Knowledge and applicability of functional scales by intensive physiotherapists

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2023.e5272

Keywords:

Intensive Care Units, Physical Therapists, Early Mobilization

Abstract

INTRODUCTION: The role of the physiotherapist through early mobilization aims to reduce the adverse effects of immobility and improve functionality. In this sense, the use of functional scales is crucial to assess the functional condition of critically ill patients. OBJECTIVE: To analyze the knowledge of intensive care physiotherapists about functional scales, to know the most used scales and the main barriers to applicability in the ICU, in addition to associating the use of functional scales with safety and the perception of results. MATERIALS AND METHODS: This is a cross-sectional and quantitative study carried out with intensive care physiotherapists in the city of Fortaleza between August 2022 and February 2023. Data were collected via an online questionnaire (Google Forms). The data were analyzed using the Jamovi Software. Descriptive statistics and the Chi-square test were used. RESULTS: 75 physiotherapists participated, most with 1 to 5 years of experience in the intensive care unit. Most professionals perceive benefits in the use of functional scales and use them to prescribe conduct with safety in its applicability, with the Intensive Care Unit Mobility Scale being the most used. As for the barriers that most interfere with the use of functional scales, they were related to the team, the patient and the institution. CONCLUSION: Many physiotherapists are aware of the objectives and benefits of using functional scales, they say they are confident in applying them in their practice, and the IMS scale is the one most used by professionals. The interaction between the physiotherapist and the team was the main barrier to the application of functional scales in the Intensive Care Unit.

Downloads

Download data is not yet available.

References

(1) Muniz YA, Braide ASG, Moraes MCS, Maciera CL, Brito MSR, Viana MCC. Weaning from mechanical ventilation strategies in intensive care unit. ASSOBRAFIR Ciênc [Internet]. 2015;6(1):31-9. Available from: https://www.uel.br/revistas/uel/index.php/rebrafis/article/view/19923

(2) Burtin C, Clerckx B, Robbeets C, Ferdinande P, Langer D, Troosters T, et al. Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med. 2009;37(9):2499-505. https://doi.org/10.1097/ccm.0b013e3181a38937

(3) Denehy L, Skinner EH, Edbrooke L, Haines K, Warrillow S, Hawthorne G, et al. Exercise rehabilitation for patients with critical illness: a randomized controlled trial with 12 months of follow-up. Crit Care. 2013;17(4):R156. https://doi.org/10.1186/cc12835

(4) Puthucheary ZA, Rawal J, McPhail M, Connolly B, Ratnayake G, Chan P, et al. Acute Skeletal Muscle Wasting in Critical Illness. JAMA. 2013;310(15):1591-600. https://doi.org/10.1001/jama.2013.278481

(5) Tipping CJ, Harrold M, Holland A, Romero L, Nisbet T, Hodgson CL. The effects of active mobilisation and rehabilitation in ICU on mortality and function: a systematic review. Intensive Care Med. 2017;43(2):171-83. https://doi.org/10.1007/s00134-016-4612-0

(6) Jesus FS, Paim DM, Brito JO, Barros IA, Nogueira TB, Martinez BP, et al. Mobility decline in patients hospitalized in an intensive care unit. Rev Bras Ter Intensiva. 2016;28(2):114-9. https://doi.org/10.5935%2F0103-507X.20160025

(7) Silva FRR, Souza TB, Dias MS, Silva APP, Oliveira KC, Oliveira MML, et al. Functional capacity assessment of patients under mechanical ventilation in Intensive Care Unit. Revista HUPE. 2017;16(1):6-15. https://doi.org/10.12957/rhupe.2017.33299

(8) 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(7):1188-99. https://doi.org/10.1007/s00134-008-1026-7

(9) Andrade NP. Analysis of the Mobility Barriers and the Functional Status of Critical Patients through Perme Escore [Trabalho de Conclusão de Residência] [Internet]. Uberlândia: Universidade Federal de Uberlândia; 2019. Available from: https://repositorio.ufu.br/handle/123456789/24345

(10) Silva BR, Souza ITC, Fernandes ATNSF. The use of functional scales in intensive therapy and barriers for its use. Braz J Develop. 2021;7(1):2101-13. https://doi.org/10.34117/bjdv7n1-143

(11) Aquim EE, Bernardo WM, Buzzini RF, Azeredo NSG, Cunha LS, Damasceno MCP, et al. Brazilian Guidelines for Early Mobilization in Intensive Care Unit. Rev Bras Ter Intensiva [Internet]. 2019;31(4):434-43. Available from: https://www.scielo.br/j/rbti/a/5HVNpmmyXy8Z5mcgrcLV7GJ/?lang=en

(12) França EÉT, Ferrari F, Fernandes P, Cavalcanti R, Duarte A, Martinez BP, et al. Fisioterapia em pacientes críticos adultos: recomendações do Departamento de Fisioterapia da Associação de Medicina Intensiva Brasileira. Rev Bras Ter Intensiva. 2012;24(1):6-22. https://doi.org/10.1590/S0103-507X2012000100003

(13) Alves GAA. Avaliação Funcional na Unidade de Terapia Intensiva. In: Galeão T, editor. Manual de Fisioterapia Respiratória e Terapia Intensiva. Salvador: Sanar Editora; 2020. p. 11-26.

