09/15/2025
For patients on mechanical ventilation, rehabilitation often begins at the bedside. Physical, occupational, and speech therapy play key roles in recovery and support in weaning the patient from the ventilator.
Physical and occupational therapies focus on strength, endurance, and mobility. Early mobilization, such as sitting up, cycling in bed, or standing with support, begins when medically appropriate. This helps reduce deconditioning and builds tolerance for activity. Respiratory muscle training targets the muscles used for breathing. Neuromuscular electrical stimulation (NMES) may be used to activate weakened muscles.
Speech-language therapy is used to assess and manage swallowing difficulties, especially in patients with tracheostomies. Evaluation may include a fiberoptic endoscopic evaluation of swallowing (FEES). Therapy focuses on improving swallowing function and reducing aspiration risk. Speech therapists also assist with communication using speaking valves, writing, or gestures, and help patients regain vocalization after tracheostomy removal. Coordination between breathing, speech, and swallowing is addressed to improve overall function.
