Early progressive mobilisation following acute subarachnoid or subdural haemorrhage: An observational pilot study

Abstract

Background/Aims: There is little research regarding early mobilisation following non-traumatic acute subarachnoid (SAH) or subdural haemorrhage (SDH). The aim of this prospective observational study was to document the feasibility and safety of our usual practice regarding the early progressive mobilisation of patients following acute SAH or SDH. Method: Mobilisation was defined as sitting on the edge of the bed or greater. All participants were screened regarding their suitability for mobilisation to commence/continue. Results: Fifty participants were included: 42 mobilised at least once as part of their physiotherapy intervention. The 50 participants received a total of 373 physiotherapy sessions, with mobilisation occurring during 50% of sessions. Neurological reasons most frequently prevented mobilisation. All 42 participants who mobilised at least once achieved the mobility milestone of sitting on the edge of the bed and 86% progressed to walking, usually by 4–5 days post-admission. Poor neurological status on admission was associated with delayed achievement of mobility milestones. Adverse events associated with mobilisation were infrequent (1.6%), transient and self-limiting. Conclusion: Following appropriate screening, early progressive mobilisation of patients following non-traumatic acute SAH or SDH was feasible and safe. Further research is required to confirm its safety and benefits, and establish the most effective dose.