The role of physiotherapy in intensive care units: a critical review

Swaminathan, Narasimman; Praveen, Reshma; Surendran, Praveen

doi:10.5114/pq.2019.87739

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…It is recommended to begin with an early passive or active assisted mobilization program based on patients level of cooperation/orientation, oxygen saturation, and hemodynamic stability [Level 3A]. 10 , 14 , 15 , 40 , 41 As COVID-19 induces inflammatory response, due care and caution has to be exercised while planning any exercises [UPP].…”

Section: R Ecommendations For P Hysiothementioning

confidence: 99%

Evidence-Based National Consensus: Recommendations for Physiotherapy Management in COVID-19 in Acute Care Indian Setup

Jiandani

Agarwal

Baxi

et al. 2020

Indian Journal of Critical Care Medicine

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A bstract Background With the Wuhan pandemic spread to India, more than lakhs of population were affected with COVID-19 with varying severities. Physiotherapists participated as frontline workers to contribute to management of patients in COVID-19 in reducing morbidity of these patients and aiding them to road to recovery. With infrastructure and patient characteristics different from the West and lack of adequate evidence to existing practices, there was a need to formulate a national consensus. Materials and methods Recommendations were formulated with a systematic literature search and feedback of physiotherapist experiences. Expert consensus was obtained using a modified Delphi method. Results The intraclass coefficient of agreement between the experts was 0.994, significant at p < 0.001. Conclusion This document offers physiotherapy evidence-based consensus and recommendation to planning physiotherapy workforce, assessment, chest physiotherapy, early mobilization, preparation for discharge planning, and safety for patients and therapist in acutec are COVID 19 setup of India. The recommendations have been integrated in the algorithm and are intended to use by all physiotherapists and other stakeholders in management of patients with COVID-19 in acute care settings. How to cite this article Jiandani MP, Agarwal B, Baxi G, Kale S, Pol T, Bhise A, et al. Evidence-based National Consensus: Recommendations for Physiotherapy Management in COVID-19 in Acute Care Indian Setup. Indian J Crit Care Med 2020;24(10):905–913.

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Section: R Ecommendations For P Hysiothementioning

confidence: 99%

Evidence-Based National Consensus: Recommendations for Physiotherapy Management in COVID-19 in Acute Care Indian Setup

Jiandani

Agarwal

Baxi

et al. 2020

Indian Journal of Critical Care Medicine

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Early neuro-rehabilitation in traumatic brain injury: the need for an African perspective

Buh

Hutchinson

Anwar

2023

BMC Med

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Background Traumatic brain injury (TBI) is a global public health challenge, affecting about 69 million individuals annually and being one of the leading causes of mortality. It has adverse consequences in terms of cognitive and physical functioning, which makes rehabilitation interventions an integral part of its management. Early neuro-rehabilitation guidelines for traumatic brain injury have not yet been developed and implemented in most of Africa especially Sub-Saharan Africa. Body We aimed with this Opinion to propose a collective reflection on the development and implementation of early neuro-rehabilitation guidelines as an integral part of the care in traumatic brain injury. The different aspects to be considered for reflection have been highlighted: Traumatic brain injury severity to be considered in early neuro-rehabilitation; who should be assessed and receive early neurorehabilitation, barriers to be considered for early neurorehabilitation; what early neurorehabilitation to be considered; the different phases involved in rehabilitation after mild, moderate, and severe TBI; and lastly, what perspective for the creation of neurorehabilitation teams. In conclusion, neuro-rehabilitation should start at the time of admission and should continue from the intensive care unit through the community for the moderate-to-severe traumatic brain injury population. However, mild TBI should also be considered for long-term follow-up in the community due to the fact that some mild traumatic brain injury patients might develop chronic cognitive problems or fatigue with time. Conclusion Neurorehabilitation should start at the time of admission and continue from the intensive care unit through the community for the moderate-to-severe traumatic brain injury population. There is a need to develop, agree on, and implement guidelines on early neuro-rehabilitation interventions for patients with moderate to severe traumatic brain injury in the African region, where disparities in care are common reality.

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The Role of Physical Therapy in the Intensive Care Unit

2021

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Recent years have seen intensive development of ICU treatment protocols. Today it is possible to treat patients who in the past would not have had a chance of survival. People under the care of the unit typically suffer from cardiovascular or respiratory failure. Therefore, the aim of this paper is to discuss the basic techniques used by physiotherapeutic staff and the contribution they make to the treatment of patients at the ICU. In our article, we analyzed the risks associated with long-term hospitalization and the characteristics of the ICU patient, and presented the ways in which a physical therapist can improve the patient’s health. We have identified the main goals of ICU physical therapy and specified the intention with which specific physiotherapeutic procedures are introduced. The physical therapist should be part of a medical team whose goal is for the patient recover as quickly as possible. The role of the physical therapist in the ICU is not only to help the patient to improve in the shortest time possible, but also to prevent the undesirable effects of hypokinesia and long-term treatment in the ICU.

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The role of physiotherapy in intensive care units: a critical review

Cited by 3 publications

References 20 publications

Evidence-Based National Consensus: Recommendations for Physiotherapy Management in COVID-19 in Acute Care Indian Setup

Evidence-Based National Consensus: Recommendations for Physiotherapy Management in COVID-19 in Acute Care Indian Setup

Early neuro-rehabilitation in traumatic brain injury: the need for an African perspective

The Role of Physical Therapy in the Intensive Care Unit

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