Background. Intracranial hemorrhage (ICH) is acritical and often life-threatening condition characterized by bleeding within the intracranial vault, including the brain parenchyma and surrounding meningeal spaces. Earlymobilizationwas defined as early out-of-bed activities of daily living (ADLs), based on the concepts of very early mobilizationin stroke patients3 and associated enhanced functional outcomes. Few studies have addressed early out-of-bed mobilization specifically in acute intracerebral hemorrhage (ICH) patients. Patient benefit in such cases is unclear, with early intervention timing and duration identical to those in standard care. Aims and Objective. This is a prospective, observational, single center study done in Department of neurology GSVM medical college hospital Kanpur in 60 patients of mild to moderate intracerebral bleed patients: 1st March.2022 to 1st march 2024. The main aim of this study is ‘Effect of early mobilization in mild and moderate intracerebral bleed patients. We investigated the efficacy of an early mobilization (EM) protocol, administered within 24 to 72 hours of stroke onset, for early functional independence in mild-moderate ICH patients. Methods .In this study Sixty patients admitted to a stroke center with in 24 hours of ICH were randomly assigned to early mobilization (EM) or standard early rehabilitation (SER). The EM group under went an early out-of-bed mobilization protocol, whiletheSERgroupunderwentastandardprotocolfocusingonin-bedtraining in the stroke center. Intervention in bothgroupslasted30minutespersession,oncea day, 5 days a week. Motor subscales of the Functional Independence Measure (FIM-motor), Postural Assessment Scale for Stroke Patients, and Functional Ambulation Category (FAC) were evaluated (assessor-blinded) at base line, and at 2weeks, 4weeks, and 3 months after stroke. Length ofstayin the stroke enter was also recorded. Results. mean time to first mobilization aftersymptom onset was 51.60 hours in the EM group and 135. 02 hours in the SER group (P <.001). At baseline, the 2 groups weresimilar regarding age, height, weight, gender, hematomavolume, stroke site, lesion location, initial NIHSS score,NIHSSupper-extremity and lower-extremity subscalescores, ICH score at admission, initial FIM-motor score, PASSscore, and FAC level. In addition, the mediannumberof treatment sessions per group during the acute phase was similar: EM 7.0 (range 2-18) versus SER 6.5 (range 2-19)(P = .988 between groups). The EM group showed significant improvement in FIM-motor score at all evaluated time points (P=.004) and in FAC outcomes at 2 weeks (P = .033) and 4 weeks (P = .011) after stroke. Length of stay in the stroke center was significantly shorter for the EM group(P=.004). Conclusion-earlymobilizationinastrokecenterwithin24 to 72 hours of stroke onset, specifically in patients with mild or mild-moderateI CH, andusinganEM protocol with standard intervention time and session frequency, may be more effective than standard early rehabilitation in achievingfunctionalindependencewithin3monthsofstroke.

early mobilization, standard early rehabilitation, intracerebral hemorrhage.