Physiotherapy practices when treating patients with COVID-19 during a pandemic : A survey study

Journal article


Trojman, Anthony, Hough, Judith, Hides, Julie, Gustafsson, Louise, Flores, Orlando and Paratz, Jennifer. (2023). Physiotherapy practices when treating patients with COVID-19 during a pandemic : A survey study. Heart and Lung. 57, pp. 152-160. https://doi.org/10.1016/j.hrtlng.2022.09.012
AuthorsTrojman, Anthony, Hough, Judith, Hides, Julie, Gustafsson, Louise, Flores, Orlando and Paratz, Jennifer
Abstract

Background Specific details pertaining to the clinical and other challenges faced by physiotherapists managing patients with COVID-19 during the pandemic are still largely unknown.

Objectives To determine how physiotherapists clinically managed patients with COVID-19 in a hospital-based setting during the pandemic and to identify the personal and professional effects of working as a physiotherapist at this time.

Methods Self-administered electronic cross-sectional survey. Participants included physiotherapists from around the world involved in the clinical management of patients with COVID-19.

Results Of the 204 participants who returned the questionnaire, 39% worked as senior physiotherapists, 29% as consultant or specialist physiotherapists, 23% as general physiotherapists and 4% as graduate physiotherapists. Seventy-two percent of participants worked in the intensive care unit. The largest barrier to treating patients with COVID-19 was a lack of intensive care trained physiotherapists (70%). Eighty-three percent of participants reported performing activities outside of their typical work duties, including proning patients (55%), tutoring and advising other staff in the intensive care unit (55%) and adjusting or changing ventilator settings (52%). Almost all participants (90%) reported being aware of physiotherapy specific guidelines for treating patients with COVID-19, yet most participants performed techniques that were not recommended.

Conclusions The experience of the pandemic highlighted the need for specialist training and availability of experienced cardiorespiratory physiotherapists to manage patients with COVID-19, specifically in intensive care. Furthermore, clear guidelines on the management of patients with COVID-19 should be established to ensure optimal management of patients and ensure the safety of physiotherapy staff.

Keywordsphysiotherapy; COVID-19; cardiorespiratory; respiratory; survey
Year2023
JournalHeart and Lung
Journal citation57, pp. 152-160
PublisherElsevier Inc.
ISSN0147-9563
Digital Object Identifier (DOI)https://doi.org/10.1016/j.hrtlng.2022.09.012
PubMed ID36209724
Scopus EID2-s2.0-85139311104
PubMed Central IDPMC9536211
Page range152-160
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online30 Sep 2022
Publication process dates
Accepted19 Sep 2022
Deposited11 Jan 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8y988/physiotherapy-practices-when-treating-patients-with-covid-19-during-a-pandemic-a-survey-study

