EFFECT OF INTEGRATED PHYSIOTHERAPY ON INTENSIVE CARE UNIT ACQUIRED WEAKNESS IN CRITICALLY ILL GERIATRIC PATIENTS

This randomized controlled trial aims to evaluate the effect of an integrated physiotherapy protocol on Intensive Care Unit–Acquired Weakness (ICUAW) in critically ill geriatric patients. All eligible participants will be randomly allocated into four groups based on gender and intervention type: Integrated Physiotherapy (male and female) and Routine Physiotherapy (male and female). Baseline demographic and clinical data including age, diagnosis, ventilator mode, hand grip strength,  blood glucose, and calf circumference will be recorded. The integrated physiotherapy program will include in-bed side cycling, TheraBand exercises, whole-body vibration, and breathing exercises, while the control group will receive conventional physiotherapy comprising range of motion, bridging, trunk rotation, and ambulation training. Outcome measures will include hand grip strength, calf circumference, and ICU mobility status assessed at baseline, ICU discharge, and three months post-discharge. The study aims to determine whether integrated physiotherapy accelerates functional recovery and improves muscle strength and other parameters in elderly ICU patients.