{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:16:41Z","timestamp":1753877801371,"version":"3.41.2"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T00:00:00Z","timestamp":1602892800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Mobilization while receiving life support interventions, including mechanical ventilation and extracorporeal membrane oxygenation (ECMO), is a recommended intensive care unit (ICU) intervention to maintain physical function. The purpose of this case report is to describe a novel approach to implementing early mobility interventions for a patient who was pregnant and receiving ECMO while continuing necessary infectious disease precautions because of diagnosed coronavirus disease-19 (COVID-19).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A 27-year-old woman who was pregnant was admitted to the ICU with COVID-19 and rapidly developed acute respiratory failure requiring 9\u00a0days of ECMO support. After a physical therapist consultation, the patient was standing at the bedside by hospital day 5 and ambulating by hospital day 9.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The patient safely participated in physical therapy during ICU admission and was discharged to home with outpatient physical therapy follow-up after 14\u00a0days of hospitalization.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Early mobility is feasible during ECMO with COVID-19, and active participation in physical therapy, including in-room ambulation, may facilitate discharge to home. Innovative strategies to facilitate routine activity in a patient who is critically ill with COVID-19 require an established and highly trained team with a focus on maintaining function.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>Early mobility while intubated, on ECMO, and infected with COVID-19 is feasible while adhering to infectious disease precautions when it is performed by an experienced interdisciplinary team.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzaa189","type":"journal-article","created":{"date-parts":[[2020,10,14]],"date-time":"2020-10-14T11:55:07Z","timestamp":1602676507000},"source":"Crossref","is-referenced-by-count":12,"title":["Maintaining Mobility in a Patient Who Is Pregnant and Has COVID-19 Requiring Extracorporeal Membrane Oxygenation: A Case Report"],"prefix":"10.1093","volume":"101","author":[{"given":"Alex","family":"Mark","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Therapies , University of Iowa, 200 Hawkins Dr, 0733 JPP , Iowa City, IA 52252, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer P","family":"Crumley","sequence":"additional","affiliation":[{"name":"UI Heart and Vascular Center , University of Iowa, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina L","family":"Rudolph","sequence":"additional","affiliation":[{"name":"UI Heart and Vascular Center , University of Iowa, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Doerschug","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine , University of Iowa, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Krupp","sequence":"additional","affiliation":[{"name":"College of Nursing , University of Iowa, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,10,17]]},"reference":[{"article-title":"Rehabilitation after critical illness in adults","year":"2009","author":"National Institute for Health and Care Excellence (NICE)","key":"2023011705262991000_ref1"},{"key":"2023011705262991000_ref2","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.1007\/s00134-008-1026-7","article-title":"Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients","volume":"34","author":"Gosselink","year":"2008","journal-title":"Intensive Care 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