title: Mobilization of patients in neurological Intensive Care Units of India: A survey.
abstract: BACKGROUND
  The rehabilitation needs of the patients in neurological Intensive Care Units (ICUs) vary from that of a medical ICU patient. Early mobilization is known to improve the various neurological outcomes in patients admitted to neurological ICUs, although little is known about the practice pattern among physiotherapists. The mobilization practice pattern may vary significantly than that of developed countries due to the reasons of differences in training of professionals, availability of equipment, and financial assistance by health insurance.
  
  
  OBJECTIVE
  To study the current mobilization practices by the physiotherapists in neurological ICUs of India.
  
  
  METHODS
  A cross-sectional survey was conducted with a content validated questionnaire about the mobilization practices. Online questionnaire was distributed to physiotherapists working in neurological ICUs of India. Descriptive statistics were used.
  
  
  RESULTS
  Out of 185 e-mails sent, 82 physiotherapists completed the survey (survey response rate = 44%). Eighty participants (97.6%) mentioned that the patients received some form of mobilization during the day. The majority of the physiotherapists (58.5%), "always" provided bed mobility exercises to their patients when it was found appropriate for the patients. Many physiotherapists (41.5%) used tilt table "sometimes" to introduce orthostatism for their patients.
  
  
  CONCLUSIONS
  Mobilization in various forms is being practiced in the neurological ICUs of India. However, fewer mobilization sessions are conducted on weekends and night hours in Indian Neurological ICUs.
authors.affiliation: Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal, Udupi, Karnataka, India.
authors.forename: Anup
authors.initials: A
authors.lastname: Bhat
authors.affiliation: Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal, Udupi, Karnataka, India.
authors.forename: Kalyana
authors.initials: K
authors.lastname: Chakravarthy
authors.affiliation: Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal, Udupi, Karnataka, India.
authors.forename: Bhamini K
authors.initials: BK
authors.lastname: Rao
keywords: Exercise; head injury; neurointensive care units; physiotherapy; tilt table