认为可以预防或限制这些并发症引起的身体功能障碍。早期活动方案的有效性通过各种结果进行研究。
研究早期活动方案对内科 ICU 患者活动能力的影响。
对入住内科 ICU 的患者进行筛选，以确定其是否符合入选标准，并将其分为两组。干预组根据方案进行活动，而对照组则按照 ICU 中的常规活动实践进行活动。使用 Perme ICU 活动评分在 ICU 入院第 1 天、康复第 1 天和康复第 14 天评估活动能力。
本研究共纳入 63 名患者。干预组和对照组患者在康复第 14 天的 Perme ICU 活动评分与康复第 1 天的评分差值中位数分别为 9 和 2。干预组（ = 0.069）和对照组（ = 0.124）的活动评分从 ICU 入院第 1 天到康复第 1 天均无显著改善。两组患者的评分从康复第 1 天到康复第 14 天都有显著改善（ < 0.001）。
早期活动方案可有效改善内科 ICU 患者的活动能力。
