• Critical care clinics · Jul 2023

    Review

    From Strict Bedrest to Early Mobilization: A History of Physiotherapy in the Intensive Care Unit.

    • Michelle E Kho and Bronwen Connolly.
    • School of Rehabilitation Science, McMaster University, Institute for Applied Health Science, Room 403, 1400 Main Street West, Hamilton, Ontario L8S 1C7, Canada; Physiotherapy Department, Research Institute of St. Joe's Hamilton, 50 Charlton Avenue East, Hamilton, Ontario L8N 4A6, Canada. Electronic address: khome@mcmaster.ca.
    • Crit Care Clin. 2023 Jul 1; 39 (3): 479502479-502.

    AbstractCritically ill patients are at risk of post-intensive care syndrome, including physical, cognitive, and psychological sequelae. Physiotherapists are rehabilitation experts who focus on restoring strength, physical function, and exercise capacity. Critical care has evolved from a culture of deep sedation and bed rest to one of awakening and early mobility; physiotherapeutic interventions have developed to address patients' rehabilitation needs. Physiotherapists are assuming more prominent roles in clinical and research leadership, with opportunities for wider interdisciplinary collaboration. This paper reviews the evolution of critical care from a rehabilitation perspective, highlights relevant research milestones, and proposes future opportunities for improving survivorship outcomes.Copyright © 2023 Elsevier Inc. All rights reserved.

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