Passive limb movements for patients in an intensive care unit: A survey of physiotherapy practice in Australia
Abstract Purpose This study aimed to investigate physiotherapists' clinical practice regarding passive limb movements for adult patients in Australian intensive care units (ICUs). Materials and Methods A prospective survey using a purpose-designed questionnaire was mailed to the senior physioth...
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| Veröffentlicht in: | Journal of critical care 2010-09, Vol.25 (3), p.501-508 |
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| creator | Wiles, Louise, B Physio (Hons) Stiller, Kathy, PhD |
| description | Abstract Purpose This study aimed to investigate physiotherapists' clinical practice regarding passive limb movements for adult patients in Australian intensive care units (ICUs). Materials and Methods A prospective survey using a purpose-designed questionnaire was mailed to the senior physiotherapist working in each Australian level 3 (tertiary) adult ICU. Results Of 65 questionnaires sent, 51 (78%) were returned. A minority of respondents (35%) undertook routine assessment of passive limb range of movement (ROM) for all ICU patients. Instead, most based the need for assessment on criteria such as length of stay, reason for admission, and medical history. A minority (14%) provided passive limb ROM exercises on a routine basis for all patients, instead most intervened only for high-risk patients or those with loss of ROM. The most frequently used interventions were manually applied passive limb ROM exercises, positioning, and mobilization, and the actual exercise prescription varied markedly. Respondents thought contracture was uncommon in ICU patients, was multifactorial in origin, and caused moderate problems. Personal experience and colleagues' advice were the factors most influencing clinical practice. Conclusions Although selective passive limb ROM assessment and intervention formed a part of most physiotherapists' clinical ICU practice, considerable variability was found in its application between respondents. |
| doi_str_mv | 10.1016/j.jcrc.2009.07.003 |
| format | Article |
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Materials and Methods A prospective survey using a purpose-designed questionnaire was mailed to the senior physiotherapist working in each Australian level 3 (tertiary) adult ICU. Results Of 65 questionnaires sent, 51 (78%) were returned. A minority of respondents (35%) undertook routine assessment of passive limb range of movement (ROM) for all ICU patients. Instead, most based the need for assessment on criteria such as length of stay, reason for admission, and medical history. A minority (14%) provided passive limb ROM exercises on a routine basis for all patients, instead most intervened only for high-risk patients or those with loss of ROM. The most frequently used interventions were manually applied passive limb ROM exercises, positioning, and mobilization, and the actual exercise prescription varied markedly. Respondents thought contracture was uncommon in ICU patients, was multifactorial in origin, and caused moderate problems. Personal experience and colleagues' advice were the factors most influencing clinical practice. Conclusions Although selective passive limb ROM assessment and intervention formed a part of most physiotherapists' clinical ICU practice, considerable variability was found in its application between respondents.</description><identifier>ISSN: 0883-9441</identifier><identifier>EISSN: 1557-8615</identifier><identifier>DOI: 10.1016/j.jcrc.2009.07.003</identifier><identifier>PMID: 19819105</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Australia ; Clinical medicine ; Contracture ; Critical Care ; Design ; Extremities ; Female ; Health Care Surveys ; Hospitals ; Humans ; Intensive care ; Intensive Care Units ; Male ; Movement ; Passive range of motion ; Patients ; Physical therapy ; Physical Therapy Modalities - statistics & numerical data ; Physiotherapy ; Practice Patterns, Physicians ; Prospective Studies ; Quality of life ; Questionnaires ; Range of Motion, Articular ; Surveys and Questionnaires</subject><ispartof>Journal of critical care, 2010-09, Vol.25 (3), p.501-508</ispartof><rights>2010</rights><rights>Crown Copyright © 2010. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Sep 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-d20188ec39e2e295ac1b7a895d50fd863c069042839fef2017a10872ccef68be3</citedby><cites>FETCH-LOGICAL-c438t-d20188ec39e2e295ac1b7a895d50fd863c069042839fef2017a10872ccef68be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1033833738?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19819105$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wiles, Louise, B Physio (Hons)</creatorcontrib><creatorcontrib>Stiller, Kathy, PhD</creatorcontrib><title>Passive limb movements for patients in an intensive care unit: A survey of physiotherapy practice in Australia</title><title>Journal of critical care</title><addtitle>J Crit Care</addtitle><description>Abstract Purpose This study aimed to investigate physiotherapists' clinical practice regarding passive limb movements for adult patients in Australian intensive care units (ICUs). Materials and Methods A prospective survey using a purpose-designed questionnaire was mailed to the senior physiotherapist working in each Australian level 3 (tertiary) adult ICU. Results Of 65 questionnaires sent, 51 (78%) were returned. A minority of respondents (35%) undertook routine assessment of passive limb range of movement (ROM) for all ICU patients. Instead, most based the need for assessment on criteria such as length of stay, reason for admission, and medical history. A minority (14%) provided passive limb ROM exercises on a routine basis for all patients, instead most intervened only for high-risk patients or those with loss of ROM. The most frequently used interventions were manually applied passive limb ROM exercises, positioning, and mobilization, and the actual exercise prescription varied markedly. Respondents thought contracture was uncommon in ICU patients, was multifactorial in origin, and caused moderate problems. Personal experience and colleagues' advice were the factors most influencing clinical practice. Conclusions Although selective passive limb ROM assessment and intervention formed a part of most physiotherapists' clinical ICU practice, considerable variability was found in its application between respondents.