Physiotherapy in the neurotrauma intensive care unit: A scoping review

Newman, Anastasia; Gravesande, Janelle; Rotella, Stephanie; Wu, Stephen; Topp-Nguyen, Nam; Kho, Michelle E.; Harris, Jocelyn E.; Fox-Robichaud, Alison; Solomon, Patricia

doi:10.1016/j.jcrc.2018.09.037

Cited by 14 publications

(14 citation statements)

References 80 publications

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“…However, it is worth noticing that patients could continue with post-discharge training using electric stimulation at home. The surveys in [30,33] relate 11 cases in which the effectiveness of NES is evaluated. In general, this technique is applied in 30-minute sessions once or twice a day.…”

Section: Neuromuscular Electrical Stimulationmentioning

confidence: 99%

Smart Health-Enhanced Early Mobilisation in Intensive Care Units

Ferre

Batista

Solanas

et al. 2021

Sensors

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Critically ill patients that stay in Intensive Care Units (ICU) for long periods suffer from Post-Intensive Care Syndrome or ICU Acquired Weakness, whose effects can decrease patients’ quality of life for years. To prevent such issues and aiming at shortening intensive care treatments, Early Mobilisation (EM) has been proposed as an encouraging technique: the literature includes numerous examples of the benefits of EM on the prevention of post-operative complications and adverse events. However, the appropriate application of EM programmes entails the use of scarce resources, both human and technical. Information and Communication Technologies can play a key role in reducing cost and improving the practice of EM. Although there is rich literature on EM practice and its potential benefits, there are some barriers that must be overcome, and technology, i.e., the use of sensors, robotics or information systems, can contribute to that end. This article reviews the literature and analyses on the use of technology in the area of EM, and moreover, it proposes a smart health-enhanced scenario.

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Section: Neuromuscular Electrical Stimulationmentioning

confidence: 99%

Smart Health-Enhanced Early Mobilisation in Intensive Care Units

Ferre

Batista

Solanas

et al. 2021

Sensors

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“…It may reflect the clinical expertise of the medical and nursing team under the leadership of a neurointensivist(s) in recognising and managing neurological injuries and their sequelae. A specialty multidisciplinary team incorporating physiotherapy 5 and nutrition 6 may also enhance patient recovery after neurological injury. The introduction of a neurocritical care unit or service also typically involves the addition of advanced multimodal neuromonitoring to provide new insights into the injured and recovering brain.…”

Section: Open Accessmentioning

confidence: 99%

Do neurocritical care units improve outcomes for brain-injured adults: a protocol for a systematic review and meta-analysis

Pham¹,

Ray²,

Neto

et al. 2021

BMJ Open

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IntroductionNeurocritical care is a rapidly developing subspecialty within intensive care medicine which aims to improve outcomes of critically ill neurological patients. This has inspired the formation of specialised intensive care units or services to provide dedicated care of brain-injured patients, as well as new training pathways for physicians. However, expansion has been variable worldwide and it is yet to be determined if there are clear benefits in regard to patient outcomes. We are planning a systematic review with meta-analysis to assess whether the introduction of neurocritical care units or services, or neurointensivists have favourable effects on survival.Methods and analysisWe will include all observational and interventional studies comparing specialised neurocritical care units or services with general or non-specialised units in the care of acutely brain-injured adults. The primary outcome will be all-cause mortality at the longest follow-up, and secondary outcomes will be intensive care unit and hospital length of stay, and functional outcomes. All relevant studies will be identified through database searches. All study selection and data extraction will be conducted by two independent reviewers. We will conduct a random-effects meta-analysis to synthesise evidence for all outcomes. In addition, we will perform a subgroup analysis by disease process. We will assess confidence in the cumulative evidence using the Grading of Recommendations, Assessment, Development and Evaluations framework.Ethics and disseminationThis systematic review and meta-analysis does not require ethical approval. We will publish findings from this systematic review in a peer-reviewed scientific journal and present these at conferences. It will be included in the primary author’s higher degree research thesis.PROSPERO registration numberCRD42020177190.

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“…To date, several reviews have been carried out to identify, examine, and study the effectiveness of specific preventative approaches in particular regions or countries [7,23,[25][26][27][28][29][30][31][32][33][34][35][36]. A previous scoping review has reported on interventions to reduce road traffic injuries, but this was limited to the African continent, and another review has specifically focused on physiotherapy after neurotrauma [37,38].…”

Section: Introductionmentioning

confidence: 99%

Mapping global evidence on strategies and interventions in neurotrauma and road traffic collisions prevention: a scoping review

et al. 2020

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Background: Neurotrauma is an important global health problem. The largest cause of neurotrauma worldwide is road traffic collisions (RTCs), particularly in low-and middle-income countries (LMICs). Neurotrauma and RTCs are preventable, and many preventative interventions have been implemented over the last decades, especially in high-income countries (HICs). However, it is uncertain if these strategies are applicable globally due to variations in environment, resources, population, culture and infrastructure. Given this issue, this scoping review aims to identify, quantify and describe the evidence on approaches in neurotrauma and RTCs prevention, and ascertain contextual factors that influence their implementation in LMICs and HICs. Methods: A systematic search was conducted using five electronic databases (MEDLINE, EMBASE, CINAHL, Global Health on EBSCO host, Cochrane Database of Systematic Reviews), grey literature databases, government and non-government websites, as well as bibliographic and citation searching of selected articles. The extracted data were presented using figures, tables, and accompanying narrative summaries. The results of this review were reported using the PRISMA Extension for Scoping Reviews (PRISMA-ScR).

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Physiotherapy in the neurotrauma intensive care unit: A scoping review

Cited by 14 publications

References 80 publications

Smart Health-Enhanced Early Mobilisation in Intensive Care Units

Smart Health-Enhanced Early Mobilisation in Intensive Care Units

Do neurocritical care units improve outcomes for brain-injured adults: a protocol for a systematic review and meta-analysis

Mapping global evidence on strategies and interventions in neurotrauma and road traffic collisions prevention: a scoping review

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