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Physiotherapy in the intensive care unit: an evidence-based, expert driven, practical statement and rehabilitation recommendations. / Sommers, Juultje; Engelbert, Raoul H. H.; Dettling-Ihnenfeldt, Daniela et al.

In: Clinical rehabilitation, Vol. 29, No. 11, 2015, p. 1051-1063.

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@article{9bf0ab9819284237a2aa1ba472320552,
title = "Physiotherapy in the intensive care unit: an evidence-based, expert driven, practical statement and rehabilitation recommendations",
abstract = "To develop evidence-based recommendations for effective and safe diagnostic assessment and intervention strategies for the physiotherapy treatment of patients in intensive care units. We used the EBRO method, as recommended by the 'Dutch Evidence Based Guideline Development Platform' to develop an 'evidence statement for physiotherapy in the intensive care unit'. This method consists of the identification of clinically relevant questions, followed by a systematic literature search, and summary of the evidence with final recommendations being moderated by feedback from experts. Three relevant clinical domains were identified by experts: criteria to initiate treatment; measures to assess patients; evidence for effectiveness of treatments. In a systematic literature search, 129 relevant studies were identified and assessed for methodological quality and classified according to the level of evidence. The final evidence statement consisted of recommendations on eight absolute and four relative contra-indications to mobilization; a core set of nine specific instruments to assess impairments and activity restrictions; and six passive and four active effective interventions, with advice on (a) physiological measures to observe during treatment (with stopping criteria) and (b) what to record after the treatment. These recommendations form a protocol for treating people in an intensive care unit, based on best available evidence in mid-2014",
author = "Juultje Sommers and Engelbert, {Raoul H. H.} and Daniela Dettling-Ihnenfeldt and Rik Gosselink and Spronk, {Peter E.} and Frans Nollet and {van der Schaaf}, Marike",
year = "2015",
doi = "10.1177/0269215514567156",
language = "English",
volume = "29",
pages = "1051--1063",
journal = "Clinical rehabilitation",
issn = "0269-2155",
publisher = "SAGE Publications Ltd",
number = "11",

}

RIS

TY - JOUR

T1 - Physiotherapy in the intensive care unit: an evidence-based, expert driven, practical statement and rehabilitation recommendations

AU - Sommers, Juultje

AU - Engelbert, Raoul H. H.

AU - Dettling-Ihnenfeldt, Daniela

AU - Gosselink, Rik

AU - Spronk, Peter E.

AU - Nollet, Frans

AU - van der Schaaf, Marike

PY - 2015

Y1 - 2015

N2 - To develop evidence-based recommendations for effective and safe diagnostic assessment and intervention strategies for the physiotherapy treatment of patients in intensive care units. We used the EBRO method, as recommended by the 'Dutch Evidence Based Guideline Development Platform' to develop an 'evidence statement for physiotherapy in the intensive care unit'. This method consists of the identification of clinically relevant questions, followed by a systematic literature search, and summary of the evidence with final recommendations being moderated by feedback from experts. Three relevant clinical domains were identified by experts: criteria to initiate treatment; measures to assess patients; evidence for effectiveness of treatments. In a systematic literature search, 129 relevant studies were identified and assessed for methodological quality and classified according to the level of evidence. The final evidence statement consisted of recommendations on eight absolute and four relative contra-indications to mobilization; a core set of nine specific instruments to assess impairments and activity restrictions; and six passive and four active effective interventions, with advice on (a) physiological measures to observe during treatment (with stopping criteria) and (b) what to record after the treatment. These recommendations form a protocol for treating people in an intensive care unit, based on best available evidence in mid-2014

AB - To develop evidence-based recommendations for effective and safe diagnostic assessment and intervention strategies for the physiotherapy treatment of patients in intensive care units. We used the EBRO method, as recommended by the 'Dutch Evidence Based Guideline Development Platform' to develop an 'evidence statement for physiotherapy in the intensive care unit'. This method consists of the identification of clinically relevant questions, followed by a systematic literature search, and summary of the evidence with final recommendations being moderated by feedback from experts. Three relevant clinical domains were identified by experts: criteria to initiate treatment; measures to assess patients; evidence for effectiveness of treatments. In a systematic literature search, 129 relevant studies were identified and assessed for methodological quality and classified according to the level of evidence. The final evidence statement consisted of recommendations on eight absolute and four relative contra-indications to mobilization; a core set of nine specific instruments to assess impairments and activity restrictions; and six passive and four active effective interventions, with advice on (a) physiological measures to observe during treatment (with stopping criteria) and (b) what to record after the treatment. These recommendations form a protocol for treating people in an intensive care unit, based on best available evidence in mid-2014

U2 - 10.1177/0269215514567156

DO - 10.1177/0269215514567156

M3 - Article

C2 - 25681407

VL - 29

SP - 1051

EP - 1063

JO - Clinical rehabilitation

JF - Clinical rehabilitation

SN - 0269-2155

IS - 11

ER -

ID: 2555718