Early Ambulation and Physiotherapy

Content Type: Patient | Protocols

This page was reviewed by the ERAS Cardiac Editorial Team and is provided for general education only. Always talk with your care team about your individual treatment plan and recovery needs.


Summary

After heart surgery, moving safely and at the right time can support recovery. This process is called early ambulation and physiotherapy. It does not mean strenuous exercise. It refers to gentle movement, walking with help, and using safe techniques to protect the chest and support healing. Some care teams who follow ERAS Cardiac principles include mobility as part of recovery planning, especially in the first days after surgery.

This page offers general education about how movement may support healing. It is not medical advice and does not reflect the practices of every hospital.


  • Helps prevent blood clots and lung problems
  • Supports circulation and breathing
  • Maintains muscle strength during recovery
  • May improve mood and reduce anxiety
  • Can help patients regain independence sooner

Not all programs use the same approach, but awareness may help you ask questions and understand why movement is sometimes encouraged during recovery.

Care teams who follow ERAS Cardiac principles may:

  • Encourage sitting up or standing with help as recovery begins
  • Teach chest and sternal protection techniques such as “Move in the Tube”
  • Monitor breathing and circulation while increasing activity gradually
  • Adjust movement based on comfort, safety, and medical status

You may want to talk with your care team if:

  • You are unsure what movements are safe
  • You feel dizziness, shortness of breath, or discomfort during activity
  • You are worried about your incision or chest movement
  • You want to learn safe techniques for getting out of bed or walking

Keeping follow up appointments and asking questions can help support recovery and confidence.

  • When is it safe to begin moving after surgery
  • What kind of movement is recommended for recovery
  • Are there physiotherapists or specialists involved
  • Are sternal precautions or mobility guidelines used in this hospital
  • What should I do if I feel pain or discomfort when moving

At a Glance

Movement after heart surgery can support faster healing when done safely, at the right time, and with proper guidance. ERAS Cardiac shares research-based strategies that may help patients and care teams learn about recovery options. Every recovery plan is unique, and decisions should always be made with your own care team.


ERAS Cardiac VEC Disclaimer

The Virtual Education Center (VEC) and all included content are provided for general education about enhanced recovery after cardiac surgery. The information has been reviewed by healthcare professionals but is not meant to replace medical advice, diagnosis, or treatment. Every patient’s situation is unique. Always talk with your own doctor or care team about what is best for you.

For questions or comments about the ERAS Cardiac VEC, please contact us.


AI Assistance Statement

This summary was developed with assistance from artificial intelligence and reviewed, edited, and approved by the listed editor(s). Reference: OpenAI (2025). ChatGPT (November version) [Large language model]. 
https://chat.openai.com