Early Mobilization and Functional Training for Early Recovery after Stevens-Johnson Syndrome: A Case Report

Background: Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are rare but severe dermatological disorders. Their limited prevalence contributes to low awareness among physical therapists, which may lead to suboptimal rehabilitation and complications from immobility.Methods: This report describes the physical therapy management of a 20-year-old female with SJS admitted to a rural tertiary care hospital in India. Physical therapy interventions were initiated early and progressed through functional task-based mobilization. Assessments were conducted at baseline, on the 7th and 20th days of admission, and at 1-month follow-up.Results: Marked functional gains were observed, especially after the 7th day. Improvements were documented in the Intensive Care Unit Mobility Scale (IMS), Functional Status Score for the ICU (FSS-ICU), Barthel Index, and joint range of motion. Early mobilization contributed to reduced musculoskeletal and pulmonary complications, promoting faster recovery and shorter hospital stay.Conclusion: This case highlights the importance of early, tailored physical therapy in SJS rehabilitation. Interdisciplinary collaboration and functional-task–oriented mobilization are essential to optimize outcomes, reduce morbidity, and enhance overall management of SJS.