Mobilization in Neurocritical Care: Challenges and Opportunities.

IF 4.8 2区医学 Q1 CLINICAL NEUROLOGY

Current Neurology and Neuroscience Reports Pub Date : 2024-12-26 DOI:10.1007/s11910-024-01399-y

Kristen Nobles, Kyle Cunningham, Brianna Fecondo, Susan M Closs, Kathleen Donovan, Monisha A Kumar

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引用次数: 0

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.

查看原文本刊更多论文

神经危重症护理动员：挑战与机遇。

回顾目的：神经重症监护病房（NICU）的活动可显著改善预后和功能恢复，同时预防与不活动相关的并发症。神经系统疾病的异质性需要量身定制的跨学科动员策略。本文综述了最近关于在新生儿重症监护室环境中提高动员干预的可行性和有效性的研究。近期发现：早期活动可改善功能结果，减少肌肉萎缩和压疮等并发症，并可缩短ICU住院时间。安全实施涉及个性化方案和多学科团队，强调早期动员有利于神经系统危重患者。基于证据的跨学科重症监护病房患者动员方案的发展提高了患者的预后和生活质量。使用结果测量可以促进活动，同时防止因不活动引起的并发症。未来对新兴技术的研究，如移动设备和虚拟/增强现实，将有助于确定最佳的移动时间和剂量，以改善独特的新生儿重症监护病房人群的长期功能结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Neurology and Neuroscience Reports 医学-临床神经学

CiteScore

9.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.