International Journal on Science and Technology

E-ISSN: 2229-7677   •   Impact Factor: 9.88

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Call for Paper Volume 17 Issue 3 July-September 2026 Submit your research before last 3 days of September to publish your research paper in the issue of July-September.
Submit Research Paper Join as a Reviewer

Plagiarism is checked by the leading plagiarism checker TurnItIn

Call for Paper

Volume 17 Issue 3
July-September 2026

Submit your research paper

Indexing Partners
Academia Advanced Sciences Index Bielefeld Academic Search Engine CiteSeer DRJI Google Scholar Independent Search Engine & Directory Network ISI (International Scientific Indexing) Issuu Mendeley Research Networks
RefSeek ResearcherId - Thomson Reuters ResearchGate Scirus Scribd Semantic Scholar UTeM - Universiti Teknikal Malaysia Melaka Wiki for Call for Papers WorldCat Zenodo

Rehabilitation after Intensive Care Unit Acquired Weakness: Early Mobilization, Exercise Progression and Functional Recovery - A Narrative Review

Author(s) Dr. Siva Bali Reddy Katasani, Dr. S Purna Chandra Shekhar, Dr. Amaresh Mohan, Dr. Sama Raju
Country India
Abstract Background: Intensive care unit–acquired weakness (ICU-AW) is a diffuse neuromuscular complication of critical illness associated with impaired mobility, delayed recovery and long-term disability. Early rehabilitation has become a major strategy for countering immobility, but intervention timing, dose and progression remain variable. Objective: To synthesize evidence published from 2012 through 2020 on physiotherapy assessment, early mobilization and exercise progression for adults with ICU-AW. Methods: A structured narrative review was conducted using peer-reviewed English-language literature published between January 2012 and December 2020. Priority was given to clinical studies, systematic reviews and consensus recommendations addressing ICU-AW, muscle wasting, mobilization safety, functional outcomes and post-ICU recovery. Results: Critical illness produces rapid muscle loss through inflammation, catabolism, disuse and impaired neuromuscular function. Early mobilization is generally feasible when delivered through interdisciplinary screening and may improve strength and mobility, although effects on mortality and long-term function are inconsistent. Reliable assessment combines arousal, Medical Research Council sum score, ICU Mobility Scale and task-based measures. Rehabilitation should progress from positioning and active participation to sitting, standing, transfers, walking and endurance training, with explicit physiological safety criteria. Conclusion: Physiotherapists play a central role in identifying ICU-AW, preventing avoidable immobility and coordinating recovery across ICU, ward and community settings. Standardized dosing and longer-term outcome studies remain priorities.
Keywords intensive care unit–acquired weakness; early mobilization; physiotherapy; mechanical ventilation; critical illness; functional recovery
Published In Volume 13, Issue 2, April-June 2022
Published On 2022-05-10
DOI https://doi.org/10.71097/IJSAT.v13.i2.11526
View / Download PDF File

Share this


CrossRef

Crossref DOI prefix of IJSAT is 10.71097/IJSAT

Downloads
Research Paper Format Copyright Permission Form and Undertaking Form Cover Page Vol 17 Isu 3Cover Page Vol 17 Isu 2Cover Page Vol 17 Isu 1

All research papers published on this website are licensed under Creative Commons Attribution-ShareAlike 4.0 International License, and all rights belong to their respective authors/researchers.

CC-BY-SA Open Access

About IJSAT
Fees & Payment
Current Issue
Publication Archive 		Submit Research Paper
Track Submission Status
Publication Guidelines
Publication Ethics 		Join as a Reviewer
Editors & Reviewers
Get Reviewer Membership Certi. 		Website/Journal Policies
Usage Policy
Content Policies
Privacy Policy
Contact Us Message on WhatsApp +91-9687-182-185 editor@ijsat.org