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Related Experiment Videos

Early intensive care unit mobility: future directions.

Peter E Morris1, Margaret S Herridge

  • 1Section on Pulmonary, Critical Care, Allergy, and Immunologic Diseases, Wake Forest University School of Medicine, Gray Building, Room 3141, Medical Center Boulevard, Winston Salem, NC 27157, USA. pemorris@wfubmc.edu

Critical Care Clinics
|February 20, 2007
PubMed
Summary
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Future directions in intensive care unit (ICU) mobility are explored, addressing limitations in understanding immobility, risks, and benefits of early patient mobilization, and implementation strategies for ICU programs.

Area of Science:

  • Critical Care Medicine
  • Rehabilitation Science
  • Patient Mobility

Background:

  • Previous articles discussed the benefits and impediments of intensive care unit (ICU) patient mobilization.
  • Current practices may hinder the delivery of early mobilization for critically ill patients.

Purpose of the Study:

  • To discuss future directions in early intensive care unit (ICU) mobility.
  • To identify limitations in understanding immobility effects and the risks/benefits of early mobility.
  • To outline strategies for implementing early mobility programs and facilitating their integration into ICU care.

Main Methods:

  • Review of current literature and clinical practice regarding ICU mobility.
  • Identification of knowledge gaps concerning immobility and early mobilization.

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  • Development of a roadmap for future research and implementation of early ICU mobility therapies.

    • Main Results:

    • Current understanding of immobility's impact on muscle and nerve is limited.
    • Uncertainty persists regarding the precise risks and benefits of early mobility interventions.
    • Key challenges include implementing early mobility programs and addressing ICU process of care issues.

    Conclusions:

    • Further research is needed to fully elucidate the effects of immobility and the optimal application of early mobility.
    • Development and testing of structured early ICU mobility therapies are crucial.
    • A roadmap is proposed to guide future advancements in this field.