Physiotherapy practice patterns in Intensive Care Units of Nepal: A multicenter survey

Baidya, Sumana; Acharya, Ranjeeta Shijagurumayum; Coppieters, Michel W.

doi:10.4103/0972-5229.175939

Cited by 10 publications

(15 citation statements)

References 33 publications

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“…In our study, the most preferred treatment among PTs was chest physiotherapy (54%) irrespective of the clinical case scenario. The results of our study are in accord with similar practices observed in the USA (19), Europe (20), Australia (21,22), the UK, Hong Kong (23), and Asia (8,24,25). Based on the previous literature, the findings suggest a moderate to strong evidence of the use of chest physical therapy in maintaining bronchial hygiene (26,27).…”

Section: Discussionsupporting

confidence: 91%

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multiple Centre Cross-Sectional Survey

Kashoo

Alqahtani

Alzhrani

et al. 2019

Preprint

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Background: Early mobilization of patients in the intensive care unit (ICU) is associated with positive health benefits. The available literature does not provide insights into the current status of physical therapy practice in the ICU in the Kingdom of Saudi Arabia (KSA). To determine the current standard of ICU physical therapy practice, attitude, and barriers, an online survey was administered to KSA physiotherapists (PTs) working in the hospitals. Methods: A total of 124 PTs volunteered to participate, and the questionnaire consisted of closed-ended questions with regard to their experiences, qualifications, barriers, and most frequently encountered case scenarios in the ICU. Results: The most commonly referred cases were traumatic paraplegia (n=111, 89%) and stroke (n=102, 82.3%) compared to congestive road traffic accidents (n=20, 16.1%) and pulmonary infections (n=7, 5.6%). The preferred treatment of choice among PTs was chest physiotherapy (n=102, 82.2%) and positioning (n=73, 58.8%), whereas functional electrical stimulation (n=12, 9.6%) was the least preferred choice of physical therapy, irrespective of the condition. The perceived barriers in ICU physical therapy management was low confidence in managing cases (n=89, 71.7%), followed by inadequate training (n=53, 42.7%), and the least mentioned barrier was a communication gap among the critical care team members (n=8, 6.4%). Conclusion: PTs reported significant variation in the choice of treatment for different clinical case scenarios in the ICU. Several facilitators and barriers to physical therapy management should be taken into account to improve ICU recovery. Among the most important barriers are low confidence and inadequate training and strategies needed to overcome these barriers.

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Section: Discussionsupporting

confidence: 91%

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multiple Centre Cross-Sectional Survey

Kashoo

Alqahtani

Alzhrani

et al. 2019

Preprint

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“…One of the main limitations of this study was the answering rate of 45.31%, which, despite matching with the ones found in the literature [18,[44][45][46][47][48], may not be representative of the whole wide world. Another limitation was the physiotherapists' questioning through a multiple choice and not through an open answer questionnaire.…”

Section: Factors That Influence In the Choice Of Therapeutic Techniquesmentioning

confidence: 70%

Use of lung expansion techniques on drained and non-drained pleural effusion: survey with 232 physiotherapists

et al. 2020

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Introduction: Techniques for lung expansion seem to benefit patients with drained and undrained pleural effusion, but there is a lack of evidence to indicate which technique is best in each situation. Currently, the therapeutic choices of respiratory physiotherapists serving this population are not known. Objective: To know which lung expansion techniques are chosen by chest physiotherapists who assist patients with drained and non-drained pleural effusion. Method: Through the announcement of the Federal Council, 232 physiotherapists who work in hospitals in Brazil were questioned about which techniques they apply to patients with drained and non-drained effusion. Results: Initially, 512 were questioned but 232 (45.3%) answered. The physiotherapists associate more than one technique of lung expansion in both types of patients, besides walking. Deep breathing is the most used technique in patients with drained (92%) and non-drained (77%) pleural effusion. Positive pressure exercises in the airways are chosen by 60% of the physiotherapists to treat patients with drained pleural effusion and by 34% to treat patients with non-drained pleural effusion. Yet the incentive spirometry are used with 66% of patients with drained pleural effusion and 42% with non-drained ones. Conclusion: Deep breathing is the most applied lung expansion technique in the treatment of patients with drained and non-drained pleural effusion by chest physiotherapists. In addition, there is association between greatest degree and time of professional performance and the chosen techniques.

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“…The efficacy of chest PT is well defined and includes combination of postural drainage, manual hyperinflation, percussion, and vibration [ 14 ]. Similar ICU practice is followed in the USA [ 15 ], Europe [ 16 ], and Asia [ 17 ]. However, a study conducted in Greece reported variation in PT procedures among PTs regarding early mobility and respiratory PT [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, a study conducted in Greece reported variation in PT procedures among PTs regarding early mobility and respiratory PT [ 18 ]. A study in Nepal reported that PTs practice was restricted to only chest physiotherapy [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multicentre Cross-Sectional Survey

Alqahtani

Kashoo

Alzhrani

et al. 2020

Critical Care Research and Practice

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Background. Early mobilisation of patients in the intensive care unit (ICU) is associated with positive health benefits. Research literature lacks insight into the current status of ICU physical therapy (PT) practice in the Kingdom of Saudi Arabia. Aim. To determine the current standard of ICU PT practice, attitude, and barriers. Methods. A questionnaire was e-mailed to physiotherapists (PTs) working in the hospital. The questions pertained to experience, qualification, barriers, and most frequently encountered case scenarios in the ICU. Results. The response rate was 28.1% (124/442). Frequent cases referred to the PTs were traumatic paraplegia (n = 111, 89%) and stroke (n = 102, 82.3%) as compared to congestive heart failure (n = 20, 16.1%) and pulmonary infections (n = 7, 5.6%). The preferred treatment of choice among PTs was chest physiotherapy (n = 102, 82.2%) and positioning (n = 73, 58.8%), whereas functional electrical stimulation (n = 12, 9.6%) was least preferred irrespective of the condition. Perceived barriers in the ICU PT management were of low confidence in managing cases (n = 89, 71.7%) followed by inadequate training (n = 53, 42.7%), and the least quoted barrier was a communication gap between the critical care team members (n = 8, 6.4%). Conclusion. PTs reported significant variation in the choice of treatment for different clinical cases inside ICU. The main barriers in the ICU setting were low confidence and inadequate training.

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Physiotherapy practice patterns in Intensive Care Units of Nepal: A multicenter survey

Cited by 10 publications

References 33 publications

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multiple Centre Cross-Sectional Survey

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multiple Centre Cross-Sectional Survey

Use of lung expansion techniques on drained and non-drained pleural effusion: survey with 232 physiotherapists

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multicentre Cross-Sectional Survey

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