Top Tweets for #EarlyMobilization
JMIR Formative Res: Effects, #feasibility, and Safety of an Early Mobilization Protocol With Immersive Virtual Reality for Dyspnea in Patients With Acutely Decompensated Heart… https://t.co/9fYCCT6iCC #VirtualReality #HeartFailure #Dyspnea #PatientCare #EarlyMobilization
Nonsurgical Treatment Versus Surgical Treatment in Displaced Metacarpal Spiral Fractures: Extended 4.5-Year Follow-Up of a Previously Randomized Controlled Trial
#EarlyMobilization #MetacarpalFracture #Noninferiority #RCT #HandSurgery
https://t.co/r2dUgBgT8y
🦴 Mobilizing for Success: Determinants of Functional Outcomes After Arthroplasty🚀
#Prehabilitation #PatientOptimization #ImplantDesign #Orthopedics #EarlyMobilization #ERAS #MotorSparing #RegionalAnesthesia #Rehabilitation #TipOfTheDay #MyRATips
Tip of the Day:
▪️Arthroplasty is a restorative journey aimed at regaining mobility, independence, and quality of life.
🧠Psychological impact → Early mobilization builds confidence, reduces fear, and speeds rehab.
🏆Outcome success → Synergy of implant choice + pain control + early rehab = better ROM, less pain, improved QoL.
🔑 Key Factors Affecting Functional Outcomes
1️⃣ Preoperative Patient Status
🧍♂️Baseline mobility & strength – Prehabilitation and preserved quadriceps power predict faster recovery.
❤️Comorbidities – Diabetes, obesity, and cardiovascular diseases impair healing and delay rehabilitation.
🧠Psychological readiness – Anxiety, fear of pain, or depression reduce adherence to postoperative physiotherapy.
2️⃣ Intraoperative Considerations
🔧Implant positioning & soft-tissue handling – Accurate alignment, stable fixation, and minimal trauma ensure optimal biomechanics.
⏱️Reduced surgical time – Lowers tissue inflammation and perioperative morbidity.
🩸Hemodynamic stability – Prevents ischemia and aids tissue healing.
3️⃣ Implant Design and Functional Outcomes 🔩
Different implant designs influence biomechanics, proprioception, and muscle efficiency.
▪️Posterior-Stabilized (PS): Reliable rollback, stable flexion → good ROM.
▪️Cruciate-Retaining (CR): Preserves PCL for more physiologic kinematics → better proprioception.
▪️Ultra-Congruent / Medial Pivot: Mimic natural knee motion → smoother early gait and confidence.
▪️Unicompartmental (UKA): Preserves native ligaments → fastest recovery and near-normal function.
👉 Key Points: Even the best implant fails to deliver optimal outcomes if pain is uncontrolled and mobilization is delayed.
4��⃣ Postoperative Mobilization 🚶♀️
💡 Same-day mobilization is non-negotiable.
✅ If mobilized immediately:
▪️Maintains soft tissue flexibility, preventing adhesions.
▪️Reduces fibrosis, stiffness, and long-term pain.
▪️Improves ROM & patient confidence.
▪️Enhances circulation, reduces DVT, & prevents pulmonary complications.
⚠️ If NOT mobilized promptly:
❌ Leads to fibrosis, capsular tightening, & muscle guarding.
❌ Inflammatory responses increase scarring & joint stiffness.
❌ Joint becomes more painful later, prolonging rehab.
❌ Poor ROM → compromised long-term outcomes.
5️⃣ RA: Why Motor-Sparing is Crucial 💉
Femoral Nerve Block (FNB)
✅ Provides excellent analgesia.
❌ Causes quadriceps weakness, delaying ambulation and increasing fall risk.
❌ Contradicts ERAS principles and worsens stiffness by preventing early mobilization.
Motor-Sparing Alternatives
🎯 Preserve quadriceps strength, allowing same-day ambulation.
🚀 Provide analgesia comparable to FNB but with significantly lower fall rates.
✅ Align perfectly with fast-track/ERAS pathways.
6️⃣ Multimodal Pain Management 💊
🌿NSAIDs/COX-2 inhibitors – Target inflammation and swelling.
💡Acetaminophen – Steady background analgesia.
🧬Gabapentinoids & Duloxetine – Address neuropathic pain, preventing central sensitization and chronic postsurgical pain.
💉Low-dose ketamine – Useful opioid-sparing adjunct in select patients.
🏆 Take-Home Message
💡The functional outcome of arthroplasty is not defined by surgical replacement alone, but by a comprehensive rehabilitation strategy:
🚶Immediate mobilization is essential - preventing fibrosis, stiffness, and chronic pain while ensuring optimal ROM.
