title: [Physiotherapy interventions in the ICU : Outcome-relevant measurement parameters].
abstract: BACKGROUND
  Guidelines cannot provide differentiated recommendations for physiotherapy (PT) in intensive care medicine. Scientific publications for PT in the intensive care unit (ICU) usually only have low levels of evidence and often express safety and feasibility of PT in the ICU.
  
  
  OBJECTIVE
  Which measurement parameters are relevant for defining outcome and what interventions should one take into consideration?
  
  
  METHODS
  A literature review was conducted. This was based on a PubMed search with full text access, as well as specific definitions for physical therapy, intensive care and four out of seven conditions from the manual "Physiotherapy in intensive care".
  
  
  RESULTS
  The availability of 172 studies clearly shows that there is certainly PT research concerning the critical environment of the ICU. However, parameters for quantitative and qualitative detection of vigilance and state of consciousness as well as assessments to evaluate the mobility and the ability to help themselves are important for everyday use.
  
  
  CONCLUSIONS
  The difficulties of using PT in the ICU are not useful in ensuring the safety of the patient or performing a PT treatment. The conditions of the intensive care environment are not an obstacle. It is of immanent importance to use the limited resources of PT in an optimal and targeted manner in the ICU environment. The determination of ICU-adapted goals plays a crucial role.
authors.affiliation: Berufsförderungswerk Mainz, DIPLOMA Hochschule - Private Fachhochschule Nordhessen, z.H. Dorit Engelmann Lortzingstraße 4, 55127, Mainz, Deutschland. pt.zeiser@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Zeiser
mesh_terms: D016638:Critical Illness / Q000534:rehabilitation*; D019983:Guideline Adherence; D006801:Humans; D007362:Intensive Care Units; D026741:Physical Therapy Modalities; D016896:Treatment Outcome
keywords: Critical care; Guidelines; Physical therapy; Procedure; Rehabilitation