notably in medical and surgical ICUs.
Multiple retrospective and prospective
studies have demonstrated the
feasibility and safety of early, intensive
physical therapy in this setting.
A recent systemic review of 17 previous
studies concluded that early
physical therapy in this setting could
be performed safely and likely
resulted in improved outcomes.410
To this end, authors have argued for
daily physical therapy in the NICU
for patients who are critically ill.11
Currently, 2 randomized controlled
trials are actively enrolling patients
in medical NIGUs to assess the benefits
of early physical therapy.9 The
participants in these trials are randomized
to receive daily physical
therapy focusing on breathing exercises,
strength exercises, mobility
activities, and ROM once they are
able to follow instructions in the
NICU.