Anastasia N L Newman1, Janelle Gravesande2, Stephanie Rotella3, Stephen S Wu4, Nam Topp-Nguyen5, Michelle E Kho6, Jocelyn E Harris7, Alison Fox-Robichaud8, Patricia Solomon9. 1. School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, Ontario L8S 1C7, Canada; Hamilton General Hospital, 237 Barton Street East, Hamilton, Ontario L8L 2X2, Canada. Electronic address: newmanan@mcmaster.ca. 2. School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, Ontario L8S 1C7, Canada. Electronic address: gravesja@mcmaster.ca. 3. Hamilton General Hospital, 237 Barton Street East, Hamilton, Ontario L8L 2X2, Canada. 4. School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, Ontario L8S 1C7, Canada. 5. Hamilton General Hospital, 237 Barton Street East, Hamilton, Ontario L8L 2X2, Canada; University of Toronto, 27 King's College Circle, Toronto, Ontario, Canada. Electronic address: nam.topp.nguyen@mail.utoronto.ca. 6. School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, Ontario L8S 1C7, Canada; Physiotherapy Department, St. Joseph's Healthcare Hamilton, 50 Charlton Avenue East, Hamilton, Ontario L8N 4A6, Canada. Electronic address: khome@mcmaster.ca. 7. School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, Ontario L8S 1C7, Canada. Electronic address: jharris@mcmaster.ca. 8. Hamilton General Hospital, 237 Barton Street East, Hamilton, Ontario L8L 2X2, Canada; Department of Medicine, Division of Critical Care, McMaster University, 1200 Main Street West, Hamilton, Ontario L8N 3Z5, Canada. Electronic address: afoxrob@mcmaster.ca. 9. School of Rehabilitation Science, McMaster University, 1400 Main Street West, Hamilton, Ontario L8S 1C7, Canada. Electronic address: solomon@mcmaster.ca.
Abstract
PURPOSE: This scoping review summarizes the literature on the safety and effectiveness of physiotherapy interventions in patients with neurological and/or traumatic injuries in the intensive care unit (ICU), identifies literature gaps and provides recommendations for future research. MATERIALS AND METHODS: We searched five databases from inception to June 2, 2018. We included published retrospective studies, case studies, observation and randomized controlled trials describing physiotherapy interventions in ICU patients with neurotrauma injuries. Two reviewers reviewed the databases and independently screened English articles for eligibility. Data extracted included purpose, study design, population (s), outcome measures, interventions and results. Thematic analysis and descriptive numerical summaries are presented by intervention type. RESULTS: 12,846 titles were screened and 72 met the inclusion criteria. Most of the studies were observational studies (44 (61.1%)) and RCTs (14 (19.4%)). Early mobilization, electrical stimulation, range of motion, and chest physiotherapy techniques were the most common interventions in the literature. Physiotherapy interventions were found to be safe with few adverse events. CONCLUSIONS: Gaps in the literature suggest that future studies require assessment of long term functional outcomes and quality of life, examination of homogenous populations and more robust methodologies including clinical trials and larger samples.
PURPOSE: This scoping review summarizes the literature on the safety and effectiveness of physiotherapy interventions in patients with neurological and/or traumatic injuries in the intensive care unit (ICU), identifies literature gaps and provides recommendations for future research. MATERIALS AND METHODS: We searched five databases from inception to June 2, 2018. We included published retrospective studies, case studies, observation and randomized controlled trials describing physiotherapy interventions in ICU patients with neurotrauma injuries. Two reviewers reviewed the databases and independently screened English articles for eligibility. Data extracted included purpose, study design, population (s), outcome measures, interventions and results. Thematic analysis and descriptive numerical summaries are presented by intervention type. RESULTS: 12,846 titles were screened and 72 met the inclusion criteria. Most of the studies were observational studies (44 (61.1%)) and RCTs (14 (19.4%)). Early mobilization, electrical stimulation, range of motion, and chest physiotherapy techniques were the most common interventions in the literature. Physiotherapy interventions were found to be safe with few adverse events. CONCLUSIONS: Gaps in the literature suggest that future studies require assessment of long term functional outcomes and quality of life, examination of homogenous populations and more robust methodologies including clinical trials and larger samples.
Authors: Yusuf Mehkri; Chadwin Hanna; Sai Sriram; Ramya Reddy; Jairo Hernandez; Jeff A Valisno; Brandon Lucke-Wold Journal: J Neurol Res Rev Rep Date: 2022-05-20
Authors: Santhani M Selveindran; Tamara Tango; Muhammad Mukhtar Khan; Daniel Martin Simadibrata; Peter J A Hutchinson; Carol Brayne; Christine Hill; Franco Servadei; Angelos G Kolias; Andres M Rubiano; Alexis J Joannides; Hamisi K Shabani Journal: Syst Rev Date: 2020-05-20
Authors: Santhani M Selveindran; Muhammad Mukhtar Khan; Daniel Martin Simadibrata; Peter J A Hutchinson; Carol Brayne; Christine Hill; Angelos Kolias; Alexis J Joannides; Franco Servadei; Andres M Rubiano; Hamisi K Shabani Journal: BMJ Open Date: 2019-11-12 Impact factor: 2.692