THE APPLICATION OF PHYSICAL THERAPY IN INTENSIVE CARE UNITS; A PRACTICE SURVEY

Main Article Content

Saad Naveed
Shania Baqir

Abstract

BACKGROUND
Acute neuromuscular weakness in critically sick patients has been associated to an increase in ICU readmissions, a greater risk of institutionalization, worse long-term physical performance, and a lower health-related quality of life.
OBJECTIVE
Patients who survive ICU stay often suffer by exhaustion, weakness, and reduced functional status. The purpose of this survey was to figure out if physical therapy for inpatient was suitable for individuals recovering from serious illness.
METHODS
This was cross-sectional research that asked about physical therapist staffing and availability for intensive care unit patients, as well as physical therapy use in 6 patients situations requiring intensive care unit admission and mechanical ventilation. The survey was carried out online, and the results were analyzed using SPSS 20.0.
RESULTS
The survey received 273 responses from physical therapists. Before beginning PT for ICU patients, most hospitals (98 percent) require a physician consultation. Only 3% of institutions have established criteria for initiating physical therapy in the ICU. When compared to academic hospitals, clinical hospitals did not provide weekend PT (p=0.03). Depending on the clinical situation, the frequency of regular PT engagement varies (highest 89 percent after CVA, lowest 46 percent myocardial infarction, p 0.001).
CONCLUSION
According to the study's findings, patients hospitalised to intensive care units (ICUs) for rehabilitation from serious illness get physical therapy on a regular basis. However, the frequency and kind of PT may vary greatly depending on the institution and clinical conditions.

Article Details

How to Cite
Naveed, S., & Baqir, S. (2021). THE APPLICATION OF PHYSICAL THERAPY IN INTENSIVE CARE UNITS; A PRACTICE SURVEY. Journal of Health and Rehabilitation Research, 1(2), 5–8. Retrieved from https://jhrlmc.com/index.php/home/article/view/8
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Articles

References

Hodgin KE, Nordon-Craft A, McFann KK, Mealer ML, Moss M. Physical therapy utilization in intensive care units: results from a national survey. Crit Care Med. 2009;37(2):561-6.

Yende S, Waterer GW, Tolley EA, Newman AB, Bauer DC, Taaffe DR, et al. Inflammatory markers are associated with ventilatory limitation and muscle dysfunction in obstructive lung disease in well functioning elderly subjects. Thorax. 2006;61(1):10-6.

Khan J, Burnham EL, Moss M. Acquired weakness in the ICU: critical illness myopathy and polyneuropathy. Minerva Anestesiol. 2006;72(6):401-6.

Clini E, Ambrosino N. Early physiotherapy in the respiratory intensive care unit. Respir Med. 2005;99(9):1096-104.

Malone D, Ridgeway K, Nordon-Craft A, Moss P, Schenkman M, Moss M. Physical Therapist Practice in the Intensive Care Unit: Results of a National Survey. Phys Ther. 2015;95(10):1335-44.

Al-Nassan S, Alshammari F, Al-Bostanji S, Modhi Mansour Z, Hawamdeh M. Physical therapy practice in intensive care units in Jordanian hospitals: A national survey. Physiother Res Int. 2019;24(1):19.

Bailey P, Thomsen GE, Spuhler VJ, Blair R, Jewkes J, Bezdjian L, et al. Early activity is feasible and safe in respiratory failure patients. Crit Care Med. 2007;35(1):139-45.

Ceriana P, Delmastro M, Rampulla C, Nava S. Demographics and clinical outcomes of patients admitted to a respiratory intensive care unit located in a rehabilitation center. Respir Care. 2003;48(7):670-6.

Combes A, Costa MA, Trouillet JL, Baudot J, Mokhtari M, Gibert C, et al. Morbidity, mortality, and quality-of-life outcomes of patients requiring >or=14 days of mechanical ventilation. Crit Care Med. 2003;31(5):1373-81.

Chokshi T, Alaparthi GK, Krishnan S, Vaishali K, Zulfeequer C. Practice patterns of physiotherapists in neonatal intensive care units: A national survey. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine. 2013;17(6):359.

Cui LR, LaPorte M, Civitello M, Stanger M, Orringer M, Casey III F, et al. Physical and occupational therapy utilization in a pediatric intensive care unit. Journal of critical care. 2017;40:15-20.

Haque A, Ladak LA, Hamid MH, Mirza S, Siddiqui NR, Bhutta ZA. A national survey of pediatric intensive care units in Pakistan. Journal of Critical Care Medicine. 2014;2014.

Macht M, Wimbish T, Clark BJ, Benson AB, Burnham EL, Williams A, et al. Diagnosis and treatment of post-extubation dysphagia: results from a national survey. Journal of critical care. 2012;27(6):578-86.

Schaller SJ, Anstey M, Blobner M, Edrich T, Grabitz SD, Gradwohl-Matis I, et al. Early, goal-directed mobilisation in the surgical intensive care unit: a randomised controlled trial. The Lancet. 2016;388(10052):1377-88.

Engel HJ, Tatebe S, Alonzo PB, Mustille RL, Rivera MJ. Physical therapist–established intensive care unit early mobilization program: quality improvement project for critical care at the University of California San Francisco Medical Center. Physical therapy. 2013;93(7):975-85.

Lipshutz AK, Gropper MA. Acquired neuromuscular weakness and early mobilization in the intensive care unit. The Journal of the American Society of Anesthesiologists. 2013;118(1):202-15.

Pires-Neto RC, Lima NP, Cardim GM, Park M, Denehy L. Early mobilization practice in a single Brazilian intensive care unit. Journal of critical care. 2015;30(5):896-900.

Sigera PC, Tunpattu TMUS, Jayashantha TP, De Silva AP, Athapattu PL, Dondorp A, et al. National profile of physical therapists in critical care units of Sri Lanka: lower middle-income country. Physical Therapy. 2016;96(7):933-9.

Takahashi T, Kato M, Obata K, Kozu R, Fujimoto T, Yamashita K, et al. Minimum standards of clinical practice for physical therapists working in intensive care units in Japan. Physical therapy research. 2020:E10060.

Trees DW, Smith JM, Hockert S. Innovative mobility strategies for the patient with intensive care unit–acquired weakness: a case report. Physical therapy. 2013;93(2):237-47.