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OVER 98% PASS RATE FOR THE NCS, PCS, OCS, AND GCS EXAMS › forums › NCS Advantage › Criteria to begin an early mobilization program post CVA
Hello,
I was wondering if the criteria to begin an early mobilization program post CVA still remained the same based on the most updated research.
The last time I checked it included: MAP greater than or equal to 80, or less than or equal to 110, HR greater than or equal to 40, or less than or equal to 130bpm, pulse Ox greater or equal to 88%, ICP less than or equal to 15mmHG, etc.
Hi Pamela,
The most current high quality study I found on the topic of early mobilization post-CVA is this one:
Mariana de Aquino Miranda J, Mendes Borges V, Bazan R, José Luvizutto G, Sabrysna Morais Shinosaki J. Early mobilization in acute stroke phase: a systematic review. Topics in Stroke Rehabilitation. 2021;30(2):157–168. https://doi.org/10.1080/10749357.2021.2008595
The article is worth reviewing because it has a nice overview of the literature, protocols, and outcomes of early mobilization.
Here’s an excerpt with their criteria for early mobilization (within 24 hours of stroke):
“Before early mobilization during the acute phase of stroke, it is necessary to pay attention to the safety signs that interrupt the exercises. Systolic pressure should be approximately 110–220 mmHg, oxygen saturation should be ≥92% even if O2 support is required, heart rate should be approximately 40–110 bpm, and temperature should be <38.5°C.Citation17 In addition, hemodynamic stability should be assessed (there should be no high doses of vasoactive and/or anti-hypertensive drugs) and the level of consciousness should be maintained at a certain level (capable of obeying at least one command indicated by the therapist). The hemoglobin level should be greater than 7 g/dl, and the platelet count should be greater than 50,000 Citation34. If the patient presents with sweating or other complaints such as excessive tiredness, nausea, headache, and/or nystagmus, mobilization should be suspended, and the patient should be reevaluated. All studies in this review followed the safety recommendations for early mobilization after stroke, and overall, no serious adverse effects were associated with this therapy."
Pretty close to the criteria you outlined with some minor differences.
Hope this helps!
Chrissy
Thank you Chrissy 🙂 I will go ahead and review the article.
Do you have access to the article? The hemoglobin and platelet levels seem low. is it the same criteria for an ischemic stoke vs a hemorrhagic stroke?