Observational studyPhysical therapy2026
Early mobilization in patients with aneurysmal subarachnoid hemorrhage: a prospective observational study.
Observational study in Physical therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
11 authors.
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No grant is acknowledged in the PubMed record.
Abstract
importancePatients with aneurysmal subarachnoid hemorrhage (aSAH) represent a cohort with limited evidence to guide mobilization practices.
objectiveThe objective was to describe acute mobilization practices, outcomes, and barriers to mobilization in patients following aSAH.
designThe design of the study was a single-center prospective, observational study.
settingThis study was conducted in the acute ward and intensive care unit of a tertiary neurosurgical referral center.
participantsParticipants were adult (≥18 years) patients post-aSAH with secured aneurysms. EXPOSURE: Mobilization practices were delivered during physical therapist sessions up to 14 days post-aneurysm repair. MAIN OUTCOMES AND MEASURES: Severity was classified using the World Federation of Neurological Surgeons scale, dichotomizing into "good" (Grade I to II) and "poor" (Grade III to V) clinical status. Mobilization outcomes were measured using the Mobility Scale for Acute Stroke (MSAS), with independent walking assessed.
resultsA total of 102 patients participated with 69 (67.6%) classified as "good" grade and 90 (88.2%) of patients mobilized within the first 14 days. Data were collected from 603 planned mobilization sessions, with barriers to mobilization encountered in 193 (32.0%) of these sessions, primarily due to neurological instability (n = 80, 41.5%) and hemodynamic instability (n = 43, 22.3%). Overall, the highest median MSAS score achieved was 32 (IQR = 10 to 36). By 2 weeks, 65.2% of patients with a "good" clinical status walked independently versus 12.9% in the "poor" group.
conclusionsWhile most patients mobilized, physiological instability commonly prevented mobilization activities. Independent walking by 2 weeks was significantly more common in patients with "good" clinical status. These findings underline the importance of careful screening and monitoring during mobilization in the acute period. RELEVANCE: This study underscores the need for further research into optimal mobilization strategies for improving outcomes in patients with aSAH.
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