Feasibility of Chest Wall and Diaphragm Proprioceptive Neuromuscular Facilitation (PNF) Techniques in Mechanically Ventilated Patients

Tomasz Zwoliński, Magdalena Wujtewicz, Jolanta Szamotulska, Tomasz Sinoracki, Piotr Wąż, Rita Hansdorfer-Korzon, Andrzej Basiński and Rik Gosselink
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Tomasz Zwoliński: Department of Physical Therapy, Faculty of Health Sciences, Medical University of Gdańsk, 80-210 Gdansk, Poland
Magdalena Wujtewicz: Department of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Medical University of Gdańsk, 80-210 Gdansk, Poland
Jolanta Szamotulska: Department of Physical Therapy, Faculty of Health Sciences, Medical University of Gdańsk, 80-210 Gdansk, Poland
Tomasz Sinoracki: Physiotherapy Department, University Clinical Center, 80-219 Gdansk, Poland
Piotr Wąż: Department of Nuclear Medicine, Faculty of Health Sciences, Medical University of Gdańsk, 80-210 Gdansk, Poland
Rita Hansdorfer-Korzon: Department of Physical Therapy, Faculty of Health Sciences, Medical University of Gdańsk, 80-210 Gdansk, Poland
Andrzej Basiński: Department of Nursing and Medical Rescue, Institute of Health Sciences, Pomeranian University in Słupsk, 76-200 Slupsk, Poland
Rik Gosselink: Department Rehabilitation Sciences, Faculty Movement and Rehabilitation Sciences, University Hospitals Leuven, 3000 Leuven, Belgium

IJERPH, 2022, vol. 19, issue 2, 1-10

Abstract: Physical therapy is part of the treatment for patients admitted to ICU. Proprioceptive neuromuscular facilitation (PNF) is one of the physiotherapy concepts including manual techniques and verbal stimulation. The purpose of this paper is to examine the feasibility of PNF techniques in mechanically ventilated (MV) ICU patients. Another aim is to verify whether the technique using resistance during the patient’s inhalation will have a different effect than the technique used to teaching the correct breathing patterns. Methods: Patients admitted to tertiary ICU were enrolled in this study, randomly divided into two groups, and received four 90-second manual breathing stimulations each. The following vital signs were assessed: HR, SBP, DBP, and SpO 2 . Results: 61 MV ICU adult patients (mean age 67.8; 25 female and 36 male) were enrolled in this study. No significant differences in HR, SBP, and DBP were observed both for two techniques measured separately and between them. Statistically significant differences were noticed analysing SpO 2 in the rhythmic initiation technique (RIT) group ( p -value = 0.013). Conclusions: Short-term PNF interventions did not influence clinically relevant vital parameters among MV patients and seem to be feasible in this group of ICU patients.

Keywords: proprioceptive neuromuscular facilitation (PNF); intensive care units (ICUs); mechanical ventilation (MV); physical therapy techniques (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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