Effects, #feasibility, and Safety of an Early Mobilization Protocol With Immersive Virtual Reality for Dyspnea in Patients With Acutely Decompensated Heart Failure: The MOVE Randomized Clinical Trial Background: Severe dyspnea commonly occurs in patients with acutely decompensated heart failure. Early mobilization seems to benefit this population, but its initiation is challenging. Virtual reality transports patients to a less stressful virtual environment. However, its effect on the sensation of dyspnea in this population remain unknown. Also, the #feasibility and safety of its use in conjunction with an early mobilization program are yet to be fully explained. Objective: To assess the effects, #feasibility, and safety of an early mobilization protocol with immersive virtual reality on the sensation of dyspnea in patients with acutely decompensated heart failure admitted in an intensive care unit. Methods: A single-center, parallel, superiority randomized clinical trial was conducted from January 2023 to January 2024. Patients were randomized into intervention (IG) and control (CG) groups, both of which underwent up to three sessions of an early mobilization protocol, including upper and lower limb cycle ergometry, standing, and ambulation. Additionally, the IG used virtual reality headsets. The primary outcome assessed dyspnea by the modified Borg scale before and after each session. Secondary outcomes included vital signs before and after each session and adverse events. Results: This study included 58 participants (IG n= 28, CG n= 30) with a mean age of 59±11.6 years. Most were men (42 – 72.4%), had a left ventricular ejection fraction of 26.6±12.5%, and a New York Heart Association class III (28 – 48.3%). Only 25 participants (43.1%) completed all three protocol sessions. The sensation of dyspnea was similar between groups (IG: -0.17±1.68, CG: 0.01±1.73, P= 0.666); vital signs varied within expected parameters with no differences between groups (P> 0.05); and no serious adverse events occurred. Conclusions: Virtual reality had no impact on the sensation of dyspnea. The mobilization protocol was considered feasible and safe in both groups. Clinical Trial: ClinicalTrials.gov NCT05596292.

JMIR Formative Res: Effects, #feasibility, and Safety of an Early Mobilization Protocol With Immersive Virtual Reality for Dyspnea in Patients With Acutely Decompensated Heart Failure: The MOVE Randomized Clinical Trial #VirtualReality #HeartFailure #Dyspnea #PatientCare #EarlyMobilization

Dr. Emily Ramage from The Florey Institute or Neuroscience and Mental Health, Australia, discussed the importance of early mobility training in intracerebral hemorrhage (ICH) patients, emphasizing that it’s a globally accessible intervention.

#WSC2025 #StrokeCare #EarlyMobilization #ICH

Addressing ICU-acquired Weakness: A Call for Early Diagnosis and Intervention “ICU acquired weakness – is not a storm, but a shadow – eyes that seek can unmask it early”.

'Addressing ICU-acquired Weakness: A Call for Early Diagnosis and Intervention' - a #JaypeeJournals 'Preventive and Emergency Medicine Insights' editorial on #ScienceOpen:

🖇️ #ICUAcquiredWeakness #CriticalCare #PermeScore #EarlyMobilization

🚴‍♂️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
🔗 www.signavitae.com/articles/10.22514/sv.2022.024