Get started
Work

Assessing the Impact of Early Mobilization and Physiotherapy on ECMO Recovery: A Standardized Rehabilitation Protocol

Year: 2025
Type: article
Abstract: Background: Extracorporeal membrane oxygenation (ECMO) is a life-saving intervention for patients with severe cardiac and respiratory failure.Despite its benefits, prolonged ECMO support is frequently associated with profound muscle atrophy, intensive care unit-acquired weakness (ICUAW), and lasting functional impairments.Objective: To propose a standardized, evidence-informed rehabilitation protocol for ECMO patients that emphasizes early mobilization, progressive functional recovery, and multidisciplinary coordination.Methods: The protocol is structured into key phases of rehabilitation-from stabilization through weaning and post-ECMO recoveryintegrating comprehensive safety assessments, individualized mobilization goals, and physical therapy interventions tailored to patient tolerance and condition.A multidisciplinary approach, including physicians, physiotherapists, nurses, and occupational therapists, is central to its implementation.Results: Early and structured mobilization during ECMO has been shown to be safe and feasible in appropriately selected patients.Implementing a progressive rehabilitation strategy can reduce complications, preserve muscle function, enhance ventilator weaning, and improve overall quality of life following discharge.Conclusion: A standardized rehabilitation framework during and after ECMO support can significantly enhance functional recovery and longterm outcomes.Ongoing research and multicenter collaboration are essential to optimize protocols, validate safety criteria, and define best practices for post-ECMO rehabilitation.
DOI: 10.5005/jaypee-journals-11011-0059
Language: English
Field: Medicine
Open Access status: bronze
OpenAlex ID: W4413080098
FWCI:
Cites: 12
Cited by:
Related to: 10