Physiotherapy practice patterns in Intensive Care Units of Nepal: a multicenter survey

Baidya, Sumana, Acharya, Ranjeeta S. and Coppieters, Michel W. (2016) Physiotherapy practice patterns in Intensive Care Units of Nepal: a multicenter survey. Indian Journal of Critical Care Medicine, 20 2: 84-90. doi:10.4103/0972-5229.175939

Author Baidya, Sumana
Acharya, Ranjeeta S.
Coppieters, Michel W.
Title Physiotherapy practice patterns in Intensive Care Units of Nepal: a multicenter survey
Journal name Indian Journal of Critical Care Medicine   Check publisher's open access policy
ISSN 1998-359X
Publication date 2016-02-08
Year available 2016
Sub-type Critical review of research, literature review, critical commentary
DOI 10.4103/0972-5229.175939
Open Access Status DOI
Volume 20
Issue 2
Start page 84
End page 90
Total pages 7
Place of publication Mumbai, Maharastra, India
Publisher Medknow Publications
Language eng
Formatted abstract
Context: As physiotherapy (PT) is a young profession in Nepal, there is a dearth of insight into the common practices of physiotherapists in critical care.

Aims: To identify the availability of PT services in Intensive Care Units (ICUs) and articulate the common practices by physiotherapists in ICUs of Nepal.

Settings and Design: All tertiary care hospitals across Nepal with ICU facility via an exploratory cross-sectional survey.

Subjects and Methods: An existing questionnaire was distributed to all the physiotherapists currently working in ICUs of Nepal with 2 years of experience. The survey was sent via E-mail or given in person to 86 physiotherapists.

Statistical Analysis Used: Descriptive and inferential statistics according to nature of data.

Results: The response rate was 60% (n = 52). In the majority of hospitals (68%), PT service was provided only after a physician consultation, and few hospitals (13%) had established hospital criteria for PT in ICUs. Private hospitals (57.1%) were providing PT service in weekends compared to government hospitals (32.1%) (P = 0.17). The likelihood of routine PT involvement varied significantly with the clinical scenarios (highest 71.2% status cerebrovascular accident, lowest 3.8% myocardial infarction, P < 0.001). The most preferred PT treatment was chest PT (53.8%) and positioning (21.2%) while least preferred was therapeutic exercise (3.8%) irrespective of clinical scenarios.

Conclusions: There is a lack of regular PT service during weekends in ICUs of Nepal. Most of the cases are treated by physiotherapists only after physician's referral. The preferred intervention seems to be limited only to chest PT and physiotherapists are not practicing therapeutic exercise and functional mobility training to a great extent.
Keyword Intensive Care Units
Multicenter survey
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
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