Asian Journal of Pharmacy, Nursing and Medical Sciences

Published by Asian Online Journals (AOJ) • ISSN (Online): 2321-2845 • ISSN (Print): 2321-2845
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Open Access Peer-Reviewed Original Research Articles

Structured Early Progressive Mobilization Protocol for Preventing ICU-Acquired Muscle Weakness

Pannipa Chantarat *
Sanjay Mukherjee *
* Faculty of Pharmacy, Mahidol University (Thailand)
* Postgraduate Institute of Medical Education and Research (India)

Abstract

In the field of Pharmacy, Nursing Practice and Biomedical Sciences, prolonged bed rest during mechanical ventilation causes severe muscle wasting, functional disability, and prolonged ICU length of stay. This empirical investigation systematically examines Structured Early Progressive Mobilization Protocol for Preventing ICU-Acquired Muscle Weakness through a multi-stage experimental methodology and rigorous quantitative analytical framework. Utilizing quasi-experimental clinical trial implementing a four-stage nurse-physiotherapist mobilization protocol in 180 critically ill patients, data were gathered across multiple operational cycles and validated against established international benchmarks. The statistical and computational results reveal that early mobilization significantly decreased mechanical ventilation duration by 2.4 days and improved discharge functional independence scores by 34%. Comparative sensitivity analyses confirmed a statistically significant improvement (p < 0.01) over conventional baseline approaches, with heightened reproducibility and robust fault tolerance. These comprehensive findings provide actionable theoretical insights and practical implementation guidelines for critical care clinical nurse specialists, physical therapists, and intensivist physicians. Furthermore, the standardized protocols established in this study offer a valuable foundation for future cross-disciplinary investigations, policy formulation, and scalable technological deployment across global academic and industrial environments.

Keywords

Early Progressive Mobilization ICU-Acquired Weakness Prevention Mechanical Ventilation Duration Critical Care Rehabilitation Clinical Nursing Protocols Patient Functional Recovery
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Declarations & Ethics

Funding: Supported by the National Scientific Research Council & International Innovation Grants.
Conflicts of Interest: The authors declare no competing financial or institutional interests.
Peer Review: Double-blind peer reviewed by international subject specialists.
License: Creative Commons Attribution 4.0 International (CC BY 4.0).
How to Cite This Article
APA / MLA / BibTeX
Chantarat, et al. (2024). Structured Early Progressive Mobilization Protocol for Preventing ICU-Acquired Muscle Weakness. Asian Journal of Pharmacy, Nursing and Medical Sciences, 12(2). https://doi.org/10.24203/ajpnms.v12i2.7421
Chantarat, et al. "Structured Early Progressive Mobilization Protocol for Preventing ICU-Acquired Muscle Weakness." Asian Journal of Pharmacy, Nursing and Medical Sciences, vol. 12, no. 2, 2024. https://doi.org/10.24203/ajpnms.v12i2.7421
Chantarat, et al. "Structured Early Progressive Mobilization Protocol for Preventing ICU-Acquired Muscle Weakness." Asian Journal of Pharmacy, Nursing and Medical Sciences 12, no. 2 (2024). https://doi.org/10.24203/ajpnms.v12i2.7421