🔩Implant design sets the biomechanical foundation, but recovery depends on pain-free and confident mobilization.
💉Motor-sparing analgesia allows safe ambulation and avoids the pitfalls of femoral nerve block–induced weakness.
💊Multimodal pain control with neuropathic pain management ensures long-term comfort, protects rehabilitation progress, and prevents chronic pain syndromes.
🎯The journey of arthroplasty success begins with the scalpel, but is completed by pain control, early mobilization, & a patient-centered recovery pathway.🚀
Mobilizing our ICU ventilated patients just got easier!#earlymobilization
Pictured here is our physiotherapist Danielle, we would like to wish Danielle all the best in her new role and thank her for all her hard work with our patients, a pleasure to work with you ♥️
🚴♂️Can early in-bed cycling improve outcomes in mechanically ventilated patients?
🎯Results:
•No significant reduction in MV duration
•Faster muscle strength recovery(not significant)
🏃#Earlymobilization remains a promising strategy.
#ICU #CriticalCare
🔗https://t.co/4vt2PGhrnd
Muscle Dysfunction and Physical Recovery After Critical Illness
https://t.co/2sMnHKZ7yS
重症疾患後の筋機能障害と身体的な回復
#icurehab #earlymobilization #physiotherapy #physicaltherapy #criticalcare
Advance Publication Online
Association Between Early Mobilization and Postoperative Pneumonia Following Robot-assisted Minimally Invasive Esophagectomy in Patients with Thoracic Esophageal Squamous Cell Carcinoma
https://t.co/13afsCB4Gz
#EarlyMobilization #PostoperativePneumonia
أبرز عوائق تطبيق الحركة المبكرة (#EarlyMobilization) في العناية المركزة:
١. تحفظات سلوكية مرتبطة ��السلامة
٢. نقص الأولوية و عدم وضوح مخاطر عدم التطبيق
التوصيات: دعم التدريب مع تطوير بروتوكولات واضحة لتعزيز #جودة_الحياة طويل الأمد
كل الشكر لفريق البحث
https://t.co/icKoYjFSt8
Participants who missed the conference: lectures from our speakers can be watched again on our platform until October 6th (GMT+7) if you have already registered!
#earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
Thank you, everyone, for attending @icurehab2024 and contributing to its success.
Conference Photo: https://t.co/00ZhgGqhVo
#earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
💥 Hội nghị thường niên “Vận động sớm và Phục hồi chức năng trong ICU” Châu Á - Thái Bình Dương (ICURehab 2024)
👉 Xem ngay: https://t.co/aHki5R2WU6
#Benhvientamanh #Tamanhhospital #earlymobilization #rehabilitation #ICU #CriticalCare #AsiaPacific #HCMC #Vietnam
The organizers update images of the conference at this link
https://t.co/00ZhgGqhVo
#earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
Introducing Topic Symposium B in ICURehab2024- Vietnam with featured presentations
Topic: Sharing of International Experts’ Experience Time: afternoon 1:00 p.m. - 5:00 p.m., August 25, 2024
#earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
Introducing Topic Symposium A in ICURehab2024- Vietnam with featured presentations
Topic: The Approach in ICU Rehabilitation for Sepsis/ARDS
Time: Afternoon 1:00 p.m. - 5:00 p.m., August 25, 2024
#earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
Introducing the plenary session with featured presentations
Topic: Embracing rehabilitation as part of the multi-disciplinary ICU team
Time: Morning - 8:00 a.m to 12:00 a.m, August 25, 2024
#earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
Excited to introduce the speakers for Workshop 2
Topic: Rehabilitation and ventilation weaning
Time: Afternoon - 1:00 p.m to 5:00 p.m, August 24, 2024
#earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
Excited to introduce the speakers for Workshop 1
Topic: Respiratory and tracheostomy care
Time: Morning - 8:00 a.m to 12:00 a.m, August 24, 2024
#earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
Don't forget to register by August 15th if you plan to attend the event in person in Ho Chi Minh City, Vietnam.
📷📷Registration here: https://t.co/ZdMM9E03Cu
#earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
The call for POSTER abstracts for ICURehab2024- Vietnam is open! Find out more and get ready to submit your abstract: https://t.co/THtuv1vr3R… #earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
We have launched an online registration form to increase access to the conference for more individuals.
Registration in here: https://t.co/ZdMM9E03Cu
#earlymobilization #rehabilitation #icu #CriticalCare #AsiaPacific #HCMC #Vietnam
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