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VOLUME 19 , ISSUE 11 ( 2015 ) > List of Articles


Physiotherapy practices in Intensive Care Units across Maharashtra

Ujwal Lakshman Yeole, Ankita Ramesh Chand, Biplab B. Nandi, Pravin P. Gawali, Roshan G. Adkitte

Keywords : Hospitals across Maharashtra, Intensive Care Units, physiotherapy practices

Citation Information : Yeole UL, Chand AR, Nandi BB, Gawali PP, Adkitte RG. Physiotherapy practices in Intensive Care Units across Maharashtra. Indian J Crit Care Med 2015; 19 (11):669-673.

DOI: 10.4103/0972-5229.169346

License: CC BY-ND 3.0

Published Online: 01-02-2013

Copyright Statement:  Copyright © 2015; The Author(s).


Purpose: To find out the current physiotherapy practices in Intensive Care Unit (ICU) across Maharashtra. Materials and Methods: Study design was exploratory cross-sectional survey. Questionnaires were sent to the physiotherapists working in hospitals across Maharashtra state, India. Four weeks for completion of questionnaire was given in an attempt to ensure good response rates. Result: Of 200, 73 questionnaires were received representing a 36% response rate. The study revealed that 76% of the respondents were bachelors qualified, 15% were masters in physiotherapy with only 4% specialized in cardio-respiratory physiotherapy; 82% had <5 years experience in ICU. Almost 19% had not at all attended any seminars/workshops related to ICU management while 61% attended up to three within last 2 years. The availability of a physiotherapist during the night was affirmed by 63%, 58% responded initiation of physiotherapy to be "always physician referred" and 39% mentioned "physiotherapist initiated." Almost 80% performed chest wall techniques, 86% positioning, 27% postural drainage, 5% manual hyperinflation, 12% application of nebulizer, and 56% bedsores management. Only 5% reported involvement in ventilator setting, 11% had their opinion sought before weaning from ventilator, 29% practiced noninvasive ventilation, 11% were involved in decision-making for extubation and 44% reported involvement in patient family education. Conclusion: The study showed that physiotherapists among the responding ICUs surveyed lack in experience and updated knowledge. Physician reference is necessary to initiate physiotherapy and there exists no established criteria for physiotherapy treatment in ICU. All physiotherapists were routinely involved in chest physiotherapy, mobilization, and positioning.

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  1. World Confederation for Physical Therapy. Policy Statement: Description of Physical Therapy; 2011. Available from: [Last accessed on 2015 Aug 10].
  2. Classification of Health Workforce Statistics, World Health Organization. Available from: [Last accessed on 2015 Aug 21].
  3. Stiller K. Physiotherapy in intensive care: Towards an evidence-based practice. Chest 2000;118:1801-13.
  4. Gosselink R, Bott J, Johnson M, Dean E, Nava S, Norrenberg M, et al. Physiotherapy for adult patients with critical illness: Recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Intensive Care Med 2008;34:1188-99.
  5. Clini E, Ambrosino N. Early physiotherapy in the respiratory Intensive Care Unit. Respir Med 2005;99:1096-104.
  6. Bhat A, Chakravarthy K, Rao BK. Chest physiotherapy techniques in neurological Intensive Care Units of India: A survey. Indian J Crit Care Med 2014;18:363-8.
  7. Jones AY, Hutchinson RC, Oh TE. Chest physiotherapy practice in Intensive Care Units in Australia, the UK and Hong Kong. Physiother Theory Pract 1992;8:39-47.
  8. Kumar JA, Maiya AG, Pereira D. Role of physiotherapists in Intensive Care Units of India: A multicenter survey. Indian J Crit Care Med 2007;11:198-203.
  9. Norrenberg M, Vincent JL. A profile of European Intensive Care Unit physiotherapists. European Society of Intensive Care Medicine. Intensive Care Med 2000;26:988-94.
  10. Van Aswegen H, Potterton J. A pilot survey of the current scope of practice of South African physiotherapists in Intensive Care Units. South Afr J Physiother 2000;61:17-21.
  11. Chaboyer W, Gass E, Foster M. Patterns of chest physiotherapy in Australian Intensive Care Units. J Crit Care 2004;19:145-51.
  12. Shimpi A, Writer H, Shyam A, Dabadghav R. Role of physiotherapy in India - A cross-sectional survey to study the awareness and perspective among referring doctors. J Med Thesis 2014;2:11-5.
  13. Akinbo S, Odebiyi D, Okunola T, Aderoba O. Evidence-based practice: Knowledge, attitudes and beliefs of physiotherapists in Nigeria. Internet J Med Inform 2008;4:2.
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