[en] Background: Despite advances in the field of intensive care medicine, which have favoured an increase in survival rates, more and more patients are seeing their quality of life diminished by the sequelae that ICU entails. Within this post-ICU syndrome, one of the most common consequences is the so-called ICU-acquired weakness (ICU-AW), which affects a large number of critically ill patients and can persist for up to 5 years after discharge. Since there is no standard treatment that has proven benefits in dealing with ICUAW, prevention remains the best option. Among the preventive measures that have shown the best results is early mobilisation, initiated during the first 72 hours after admission to the ICU. Objective: To determine whether the use of a progressive and standardised programme of early mobilisation in the ICU improves the patient's functional state in the long term, quantified by means of the 6-minute walking test (6MWT). Material and methods: A single-blind randomised clinical trial is proposed, with 82 patients divided randomly into two groups: a control group, which will receive the usual physiotherapy treatment in the ICU; and an intervention group, which will receive a specific mobilisation programme guided by objectives according to the patient's condition. Daily assessments will be made of the level of consciousness, collaboration, degree of mobility and muscle strength. At the time of discharge from the ICU, hospital discharge and 3 and 6 months after hospital discharge, the patient's functional status will be assessed using the Barthel Index and the 6MWT. Once all the data have been obtained, they will be analysed using the IBM SPSS version 25 statistical programme.

[gl] Introdución: A pesar dos avances no campo da medicina intensiva, que favoreceron o aumento das taxas de supervivencia, cada vez son máis os pacientes que ven diminuída a súa calidade de vida polas secuelas que supón a UCI. Dentro desta síndrome pos-UCI, unha das consecuencias máis frecuentes é a denominada debilidade adquirida na UCI (IDAUCI), que afecta a un gran número de pacientes en estado crítico e que pode persistir ata 5 anos despois do alta. Dado que non existe un tratamento estándar que teña mostrado beneficios para tratar con ICUAW, a mellor opción segue a ser a prevención. Entre as medidas preventivas que mostraron mellores resultados está a mobilización precoz, iniciada durante as primeiras 72 horas despois do ingreso na UCI. Obxectivo: determinar se a utilización dun programa progresivo e estandarizado de mobilización precoz na UCI mellora o estado funcional do paciente a longo prazo, medido mediante o test de 6 minutos marcha (6MWT). Material e métodos: proponse un ensaio clínico aleatorizado simple cego, con 82 pacientes divididos aleatoriamente en dous grupos: un grupo control, que recibirá o tratamento de fisioterapia habitual na UCI; e un grupo de intervención, que recibirá un programa específico de mobilizacións guiado por obxectivos segundo a condición do paciente. Faranse valoracións diarias do nivel de conciencia, colaboración, grao de mobilidade e forza muscular. No momento da alta da UCI, alta hospitalaria e transcorridos 3 e 6 meses desta última, avaliarase o estado funcional do paciente mediante o Índice de Barthel e o 6MWT. Unha vez obtidos todos os datos, analizaranse mediante o programa estatístico IBM SPSS versión 25.