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Chest physiotherapy techniques in neurological intensive care units of India: A survey

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 phys...

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Autores principales: Bhat, Anup, Chakravarthy, Kalyana, Rao, Bhamini K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4071680/
https://www.ncbi.nlm.nih.gov/pubmed/24987235
http://dx.doi.org/10.4103/0972-5229.133890
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author Bhat, Anup
Chakravarthy, Kalyana
Rao, Bhamini K.
author_facet Bhat, Anup
Chakravarthy, Kalyana
Rao, Bhamini K.
author_sort Bhat, Anup
collection PubMed
description 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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spelling pubmed-40716802014-07-01 Chest physiotherapy techniques in neurological intensive care units of India: A survey Bhat, Anup Chakravarthy, Kalyana Rao, Bhamini K. Indian J Crit Care Med Research Article 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. Medknow Publications & Media Pvt Ltd 2014-06 /pmc/articles/PMC4071680/ /pubmed/24987235 http://dx.doi.org/10.4103/0972-5229.133890 Text en Copyright: © Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Bhat, Anup
Chakravarthy, Kalyana
Rao, Bhamini K.
Chest physiotherapy techniques in neurological intensive care units of India: A survey
title Chest physiotherapy techniques in neurological intensive care units of India: A survey
title_full Chest physiotherapy techniques in neurological intensive care units of India: A survey
title_fullStr Chest physiotherapy techniques in neurological intensive care units of India: A survey
title_full_unstemmed Chest physiotherapy techniques in neurological intensive care units of India: A survey
title_short Chest physiotherapy techniques in neurological intensive care units of India: A survey
title_sort chest physiotherapy techniques in neurological intensive care units of india: a survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4071680/
https://www.ncbi.nlm.nih.gov/pubmed/24987235
http://dx.doi.org/10.4103/0972-5229.133890
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