[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-459506-105":59,"doc-detail-459506-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","implementation-and-challenges-of-early-phase-physiotherapy-during-cardiovascular-intensive-care","Implementation and Challenges of Early-Phase Physiotherapy During Cardiovascular Intensive Care","","Early-phase physiotherapy during cardiovascular intensive care is framed against rising survival and a growing population with severe disease and multimorbidities, leading to prolonged ICU stays. The review links ICU-acquired weakness and postintensive care syndrome to factors such as sedation, immobility, inflammation, organ support, and brain hypoperfusion. It highlights how early initiation of physiotherapy can prevent physical decline and persistent cognitive/mental impairments, and it outlines current assessment and treatment strategies and future challenges.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/implementation-and-challenges-of-early-phase-physiotherapy-during-cardiovascular-intensive-care/459506/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/implementation-and-challenges-of-early-phase-physiotherapy-during-cardiovascular-intensive-care/459506.png","ImageObject",300,407,{"name":92,"@type":93},"Jake","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why has early-phase physiotherapy become more important in cardiovascular ICUs?","Question",{"text":113,"@type":114},"Survival after acute cardiovascular interventions has improved, but more older and severely ill patients develop ICU-acquired weakness and postintensive care syndrome. Early physiotherapy aims to prevent or reduce physical decline and cognitive/mental impairments.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What patient and treatment factors contribute to ICU-acquired weakness?",{"text":118,"@type":114},"Sedation, intubation, restricted activity, inflammation-related catabolism, vasoactive medication in poor cardiac output or cardiogenic shock, and supports such as mechanical ventilation and continuous renal replacement therapy are associated with higher prevalence of ICU-AW.",{"name":120,"@type":111,"acceptedAnswer":121},"How does postintensive care syndrome (PICS) affect patients after ICU?",{"text":122,"@type":114},"PICS involves prolonged impairment in physical, cognitive, and mental status, which can hinder return to work and is associated with diminished quality of life and higher mortality.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},459506,1790790173,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},962084928904,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Circulation Reports  \nCirc Rep 2026; 8: 21–26 doi:10.1253/circrep.CR-25-0252  \nThe 30th Japanese Association of Cardiac Rehabilitation Annual Meeting (2024)  \nImplementation and Challenges of Early-Phase Physiotherapy During Cardiovascular Intensive Care  \nNobuaki Hamazaki, PT, PhD; Ken Ogura, PT, MSc  \nProgress in intensive care for cardiovascular disease, including catheter-based therapies and mechanical circulatory support, has improved patient survival. Conversely, the numbers of patients with severe disease and older patients with multimorbidities have increased, resulting in complications during management in the intensive care unit (ICU) . In addition to ICU-acquired weakness and delirium, postintensive care syndrome (PICS) has recently been recognized, defined as a prolonged impairment in physical, cognitive, and mental status. Physiotherapy is an important treatment option to prevent and ameliorate PICS. Recently, the goals of early-phase physiotherapy have shifted beyond short-term outcomes, such as reducing the length of ICU and hospital stays and recovery of physical function, to include long-term outcomes, such as return to social activity and reduced rehospitalization. Thus, appropriate physiotherapy management and intervention during the ICU are potentially crucial, because high-quality phase I cardiovascular rehabilitation leads to a seamless approach to the next phase of rehabilitation. This review summarizes current clinical issues, the implementation of assessment and treatment strategies in acute-phase physiotherapy, and future perspectives and challenges in cardiovascular intensive care.  \nKey Words: Acute-phase; Cardiac rehabilitation; Cardiovascular intensive care; Physiotherapy  \nA  \ncute cardiovascular disease (CVD) is one of the leading causes of admission to an intensive care unit (ICU) and death worldwide.1,2 Progress in the  \nacute-phase treatment of CVD, including catheter-based therapies and the use of mechanical circulatory support, has improved patient survival rates in recent decades.3–6 Conversely, the number of patients with very severe disease or older patients with multimorbidities has increased,7 leading to prolonged ICU treatment and length of ICU stay.8 Prolonged ICU stays and the management of severe critical illness result in a decline in physical condition called ICU-acquired weakness (ICU-AW) .9 In addition, postintensive care syndrome (PICS) has recently been recognized, comprising a decline in physical function and persistent impairments in mental and cognitive status, which can make it difficult for patients to return to work.10,11 In this setting, in the ICU, the early initiation of physiotherapy has been shown to prevent the development of physical declined and cognitive/mental impairments, and to help patients recover.12 This review summarizes factors affecting the physical and mental status of patients receiving ICU treatment, the implementation of physiotherapy assessments and interventions, and future perspectives regarding remaining issues for patients with CVD.  \nFactors Affecting the Physical and Mental Status of Patients in the ICU  \nDuring ICU management of patients with acute CVD, the sedation, intubation, and stabilization of organ perfusion required mean that patients’ activities, including awakening, talking, and physical movement, are severely restricted.13 In terms of physical status, higher levels of inflammation are known to decrease muscle mass and function via acatabolic action in the skeletal musculature.9 Specifically inpatients with poor cardiac output or cardiogenic shock, the use of vasoactive medications has been reported to be associated with skeletal muscle dysfunction.14 In addition, mechanical circulatory support,15 mechanical ventilation,16 and continuous renal replacement therapy17 are associated with an increase the prevalence of ICU-AW. Consequently, long-term bed rest and immobility are detrimental for neuromuscular conditions. A recent meta-an","cbCain4xfGEEdOdp","https://ap.wps.com/l/cbCain4xfGEEdOdp","pdf",1205147,"English","# Overview\n# Factors Affecting the Physical and Mental Status of Patients in the ICU\n## Physical Status Drivers in the ICU\n## Mental Status and Cognitive Impairment Considerations\n# Postintensive Care Syndrome (PICS) and Long-Term Outcomes","[{\"question\":\"Why has early-phase physiotherapy become more important in cardiovascular ICUs?\",\"answer\":\"Survival after acute cardiovascular interventions has improved, but more older and severely ill patients develop ICU-acquired weakness and postintensive care syndrome. Early physiotherapy aims to prevent or reduce physical decline and cognitive/mental impairments.\"},{\"question\":\"What patient and treatment factors contribute to ICU-acquired weakness?\",\"answer\":\"Sedation, intubation, restricted activity, inflammation-related catabolism, vasoactive medication in poor cardiac output or cardiogenic shock, and supports such as mechanical ventilation and continuous renal replacement therapy are associated with higher prevalence of ICU-AW.\"},{\"question\":\"How does postintensive care syndrome (PICS) affect patients after ICU?\",\"answer\":\"PICS involves prolonged impairment in physical, cognitive, and mental status, which can hinder return to work and is associated with diminished quality of life and higher mortality.\"}]","Implementation and Challenges of Early-Phase Physiotherapy During Cardiovascular Intensive Care | PDF",1790756072,15]