Impact of Physiotherapy on ICU Patients: A Comprehensive Study
Investigating the impact of physiotherapy interventions on ICU patients, this study reveals findings on muscle weakness, reduced mobility, chronic pain incidence, and referral patterns post-ICU discharge. The study aims to improve patient outcomes through tailored interventions and follow-ups.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Has InS:PIRE changed the ICU? Physiotherapy HELEN DEVINE
Physiotherapy intervention Weekly exercise class Educational discussion 1:1 MSK assessment
September 2014 - What I expected? Muscle weakness Decreased joint range of movement Loss of appetite/weight Reduced physical function Reduced mobility
MSK findings % of participants with upper limb (UL) or lower limb (LL) weakness or decreased range of movement (ROM) 80 60 40 20 0 UL weakness LL weakness UL ROM LL ROM
Incidence of chronic pain (n=48) 13% 21% 66 % No pain No new pain since admission New pain since admission
Evidence so far related to chronic pain post ICU? Boyle et al, 2004 Battle et al, 2013 Griffiths et al, 2013
Location of pain Body parts affected of those reporting new pain (n=31) 3% 25% 34% 38% Shoulder Lower limb Spine and pelvis Upper limb
Other findings: referrals 21% of patients already attending O/P PT Further 23% referred to PT services 19% to Live Active scheme (gym) or equivalent programme 21% to other services e.g. pulm rehab/dietitics
Impact on service Increased attention to specific joints Application for more equipment Conversations re: rehab plan Education and feedback to downstream wards and outpatient departments Downstream service
Plan from here? Collate findings up to one year follow-up Disseminate findings Ensure follow-up patients lead change for ICU!
References Boyle et al 2004,The effect of chronic pain on health related quality of life amongst intensive care survivors, Australian Critical Care, Vol 17, Issue 3, pp 104-113. Battle et al 2013, Chronic pain in survivors of critical illness: a retrospective analysis of incidence and risk factors, Critical Care, 2013, 17:R101. Griffiths et al 2013, An exploration of social and economic outcome and associated health-related quality of life after critical illness in general intensive care unit survivors: a 12-month follow-up study, Critical Care, R100.
