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.
| Level | Defined | Exercise and postures changes |
| Level 1 | Passive activity | ① 20 min: passive cycle ergometer for lower limbs | ② Passive range of motion in lower and upper limbs | ③ Passive position change |
| Level 2 | Sitting 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 3 | Sitting 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 4 | Standing | ① 10 min: assisted cycle ergometer for lower limbs | ② Resisted upper and lower limb exercises | ③ Active bedside sitting | ④ Standing with assistance |
| Level 5 | Ambulation | ① Resisted upper and lower limb exercises | ② Active bedside sitting | ③ Standing | ④ Ambulation with assistance (worker or device) |
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