Physiotherapy practice patterns for acute respiratory distress syndrome in intensive care unit in India - A survey

Rashmi Nigam, Gopala Krishna Alaparthi, K. Shyam Krishnan, C. P. Zulfeequer

Research output: Contribution to journalArticle

Abstract

Objective: To determine the practice patterns of physiotherapists for acute respiratory distress syndrome (ARDS) in the Intensive care unit in India. Materials and methods: A cross sectional survey was conducted across India, in which 600 questionnaires were sent via email to cardio-pulmonary physiotherapists. The questionnaire addressed assessment and treatment techniques of ventilated and non-ventilated ARDS patients. Results: A total of 252 completed questionnaires were returned with a response rate of 42%. The assessment and treatment techniques used were almost similar for ventilated and non-ventilated patients. More than 75% of the responders monitored vital and ventilatory parameters and respiratory impairments for both ventilated and non-ventilated patients. An objective measure of dyspnea was taken by less than 70% responders with minimal attention given to functional exercise capacity, measures of function and health related quality of life measures. Supine Positioning (81.7%)was used more in ventilated patients whereas upright position (75%) was used more in non-ventilated patients. 75% of responders use secretion clearance and manual techniques for both ventilated and non-ventilated patients. In non-ventilated patients, breathing strategies were used by 85% responders, 86.1% performed ambulation and more than 60% physiotherapists used strength training. Conclusion: Assessment predominately focuses on monitoring vital signs and ventilator parameters, and taking impairment measures for ventilated and non-ventilated patients, with little attention given to functional exercise capacity, measures of function and health related quality of life measures. Treatment predominately focuses on body positioning, airway clearance techniques, manual techniques and range of motion exercises for ventilated patients and in addition to all aforementioned breathing strategies and functional training for non-ventilated patients.

Original languageEnglish
Article number8
JournalOnline Journal of Health and Allied Sciences
Volume16
Issue number1
Publication statusPublished - 01-01-2017

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Adult Respiratory Distress Syndrome
Intensive Care Units
India
Physical Therapists
Exercise
Respiration
Quality of Life
Surveys and Questionnaires
Resistance Training
Vital Signs
Mechanical Ventilators
Articular Range of Motion
Dyspnea
Walking
Therapeutics
Cross-Sectional Studies
Lung

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Nigam, Rashmi ; Alaparthi, Gopala Krishna ; Krishnan, K. Shyam ; Zulfeequer, C. P. / Physiotherapy practice patterns for acute respiratory distress syndrome in intensive care unit in India - A survey. In: Online Journal of Health and Allied Sciences. 2017 ; Vol. 16, No. 1.
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abstract = "Objective: To determine the practice patterns of physiotherapists for acute respiratory distress syndrome (ARDS) in the Intensive care unit in India. Materials and methods: A cross sectional survey was conducted across India, in which 600 questionnaires were sent via email to cardio-pulmonary physiotherapists. The questionnaire addressed assessment and treatment techniques of ventilated and non-ventilated ARDS patients. Results: A total of 252 completed questionnaires were returned with a response rate of 42{\%}. The assessment and treatment techniques used were almost similar for ventilated and non-ventilated patients. More than 75{\%} of the responders monitored vital and ventilatory parameters and respiratory impairments for both ventilated and non-ventilated patients. An objective measure of dyspnea was taken by less than 70{\%} responders with minimal attention given to functional exercise capacity, measures of function and health related quality of life measures. Supine Positioning (81.7{\%})was used more in ventilated patients whereas upright position (75{\%}) was used more in non-ventilated patients. 75{\%} of responders use secretion clearance and manual techniques for both ventilated and non-ventilated patients. In non-ventilated patients, breathing strategies were used by 85{\%} responders, 86.1{\%} performed ambulation and more than 60{\%} physiotherapists used strength training. Conclusion: Assessment predominately focuses on monitoring vital signs and ventilator parameters, and taking impairment measures for ventilated and non-ventilated patients, with little attention given to functional exercise capacity, measures of function and health related quality of life measures. Treatment predominately focuses on body positioning, airway clearance techniques, manual techniques and range of motion exercises for ventilated patients and in addition to all aforementioned breathing strategies and functional training for non-ventilated patients.",
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Physiotherapy practice patterns for acute respiratory distress syndrome in intensive care unit in India - A survey. / Nigam, Rashmi; Alaparthi, Gopala Krishna; Krishnan, K. Shyam; Zulfeequer, C. P.

In: Online Journal of Health and Allied Sciences, Vol. 16, No. 1, 8, 01.01.2017.

Research output: Contribution to journalArticle

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N2 - Objective: To determine the practice patterns of physiotherapists for acute respiratory distress syndrome (ARDS) in the Intensive care unit in India. Materials and methods: A cross sectional survey was conducted across India, in which 600 questionnaires were sent via email to cardio-pulmonary physiotherapists. The questionnaire addressed assessment and treatment techniques of ventilated and non-ventilated ARDS patients. Results: A total of 252 completed questionnaires were returned with a response rate of 42%. The assessment and treatment techniques used were almost similar for ventilated and non-ventilated patients. More than 75% of the responders monitored vital and ventilatory parameters and respiratory impairments for both ventilated and non-ventilated patients. An objective measure of dyspnea was taken by less than 70% responders with minimal attention given to functional exercise capacity, measures of function and health related quality of life measures. Supine Positioning (81.7%)was used more in ventilated patients whereas upright position (75%) was used more in non-ventilated patients. 75% of responders use secretion clearance and manual techniques for both ventilated and non-ventilated patients. In non-ventilated patients, breathing strategies were used by 85% responders, 86.1% performed ambulation and more than 60% physiotherapists used strength training. Conclusion: Assessment predominately focuses on monitoring vital signs and ventilator parameters, and taking impairment measures for ventilated and non-ventilated patients, with little attention given to functional exercise capacity, measures of function and health related quality of life measures. Treatment predominately focuses on body positioning, airway clearance techniques, manual techniques and range of motion exercises for ventilated patients and in addition to all aforementioned breathing strategies and functional training for non-ventilated patients.

AB - Objective: To determine the practice patterns of physiotherapists for acute respiratory distress syndrome (ARDS) in the Intensive care unit in India. Materials and methods: A cross sectional survey was conducted across India, in which 600 questionnaires were sent via email to cardio-pulmonary physiotherapists. The questionnaire addressed assessment and treatment techniques of ventilated and non-ventilated ARDS patients. Results: A total of 252 completed questionnaires were returned with a response rate of 42%. The assessment and treatment techniques used were almost similar for ventilated and non-ventilated patients. More than 75% of the responders monitored vital and ventilatory parameters and respiratory impairments for both ventilated and non-ventilated patients. An objective measure of dyspnea was taken by less than 70% responders with minimal attention given to functional exercise capacity, measures of function and health related quality of life measures. Supine Positioning (81.7%)was used more in ventilated patients whereas upright position (75%) was used more in non-ventilated patients. 75% of responders use secretion clearance and manual techniques for both ventilated and non-ventilated patients. In non-ventilated patients, breathing strategies were used by 85% responders, 86.1% performed ambulation and more than 60% physiotherapists used strength training. Conclusion: Assessment predominately focuses on monitoring vital signs and ventilator parameters, and taking impairment measures for ventilated and non-ventilated patients, with little attention given to functional exercise capacity, measures of function and health related quality of life measures. Treatment predominately focuses on body positioning, airway clearance techniques, manual techniques and range of motion exercises for ventilated patients and in addition to all aforementioned breathing strategies and functional training for non-ventilated patients.

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