Restricted files

Publisher's version

  • 87
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

High flow nasal cannula for respiratory support in term infants (Review)
Dopper, Alex, Steele, Michael, Bogossian, Fiona and Hough, Judith. (2023). High flow nasal cannula for respiratory support in term infants (Review). Cochrane Database of Systematic Reviews. 2023(8), p. Article CD011010. https://doi.org/10.1002/14651858.CD011010.pub2
Measuring the effects of airway clearance in mechanically ventilated infants and children : A systematic review
McAlinden, Bronagh M., Hough, Judith L. and Kuys, Suzanne. (2022). Measuring the effects of airway clearance in mechanically ventilated infants and children : A systematic review. Physiotherapy. 117, pp. 47-62. https://doi.org/10.1016/j.physio.2022.08.010
Lung recruitment manoeuvres for reducing mortality and respiratory morbidity in mechanically ventilated neonates
Blazek, E. V., East, C. E., Jauncey-Cooke, J., Bogossian, F., Grant, C. A. and Hough, J.. (2021). Lung recruitment manoeuvres for reducing mortality and respiratory morbidity in mechanically ventilated neonates. Cochrane Database of Systematic Reviews. 3, pp. 1-42. https://doi.org/10.1002/14651858.CD009969.pub2.
A quality appraisal using the AGREE II instrument of endotracheal tube suction guidelines in neonatal intensive care units
Hough, Judith L., Barton, Jaimi and Jardine, Luke A.. (2021). A quality appraisal using the AGREE II instrument of endotracheal tube suction guidelines in neonatal intensive care units. Australian Critical Care. 34(6), pp. 524-529. https://doi.org/10.1016/j.aucc.2021.02.001
Chest physiotherapy improves regional lung volume in ventilated children.
McAlinden, B., Kuys, Suzanne Shanelle, Schibler, Andreas and Hough, Judith Leigh. (2020). Chest physiotherapy improves regional lung volume in ventilated children. Critical Care (UK). 24, pp. 1-4. https://doi.org/10.1186/s13054-020-03156-2
Nasal high flow in preterm infants : A dose-finding study
Hough, Judith L., Shearman, Andrew D., Jardine, Luke and Schibler, Andreas. (2019). Nasal high flow in preterm infants : A dose-finding study. Pediatric Pulmonology. 55(3), pp. 616-623. https://doi.org/10.1002/ppul.24617
Simulation-based education improves student self-efficacy in physiotherapy assessment and management of paediatric patients
Hough, Judith, Levan, Daniel Anthony, Steele, Michael, Kelly, Kristine and Dalton, Megan. (2019). Simulation-based education improves student self-efficacy in physiotherapy assessment and management of paediatric patients. BMC Medical Education. 19(1), pp. 1 - 11. https://doi.org/10.1186/s12909-019-1894-2
Chest wall mesenchymal hamartoma in an infant: Evaluation with electrical impedance tomography
Jardine, Luke, Chen, Julie and Hough, Judith Leigh. (2019). Chest wall mesenchymal hamartoma in an infant: Evaluation with electrical impedance tomography. Pediatric Pulmonology. 54(11), pp. E14 - E16. https://doi.org/10.1002/ppul.24483
Effect of randomization of nasal high flow rate in preterm infants
Hough, Judith Leigh, Shearman, Andrew D., Jardine, Luke, Caldararo, Deborah and Schibler, Andreas. (2019). Effect of randomization of nasal high flow rate in preterm infants. Pediatric Pulmonology. 54(9), pp. 1410 - 1416. https://doi.org/10.1002/ppul.24418
An evidence-based approach to influencing evidence-based practice in allied health
Wilkinson, Shelley, Hough, Judith Leigh and Hinchliffe, Fiona. (2016). An evidence-based approach to influencing evidence-based practice in allied health. Journal of Allied Health. 45(1), pp. 41-48.
Effect of time and body position on ventilation in premature infants
Hough, Judith Leigh, Trojman, Anthony Paul and Schibler, Andreas. (2016). Effect of time and body position on ventilation in premature infants. Pediatric Research. 80(4), pp. 499 - 504. https://doi.org/10.1038/pr.2016.116
Prevalence and impact of pelvic floor dysfunction in an adult cystic fibrosis population
Chambers, Rebecca, Lucht, Adam John, Reihill, Aisling and Hough, Judith Leigh. (2016). Prevalence and impact of pelvic floor dysfunction in an adult cystic fibrosis population. International Urogynecology Journal and Pelvic Floor Dysfunction. 28(4), pp. 591 - 604. https://doi.org/10.1007/s00192-016-3152-z
Strategies for the withdrawal of humidified high flow nasal cannulae (HHFNC) in preterm infants
Farley, Raymond C., Hough, Judith L. and Jardine, Luke A.. (2015). Strategies for the withdrawal of humidified high flow nasal cannulae (HHFNC) in preterm infants. Cochrane Database of Systematic Reviews. 6, p. Article CD011079. https://doi.org/10.1002/14651858.CD011079.pub2
