Chest physiotherapy techniques in neurological intensive care units of India

A survey

Anup Bhat, Kalyana Chakravarthy, Bhamini K. Rao

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Context: Neurological intensive care units (ICUs) are a rapidly developing sub-specialty of neurosciences. Chest physiotherapy techniques are of great value in neurological ICUs in preventing, halting, or reversing the impairments caused due to neurological disorder and ICU stay. However, chest physiotherapy techniques should be modified to a greater extent in the neurological ICU as compared with general ICUs. Aim: The aim of this study is to obtain data on current chest physiotherapy practices in neurological ICUs of India. Settings and Design: A tertiary care hospital in Karnataka, India, and cross-sectional survey. Subjects and Methods: A questionnaire was formulated and content validated to assess the current chest physiotherapy practices in neurological ICUs of India. The questionnaire was constructed online and a link was distributed via E-mail to 185 physiotherapists working in neurological ICUs across India. Statistical Analysis Used: Descriptive statistics. Results: The response rate was 44.3% (n = 82); 31% of the physiotherapists were specialized in cardiorespiratory physiotherapy and 30% were specialized in neurological physiotherapy. Clapping, vibration, postural drainage, aerosol therapy, humidification, and suctioning were used commonly used airway clearance (AC) techniques by the majority of physiotherapists. However, devices for AC techniques such as Flutter, Acapella, and standard positive expiratory pressure devices were used less frequently for AC. Techniques such as autogenic drainage and active cycle of breathing technique are also frequently used when appropriate for the patients. Lung expansion therapy techniques such as breathing exercises, incentive spirometry exercises, and positioning, proprioceptive neuromuscular facilitation of breathing are used by majority of physiotherapists. Conclusions: Physiotherapists in this study were using conventional chest physiotherapy techniques more frequently in comparison to the devices available for AC.

Original languageEnglish
Pages (from-to)363-368
Number of pages6
JournalIndian Journal of Critical Care Medicine
Volume18
Issue number6
DOIs
Publication statusPublished - 01-01-2014

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Physical Therapy Modalities
Intensive Care Units
India
Thorax
Physical Therapists
Equipment and Supplies
Respiration
Postural Drainage
Breathing Exercises
Surveys and Questionnaires
Spirometry
Tertiary Healthcare
Neurosciences
Vibration
Nervous System Diseases
Aerosols
Tertiary Care Centers
Motivation
Drainage
Cross-Sectional Studies

All Science Journal Classification (ASJC) codes

  • Critical Care and Intensive Care Medicine

Cite this

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abstract = "Context: Neurological intensive care units (ICUs) are a rapidly developing sub-specialty of neurosciences. Chest physiotherapy techniques are of great value in neurological ICUs in preventing, halting, or reversing the impairments caused due to neurological disorder and ICU stay. However, chest physiotherapy techniques should be modified to a greater extent in the neurological ICU as compared with general ICUs. Aim: The aim of this study is to obtain data on current chest physiotherapy practices in neurological ICUs of India. Settings and Design: A tertiary care hospital in Karnataka, India, and cross-sectional survey. Subjects and Methods: A questionnaire was formulated and content validated to assess the current chest physiotherapy practices in neurological ICUs of India. The questionnaire was constructed online and a link was distributed via E-mail to 185 physiotherapists working in neurological ICUs across India. Statistical Analysis Used: Descriptive statistics. Results: The response rate was 44.3{\%} (n = 82); 31{\%} of the physiotherapists were specialized in cardiorespiratory physiotherapy and 30{\%} were specialized in neurological physiotherapy. Clapping, vibration, postural drainage, aerosol therapy, humidification, and suctioning were used commonly used airway clearance (AC) techniques by the majority of physiotherapists. However, devices for AC techniques such as Flutter, Acapella, and standard positive expiratory pressure devices were used less frequently for AC. Techniques such as autogenic drainage and active cycle of breathing technique are also frequently used when appropriate for the patients. Lung expansion therapy techniques such as breathing exercises, incentive spirometry exercises, and positioning, proprioceptive neuromuscular facilitation of breathing are used by majority of physiotherapists. Conclusions: Physiotherapists in this study were using conventional chest physiotherapy techniques more frequently in comparison to the devices available for AC.",
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Chest physiotherapy techniques in neurological intensive care units of India : A survey. / Bhat, Anup; Chakravarthy, Kalyana; Rao, Bhamini K.

In: Indian Journal of Critical Care Medicine, Vol. 18, No. 6, 01.01.2014, p. 363-368.

Research output: Contribution to journalArticle

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