24 March 2026
: Case report 
Early Out-of-Bed Rehabilitation in Severe Psittacosis to Enhance Recovery in Critical Care: A Case Report
Diagnostic / therapeutic accidents, Management of emergency care, Rare coexistence of disease or pathology
Ruowen Jiang
ABDEFG 1,2, Zan Qin BCDF 1,2, Yuechao Ma BDE 1,2, Litao Guo AEFG 1,2*
DOI: 10.12659/AJCR.951682
Am J Case Rep 2026; 27:e951682
Table 4 Individualized rehabilitation in critical care stages.
| Stages | Definition | Recommend |
|---|---|---|
| Lo-capability period | The patient’s condition is unstable and life-threatening, making them unable to tolerate any degree of training. Appropriate “bed rest” is required, but vigilance is needed to prevent complications caused by immobility | Inability to tolerate training. Body position and massage can be used to improve the function of the heart, lungs, nerves, and other systems through somatic reflex regulation |
| Re-capability period | The condition is temporarily stable, but slight bedside exercise can cause changes in respiration and circulation, so only minimal intensity training is accepted. It is necessary to start adjusting exercise and gradually increase intensity | Based on the “lo-capability period”, limb movements were carried out |
| Gro-capability period | The condition is stable. Mild to moderate intensity training is accepted. The respiratory and circulatory changes caused by training are allowable. Increased training is needed to facilitate rehabilitation, even to initiate bed-chair transfer guidance, and to initiate occupational therapy | Based on the “gro-capability period”, muscle resistance training can be initiated, along with efforts to begin ambulation. The time of ambulation can be gradually increased, incorporating occupational therapy during ambulation, etc |
| Rehab-capability period | Patient is stable and able to tolerate training at moderate intensity or higher. They can tolerate most of the conventional rehabilitation therapies, with an emphasis on strengthening the rehabilitation based on systematic evaluation | Based on the “Gro-capability period”, the focus is to emphasize ambulation exercises and perform general rehabilitation assessments |