</description><subject>Adult</subject><subject>Australia</subject><subject>Clinical medicine</subject><subject>Contracture</subject><subject>Critical Care</subject><subject>Design</subject><subject>Extremities</subject><subject>Female</subject><subject>Health Care Surveys</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Movement</subject><subject>Passive range of motion</subject><subject>Patients</subject><subject>Physical therapy</subject><subject>Physical Therapy Modalities - statistics & numerical data</subject><subject>Physiotherapy</subject><subject>Practice Patterns, Physicians</subject><subject>Prospective Studies</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Range of Motion, Articular</subject><subject>Surveys and Questionnaires</subject><issn>0883-9441</issn><issn>1557-8615</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kktr3DAUhUVpaabT_oEuiqCLruxeWSNbKiUwhL4gkECTtdDI10SuX5XkAf_7ypmBQBbdXCH4zkE65xLynkHOgJWf27y13uYFgMqhygH4C7JhQlSZLJl4STYgJc_UbscuyJsQWgBWcS5ekwumJFMMxIYMtyYEd0Tauf5A-_GIPQ4x0Gb0dDLRPV7cQM2QZsThkbXGI50HF7_QPQ2zP-JCx4ZOD0twY3xAb6aFTt7Y6Cyu6v0cojedM2_Jq8Z0Ad-dzy25__7t7upndn3z49fV_jqzOy5jVhfApETLFRZYKGEsO1RGKlELaGpZcgulgl0huWqwSXBlGMiqsBabUh6Qb8mnk-_kx78zhqh7Fyx2nRlwnIOuhGASBFOJ_PiMbMfZD-lxmgHnkvMqjS0pTpT1YwgeGz151xu_JEivZehWr2XotQwNlU5lJNGHs_V86LF-kpzTT8DXE4ApiqNDr4NNiVusnUcbdT26__tfPpPbzg3Omu4PLhie_qFDoUH_Xtdh3QZQAAVIxv8Be4KwEg</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Wiles, Louise, B Physio (Hons)</creator><creator>Stiller, Kathy, PhD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100901</creationdate><title>Passive limb movements for patients in an intensive care unit: A survey of physiotherapy practice in Australia</title><author>Wiles, Louise, B Physio (Hons) ; Stiller, Kathy, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-d20188ec39e2e295ac1b7a895d50fd863c069042839fef2017a10872ccef68be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Australia</topic><topic>Clinical medicine</topic><topic>Contracture</topic><topic>Critical Care</topic><topic>Design</topic><topic>Extremities</topic><topic>Female</topic><topic>Health Care Surveys</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Movement</topic><topic>Passive range of motion</topic><topic>Patients</topic><topic>Physical therapy</topic><topic>Physical Therapy Modalities - statistics & numerical data</topic><topic>Physiotherapy</topic><topic>Practice Patterns, Physicians</topic><topic>Prospective Studies</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Range of Motion, Articular</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wiles, Louise, B Physio (Hons)</creatorcontrib><creatorcontrib>Stiller, Kathy, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wiles, Louise, B Physio (Hons)</au><au>Stiller, Kathy, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Passive limb movements for patients in an intensive care unit: A survey of physiotherapy practice in Australia</atitle><jtitle>Journal of critical care</jtitle><addtitle>J Crit Care</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>25</volume><issue>3</issue><spage>501</spage><epage>508</epage><pages>501-508</pages><issn>0883-9441</issn><eissn>1557-8615</eissn><abstract>Abstract Purpose This study aimed to investigate physiotherapists' clinical practice regarding passive limb movements for adult patients in Australian intensive care units (ICUs). Materials and Methods A prospective survey using a purpose-designed questionnaire was mailed to the senior physiotherapist working in each Australian level 3 (tertiary) adult ICU. Results Of 65 questionnaires sent, 51 (78%) were returned. A minority of respondents (35%) undertook routine assessment of passive limb range of movement (ROM) for all ICU patients. Instead, most based the need for assessment on criteria such as length of stay, reason for admission, and medical history. A minority (14%) provided passive limb ROM exercises on a routine basis for all patients, instead most intervened only for high-risk patients or those with loss of ROM. The most frequently used interventions were manually applied passive limb ROM exercises, positioning, and mobilization, and the actual exercise prescription varied markedly. Respondents thought contracture was uncommon in ICU patients, was multifactorial in origin, and caused moderate problems. Personal experience and colleagues' advice were the factors most influencing clinical practice. Conclusions Although selective passive limb ROM assessment and intervention formed a part of most physiotherapists' clinical ICU practice, considerable variability was found in its application between respondents.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19819105</pmid><doi>10.1016/j.jcrc.2009.07.003</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Australia Clinical medicine Contracture Critical Care Design Extremities Female Health Care Surveys Hospitals Humans Intensive care Intensive Care Units Male Movement Passive range of motion Patients Physical therapy Physical Therapy Modalities - statistics & numerical data Physiotherapy Practice Patterns, Physicians Prospective Studies Quality of life Questionnaires Range of Motion, Articular Surveys and Questionnaires |
| title | Passive limb movements for patients in an intensive care unit: A survey of physiotherapy practice in Australia |
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