Research Article

Effects of the High-Intensity Early Mobilization on Long-Term Functional Status of Patients with Mechanical Ventilation in the Intensive Care Unit

Table 1

High-intensity early mobility program for patients with invasive mechanical ventilation.

LevelDefinedExercise and postures changes

Level 1Passive activity① 20 min: passive cycle ergometer for lower limbs
② Passive range of motion in lower and upper limbs
③ Passive position change

Level 2Sitting in bed (responsive to instruction and muscle strength ≤ 2)① 15 min: assisted cycle ergometer for lower limbs
② Assisted exercises for upper limbs
③ Assisted position changes in bed
④ 30 min: assisted in bed sitting

Level 3Sitting in chair (responsive to instruction and muscle strength ≥ 3)① 15 min: assisted cycle ergometer for lower limbs
② Resisted upper and lower limb exercises
③ 30 min: assisted or active bedside sitting
④ Sitting in chair

Level 4Standing① 10 min: assisted cycle ergometer for lower limbs
② Resisted upper and lower limb exercises
③ Active bedside sitting
④ Standing with assistance

Level 5Ambulation① Resisted upper and lower limb exercises
② Active bedside sitting
③ Standing
④ Ambulation with assistance (worker or device)