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Unleashing the Power of Very Early Mobilization in Acute Stroke Recovery

This article delves into the benefits and significance of Very Early Mobilization (VEM) in aiding the recovery of acute stroke patients. By unpacking the science behind its implementation, we highlight the importance of early mobilization as an effective treatment plan.

The Concept of Very Early Mobilization (VEM): The central idea of VEM is getting a patient out of bed and participating in activities such as sitting, standing, or walking within 48 hours of a stroke. This prompt response in the acute care of stroke patients is critical in fostering positive recovery outcomes.

Avoiding Bed-Related Complications: Extended bed rest post-stroke can lead to new complications. Deep vein thrombosis, lung infections, muscle atrophy, bone resorption, and various musculoskeletal issues are among the risks. Such issues could heighten disability and mortality rates among stroke patients. A study by Peter Langhorne et al ,in Very early versus delayed mobilization after stroke, demonstrated how prolonged bed rest can negatively impact patient recovery.

Implications on Brain Plasticity: Brain plasticity, the brain’s ability to adapt and modify its function following an injury, can be stimulated by VEM. Lack of mobilization could harm brain relearning and remodelling, potentially leading to spasticity – abnormal muscle tightness.

Preventing Further Damage: VEM can help to mitigate damage to the blood-brain barrier, limit neuronal cell death, and promote the formation of new blood vessels. Prolonged bed confinement post-stroke can result in disability, difficulty returning to productive life, and even limb contractures.

Very Early Mobilization (VEM) plays a crucial role in acute stroke care and recovery, contributing to better patient prognosis and reducing potential complications. Although the fragility of stroke patients is a genuine concern, current research has demonstrated that the benefits of VEM significantly outweigh the risks.

To all healthcare providers involved in acute stroke care – consider the implementation of VEM as a standard practice in your protocol. Let’s strive together for better patient outcomes, shorter hospital stays, and lower complication rates. Your commitment to this practice can change the course of stroke recovery for many patients.

Author Bio:

Dr Karthik MPT Neuro , PhD Scholar

Head of Therapy

(https://www.linkedin.com/in/karthik-janarthanan-9a85034a/)

Reference:

https://link.springer.com/article/10.1007/s00415-022-11411-5

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6490474

https://www.ahajournals.org/doi/10.1161/STROKEAHA.114.007434