Inclusion Criteria:  • Patients connected to a mechanical ventilator  Patients who started enteral feeding with a nasogastric tube at least 24 hours ago Patients with no injuries to the extremity and abdominal area Patients without intestinal obstruction Patients who have not received abdominal radiotherapy and have not undergone abdominal surgery during the last six weeks Patients with Glasgow Coma Score (GCS) > 3 Patients with Acute Physiology and Chronic Health Evaluation (APACHE II)> 16 Patients given consent by their first-degree relative  Exclusion Criteria:  • Patients whose enteral feeding was discontinued during the study  Patients who show signs of infection due to VAP or other infections during or before the study