Table 1.
Descriptions of low-intensity early activity interventions
Intervention | ||
---|---|---|
Bed-to-sitting | Sitting-to-walking | |
Goals | - To facilitate vascular return. - To reduce dizziness, tiredness and unsteadiness on feet upon ambulation following bed rest. - To prevent misconceptions about bed rest. - To ultimately prevent bed rest dependency and functional decline. |
- To facilitate vascular return. - To reduce dizziness, tiredness and unsteadiness on feet upon ambulation following bed rest. - To prevent misconceptions about bed rest. - To ultimately prevent bed rest dependency and functional decline. - To train the body to get used to being up again. |
Activities | - Point and flex toes while lying supine. - Slide feet back and forth toward buttocks, one at a time. - Lift buttocks up and down, as high as tolerated. - Slide legs, one at a time, out to side and back again. - Lift feet up and down, one at a time. - Sit on edge of bed with feet against floor for up to 10 min. - While sitting, lift heels up and down. - While sitting, lift knees up and down. - Return to lying in bed. |
- Sit on edge of bed with feet against floor for up to 10 min. - While sitting, lift heels up and down. - While sitting, lift knees up and down. - Stand and sit in chair with feet touching the floor, and/or walk as tolerated. |
Mode | - In bed and sitting on edge of bed | - Sitting at side of bed or chair and walking in room or hallway. |
Dose | - Within 48 h of admission. - Each individual exercise is performed 10 times at least twice a day. |
- Within 48 h of admission. - At least twice a day. - Number and length of sessions gradually increased until sitting in a chair with feet touching the floor and/or walking ≥ 3.5 h/ day as tolerated. |