Lung recruitment and endotracheal suction in ventilated preterm infants measured with electrical impedance tomography
Hough, Judith Leigh, Shearman, Andrew, Liley, Helen, Grant, Caroline and Schibler, Andreas. (2014). Lung recruitment and endotracheal suction in ventilated preterm infants measured with electrical impedance tomography. Journal of Paediatrics and Child Health. 50(11), pp. 884 - 889. https://doi.org/10.1111/jpc.12661
High-flow nasal cannula therapy for respiratory support in children
Mayfield, Sara, Jauncey-Cooke, Jacqueline, Hough, Judith, Schibler, Andreas, Gibbons, Kristen and Bogossian, Fiona Elizabeth. (2014). High-flow nasal cannula therapy for respiratory support in children. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD009850.pub2
Physiologic effect of high-flow nasal cannula in infants with bronchiolitis
Hough, Judith Leigh, Pham, Trang and Schibler, Andreas. (2014). Physiologic effect of high-flow nasal cannula in infants with bronchiolitis. Pediatric Critical Care Medicine. 15(5), pp. e214 - e219. https://doi.org/10.1097/PCC.0000000000000112
The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants
Montgomery, Karly, Low Choy, Nancy, Steele, Michael and Hough, Judith. (2014). The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants. Journal of Paediatrics and Child Health. 50(12), pp. 972 - 977. https://doi.org/10.1111/jpc.12689
Effect of body position on ventilation distribution in ventilated preterm infants
Hough, Judith, Johnston, Leanne, Brauer, Sandy, Woodgate, Paul and Schibler, Andreas. (2013). Effect of body position on ventilation distribution in ventilated preterm infants. Pediatric Critical Care Medicine. https://doi.org/10.1097/PCC.0b013e31826e708a
Effect of body position on ventilation distribution in ventilated preterm infants
Hough, Judith L., Johnston, Leanne, Brauer, Sandy, Woodgate, Paul and Schibler, Andreas. (2013). Effect of body position on ventilation distribution in ventilated preterm infants. Pediatric Critical Care Medicine. 14(2), pp. 171 - 177. https://doi.org/10.1097/PCC.0b013e31826e708a
Baseline evidence based practice use, knowledge, and attitudes of allied health professionals : A survey to inform staff training and organisational change
Wilkinson, Shelley, Hinchliffe, Fiona, Hough, Judith and Chang, Anne. (2012). Baseline evidence based practice use, knowledge, and attitudes of allied health professionals : A survey to inform staff training and organisational change. Journal of Allied Health. 41(4), pp. 177 - 184.
Effect of body position on ventilation distribution in preterm infants on continuous positive airway pressure
Hough, Judith L., Johnston, Leanne, Brauer, Sandy G., Woodgate, Paul G., Pham, Trang MT and Schibler, Andreas. (2012). Effect of body position on ventilation distribution in preterm infants on continuous positive airway pressure. Pediatric Critcal Care Medicine. 13(4), pp. 446 - 451. https://doi.org/10.1097/PCC.0b013e31822f18d9
Talipes equinovarus (clubfoot)
Hough, Judith Leigh, Bagley, Catherine and Koorts, Pieter J.. (2012). Talipes equinovarus (clubfoot). In In M. W. Davies, G. D. T. Inglis and L. A. Jardine & P. J. Koorts (Ed.). Antenatal consults : A guide for neonatologists and paediatricians pp. 281-284 Churchill Livingstone.
Lung recruitment manoeuvres for reducing respiratory morbidity in mechanically ventilated neonates
Jauncey-Cooke, J, Bogossian, F, Hough, J., Schibler, A, Davies, M W., Grant, C A., Gibbons, K and East, C E.. (2012). Lung recruitment manoeuvres for reducing respiratory morbidity in mechanically ventilated neonates. Cochrane Database of Systematic Reviews. Art.No.: CD009969 (Issue 7). https://doi.org/10.1002/14651858.CD009969
Humidified high flow nasal cannulae : Current practice in Australasian nurseries, a survey
Hough, Judith, Shearman, Andrew, Jardine, Luke and Davies, Mark. (2012). Humidified high flow nasal cannulae : Current practice in Australasian nurseries, a survey. Journal of Paediatrics and Child Health. 48(2), pp. 106 - 113. https://doi.org/10.1111/j.1440-1754.2011.02070.x
Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery
Schibler, Andreas, Pham, Trang, Dunster, Kimble, Foster, Kim, Barlow, A, Gibbons, Kristen and Hough, Judith. (2011). Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery. Intensive Care Medicine. 37(5), pp. 847 - 852. https://doi.org/10.1007/s00134-011-2177-5
Measurement of ventilation and cardiac related impedance changes with electrical impedance tomography
Grant, Caroline, Pham, Trang, Hough, Judith, Riedel, T, Stocker, C and Schibler, Andreas. (2011). Measurement of ventilation and cardiac related impedance changes with electrical impedance tomography. Critical Care. 15(1), pp. 1 - 9. https://doi.org/10.1186/cc9985