Early PT/OT Therapy assessments to begin on the first day that consent is obtained. Therapy is delivered by a team consisting of a physical and occupational therapist and coordinated with daily sedative interruption.

PT/OT delivered as ordered by the primary ICU team

1. Passive range of motion exercises for all limbs in patients who remain unresponsive despite sedative interruption (ten repetitions in all cardinal directions).
2. Sessions began with active assisted and active range of motion exercises in the supine position.
3. If tolerated, treatment is advanced to bed mobility activities, including transferring to upright sitting.
4. Sitting balance activities are followed by participation in activities of daily living (ADLs) and exercises that encourage increased independence with functional tasks.
5. The session progresses to transfer training, and finally pre-gait exercises and ambulation.
6. Progression of activities is dependent on patient tolerance and stability.
7. Therapy intervention continues on a daily basis throughout the patient's hospital stay until he/she returns to prior level of function or is discharged.