Early mobilisation of patients in the acute hospital setting following aneurysmal subarachnoid haemorrhage – a survey of current physiotherapy practice

New Zealand journal of physiotherapy

article

Sabrina Hernandez¹  Peter Thomas²  Andrew Udy³  Carol Hodgson⁴ 

[1] Alfred Health;Department of Physiotherapy, Royal Brisbane and Women’s Hospital;The Alfred ICU & Co-Deputy Director, Australian and New Zealand Intensive Research Centre, Monash University;Australian and New Zealand Intensive Research Centre, Monash University, Senior Physiotherapist, Intensive Care, Alfred Health

关键词: Physiotherapy;    Subarachnoid haemorrhage;    Physical therapy modalities;    Intensive care;    Survey;   

DOI  :  10.15619/NZJP/46.3.04

学科分类：医学（综合）

来源: Physiotherapy New Zealand

【 摘 要 】

Aneurysmal subarachnoid haemorrhage is a catastrophic form of stroke. There is very limited literature to guide physiotherapists on the type and timing of mobility interventions that should be provided during the acute phase. The aim of this study was to determine the current practices of physiotherapists in early mobilisation of patients with aneurysmal subarachnoid haemorrhage. A purposedesigned electronic survey was distributed to 71 physiotherapists in hospitals that specialise in the management of aneurysmal subarachnoid haemorrhage throughout Australia and New Zealand. A response rate of 80% was obtained (n=57). Prior to the aneurysm being repaired, the most common practice reported by physiotherapists was not to mobilise patients (41%). Once the aneurysm was repaired, mobility goals increased with >80% of physiotherapists reporting goals of sitting on the edge of the bed or step transferring to a chair day one post repair. Physiotherapists reported that vasospasm, delayed cerebral ischaemia, recent further bleed, hypotension or the use of high level of noradrenaline would prevent them from mobilising patients. Only four respondents reported that they had a mobilisation protocol for aneurysmal subarachnoid haemorrhage patients at their hospital. Further research is required into the safety, timing and efficacy of early mobilisation practices in the management of aneurysmal subarachnoid haemorrhage patients.

【 授权许可】

Unknown