(14) Kawaguchi YMF, Nawa RK, Figueiredo TB, Martins L, Pires-Neto RC. Perme Intensive Care Unit Mobility Score and ICU Mobility Scale: translation into Portuguese and cross-cultural adaptation for use in Brazil. J Bras Pneumol. 2016;42(6):429-34. https://doi.org/10.1590/s1806-37562015000000301

(15) Ferreira L. Functional evaluation scales in intensive care: literature review. Rev Aten Saúde. 2018;16(56):108-14. https://doi.org/10.13037/ras.vol16n56.5191

(16) Barber EA, Everard T, Holland AE, Tipping C, Bradley SJ, Hodgson CL. Barriers and facilitators to early mobilisation in Intensive Care: A qualitative study. Aust Crit Care. 2015;28(4):177-82. https://doi.org/10.1016/j.aucc.2014.11.001

(17) Alves GAA. Utilização de escalas funcionais no ambiente de terapia intensiva. In: Sarmento GJV, Cordeiro ALL, editors. Fisioterapia motora aplicada ao paciente crítico: do diagnóstico à intervenção. Barueri: Manole; 2019. p. 23–34.

(18) Tipping CJ, Bailey MJ, Bellomo R, Berney S, Buhr H, Denehy L, et al. The ICU Mobility Scale Has Construct and Predictive Validity and Is Responsive. A Multicenter Observational Study. Ann Am Thor Soc. 2016;13(6):887-93. https://doi.org/10.1513/annalsats.201510-717oc

(19) Silva VZM, Araújo Neto JA, Cipriano Júnior G, Pinedo M, Needham DM, Zanni JM, et al. Brazilian version of the Functional Status Score for the ICU: translation and cross-cultural adaptation. Rev Bras Ter Intensiva [Internet]. 2017;29(1):34-38. Available from: https://www.scielo.br/j/rbti/a/wcZzZMKjWLPNNt5mXtH9R4S/?lang=en

(20) Perme C, Nawa RK, Winkelman C, Masud F. A tool to assess mobility status in critically ill patients: the Perme Intensive Care Unit Mobility Score. Methodist DeBakey Cardiovasc J. 2014;10(1):41-9. https://doi.org/10.14797/mdcj-10-1-41

(21) Tadyanemhandu C, Aswegen H, Ntsiea V. Barriers and facilitators to implementation of early mobilisation of critically ill patients in Zimbabwean and South African public sector hospitals: a qualitative study. Disabil Rehabil. 2022;44(22):6699-709. https://doi.org/10.1080/09638288.2021.1970827

(22) Zhang H, Liu H, Li Z, Li Q, Chu X, Zhou X, et al. Early mobilization implementation for critical ill patients: A cross-sectional multi-center survey about knowledge, attitudes, and perceptions of critical care nurses. Int J Nurs Sci. 2022;9(1):49-55. https://doi.org/10.1016/j.ijnss.2021.10.001

(23) Machado ML, Sanada LS, Mesquita RS, Okubo R. Clinical use of tests and functional scale: an interview with Physiotherapists. Acta Fisiátr. 2022;29(3):197-203. https://doi.org/10.11606/issn.2317-0190.v29i3a198994

(24) Fontela PC, Forgiarini Júnior LA, Friedman G. Clinical attitudes and perceived barriers to early mobilization of critically ill patients in adult intensive care units. Rev Bras Ter Intensiva [Internet]. 2018;30(2):187-94. Available from: https://www.scielo.br/j/rbti/a/TwYQgV8fv9NQcV3zr5Qcgpq/?lang=en

(25) Paulo FVS, Viana MCC, Braide ASG, Morais MCS, Malveira VMB. Early mobilization intensivist physiotherapy practice: interventions and barriers. Rev Pesqui Fisioter. 2021;11(2):298-306. https://doi.org/10.17267/2238-2704rpf.v11i2.3586

(26) Oliveira GR, Sánchez APS, Sousa FKV, Santos JKM, Viana MCC, Nogueira IC. Barriers faced by physical therapists to perform early mobilization in intensive care units. ASSOBRAFIR Ciênc. 2023;14:e46327. http://dx.doi.org/10.47066/2177-9333.AC.2022.0054

Published

11/29/2023

Issue

Section

Original Articles

How to Cite

1.
Lemos MVF, Barros TN da S, da Silveira BLR, dos Santos MKA, de Morais MCS, Viana MCC. Knowledge and applicability of functional scales by intensive physiotherapists. Rev Pesq Fisio [Internet]. 2023 Nov. 29 [cited 2024 Nov. 22];13:e5272. Available from: https://journals.bahiana.edu.br/index.php/fisioterapia/article/view/5272

Most read articles by the same author(s)

<< < 6 7 8 9 10 11 12 13 14 15 > >>