Copyright ©The Author(s) 2016.
World J Transplant. Sep 24, 2016; 6(3): 517-531
Published online Sep 24, 2016. doi: 10.5500/wjt.v6.i3.517
Table 3 Exercise and mobility for hospitalized lung transplant candidates and recipients
SettingInterventions/prescriptionConsiderations for a complicated hospital course
Intensive care unitUpright positioning AROM for upper extremities Acupuncture for incisional pain Progressive mobility program, consisting of: Bed mobility > dangling > transfer to chair > standing > marching on spot > ambulation with HWW up to 100-200 m with or without MV In sitting or lying: Resistance training using light weights, elastic resistance bandsPROM, A/AROM for those who are sedated/not actively moving Trunk control and sitting balance prior to standing and walking Specialized equipment to facilitate mobility, such as: Standing frames, sit-stand lifts or mechanical lifts, standing and walking slings, portable treadmills, portable ventilators for ambulation in ICU (with appropriate settings to facilitate exercise), manual resuscitation bag with PEEP valve Bedside cycle ergometer or treadmill for aerobic training Video gaming system (e.g., Nintendo Wii™) for balance and strengthening exercises[127]
Step-down unit/wardAROM upper extremities Progressive mobility program: Up to chair 1-3 ×/day; supervised walking 1 × /day building up to 100 m; progress to 4-5 ×/day for 10-15 min bouts and increase distance > 100 m Stair climbing Resistance training: Up to 5 lbs. (1 set × 10 reps) Education re: Lifting restrictions Postural correction/re-education Oxygen titration: Maintain SpO2 > 88% on exertionTransfer training Gait training Gait aids: Progress from HWW > rollator > no gait aids, if able Specialized seating Referral to inpatient rehabilitation for those who are not independent for discharge home