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Thoracic physiotherapy in paediatric intensive care

J Harrison1

  • 1St. Margaret's Children's Hospital, Sydney.

The Australian Journal of Physiotherapy
|July 16, 2014
PubMed

Insights

In paediatric physiotherapy, parents are usually active in home treatment. However, in intensive care units, their role shifts to emotional support while therapists manage the child

Area of Science:

  • Pediatric Physiotherapy
  • Intensive Care Medicine

Background:

  • Parents actively participate in most paediatric physiotherapy treatments, performing therapeutic exercises at home.
  • Therapists typically educate, supervise, and assess parents in managing their child's condition outside of clinical settings.
  • This model requires parents to continue treatment post-discharge, ensuring ongoing care continuity.

Purpose of the Study:

  • To highlight the unique role of parents in paediatric intensive care physiotherapy.
  • To contrast parental involvement in intensive care with other paediatric physiotherapy settings.

Main Methods:

  • Observational analysis of parental roles in paediatric intensive care physiotherapy.
  • Comparison of parental involvement across different paediatric physiotherapy specialities (thoracic, neurological, orthopaedic).

Main Results:

  • Intensive care is the sole paediatric physiotherapy domain where parents have minimal active treatment participation.
  • In intensive care, the primary parental function is providing emotional support to the child.
  • Therapists are solely responsible for conducting treatment interventions in the intensive care environment.

Conclusions:

  • The parental role in paediatric intensive care physiotherapy differs significantly from other areas.
  • Parental involvement in intensive care is primarily focused on emotional support, not direct treatment delivery.
  • This distinction necessitates a tailored approach to family-centered care within the paediatric intensive care unit.

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