“Effectiveness of Progressive Mobility Protocols in ICU Patients: A Controlled Study”

Abstract

Background: Critically ill patients admitted to the Intensive Care Unit (ICU) often develop muscle weakness, reduced functional capacity, and prolonged immobilization, leading to delayed recovery. Early mobilization through structured progressive mobility protocols has been suggested to improve clinical and functional outcomes.
Aim:To evaluate the effectiveness of progressive mobility protocols on functional outcomes and clinical parameters in ICU patients.
Materials and Methods:A prospective controlled study was conducted on 30 ICU patients who were divided into experimental (n=15) and control (n=15) groups. The experimental group received a progressive mobility protocol, while the control group received conventional physiotherapy. Outcome measures included ICU Mobility Scale (IMS), MRC Muscle Strength Scale, and Functional Independence Measure (FIM). Duration of ICU stay and mechanical ventilation were also recorded. Data were analyzed using paired and unpaired t-tests, with p < 0.05 considered statistically significant.
Results:The experimental group showed significant improvement in functional mobility, muscle strength, and functional independence compared to the control group (p < 0.05). Additionally, a reduction in ICU length of stay and duration of mechanical ventilation was observed in the experimental group.
Conclusion: Progressive mobility protocols are effective in improving functional outcomes and reducing ICU-related complications. Their incorporation into routine ICU care can enhance patient recovery and overall clinical outcomes.