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Nobles K, Cunningham K, Fecondo B, Closs SM, Donovan K, Kumar MA. Mobilization in Neurocritical Care: Challenges and Opportunities. Curr Neurol Neurosci Rep 2024; 25:13. [PMID: 39722066 DOI: 10.1007/s11910-024-01399-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/20/2024] [Indexed: 12/28/2024]
Abstract
PURPOSE OF REVIEW Mobilization in the Neurological Intensive Care Unit (NICU) significantly improves outcomes and functional recovery while preventing immobility-related complications. The heterogeneity of neurologic conditions necessitates tailored, interdisciplinary mobilization strategies. This article reviews recent research on enhancing the feasibility and effectiveness of mobilization interventions in NICU settings. RECENT FINDINGS Early mobilization improves functional outcomes, reduces complications like muscle atrophy and pressure ulcers, and can shorten ICU stays. Safe implementation involves individualized protocols and a multidisciplinary team, emphasizing that early mobilization benefits critically ill neurological patients. Development of evidenced-based protocols for interdisciplinary NICU patient mobilization enhances patient outcomes and quality of life. Use of outcome measures can facilitate mobility while preventing complications from immobility. Future research in embracing emerging technologies such as mobilization equipment and virtual/augmented reality will help determine optimal timing as well as dosage of mobility to improve long-term functional outcomes in the unique NICU population.
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Affiliation(s)
- Kristen Nobles
- Department of Physical and Occupational Therapy, Hospital of The University of Pennsylvania and Penn Presbyterian Medical Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Kyle Cunningham
- Department of Physical and Occupational Therapy, Hospital of The University of Pennsylvania and Penn Presbyterian Medical Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Brianna Fecondo
- Department of Physical and Occupational Therapy, Hospital of The University of Pennsylvania and Penn Presbyterian Medical Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Susan M Closs
- Department of Neurosurgery, Hospital of The University of Pennsylvania and Penn Presbyterian Medical Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Kathleen Donovan
- Department of Neurosurgery, Hospital of The University of Pennsylvania and Penn Presbyterian Medical Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Monisha A Kumar
- Department of Neurology, Hospital of The University of Pennsylvania and Penn Presbyterian Medical Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
- Department of Neurosurgery, Hospital of The University of Pennsylvania and Penn Presbyterian Medical Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
- Anesthesiology & Critical Care, Hospital of The University of Pennsylvania, Philadelphia, PA, USA.
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Haseeb A, Oduoye MO, Jawed I. Letter to the editor "effect of continuous hypertonic saline infusion on clinical outcomes in patients with traumatic brain injury". Neurosurg Rev 2024; 47:96. [PMID: 38413416 DOI: 10.1007/s10143-024-02331-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 02/19/2024] [Accepted: 02/24/2024] [Indexed: 02/29/2024]
Affiliation(s)
- Abdul Haseeb
- Department of Medicine, Jinnah Sindh Medical University, Rafiqi H J Shaheed Road, Karachi, Pakistan.
| | | | - Inshal Jawed
- Department of Medicine, Dow University of Health Sciences, Mission Rd, Karachi, Sindh, Pakistan
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