Ramsay Sedation Scale | Stages of exercise progression | Conditions | Type of Intervention | Recommended Exercise Prescription |
---|---|---|---|---|
6-4 | Stage 1 | Sedated | Passive Range of Motion with stretch reflex to upper and lower limbs | 30 Mins/day |
 |  |  | Electrical Muscle Stimulation to major muscle groups | 30 Mins/day |
3-2 | Stage 2 | Inotropic Dependence | Active Range of Motion/Lightly resisted with upper and lower limb | 10 Mins × 2/day |
 |  |  | Electrical Muscle Stimulation to major muscle groups | 30 Mins/day |
 |  |  | Sitting up in Bed with assistance as tolerated | 30 Mins × 2/day |
 |  |  | Sitting on Edge of Bed | 10 Mins × 2/day |
2 | Stage 3 | Weight | Active Range of Motion/Lightly resisted with upper and lower limb | 10 Mins × 2/day |
 |  | Bearing | Electrical Muscle Stimulation to major muscle groups | 30 Mins/day |
 |  | Muscle Strength | Sitting On Edge of Bed | 10 Mins × 2/day |
 |  | Grade < 3 | Sitting Out of Bed with assistance | 60 Mins × 2/day |
 |  |  | Lower Limb Ergometry | 15 Mins × 2/day |
 |  |  | Tilt Table Therapy | 30 Mins/day |
2 | Stage 4 | Weight | Active Range of Motion/Lightly resisted with upper and lower limb | 10 Mins × 2/day |
 |  | Bearing | Electrical muscle stimulation to major muscle groups | 30 Mins/day |
 |  | Muscle Strength | Sitting On Edge of Bed | 10 Mins/day |
 |  | Grade > 3 | Sitting Out of Bed | 30 Mins/day |
 |  |  | Upper Limb Ergometry (low level resistance) | 15 Mins/day |
 |  |  | Lower Limb Ergometry | 15 Mins × 2/day |
 |  |  | Ambulation with assistive device and therapist | 30 Mins × 2/day |