• Thaís Borgheti de Figueiredo, Key Fujisaki Utsunomiya, de Oliveira Amanda Maria Ribas Rosa AMRR Burn ICU, Hospital das Clínicas da Faculdade de Medicina, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 225 - Cerqueir, Ruy Camargo Pires-Neto, and Clarice Tanaka.
• Department of Physiotherapy, Communication Science and Disorders, Occupational Therapy, University of São Paulo, Rua Cipotânea, 51, Cidade Universitária - CEP 05360-000, São Paulo, SP, Brazil. Electronic address: thaisfigueiredo@usp.br.
• Burns. 2020 Mar 1; 46 (2): 314-321.

PurposePatients with burn usually undergo prolonged hospitalization due partially to the treatment of wounds and scars. Although the benefits of early mobilization are well-known in critical care patients, there are a lack of studies reporting mobilization practices and functional status for patients with burn.MaterialsClinical and physiotherapy data were daily collected, including ICU mobility scale (IMS) and reported barriers to mobilization therapy during a one-year period. At hospital discharge, the 6-min walking test (6MWT), Medical Research Council scale (MRCS) and handgrip strength test were applied to evaluate the patients' functionality.ResultsOf the 74 patients admitted, 66% were placed on mechanical ventilation (MV). Mobilization therapy was administered in 67.2% of physiotherapy sessions, with passive mobilization being the most prevalent (53.2%) followed by active in-bed exercises (13.6%). Reported barriers for mobilization included hemodynamic instability followed by limited time for assistance. At hospital discharge, the 6MWD was 270(136) meters. A positive correlation was found between handgrip evaluation and 6MWD and a negative correlation with hospital length of stay.ConclusionsMobilization therapy of patients with burns in the ICU was characterized by a low mobility level during MV with a low functional status at hospital discharge.Copyright © 2019 Elsevier Ltd and ISBI. All rights reserved.

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