Innovating ICU Physiotherapy: Enhancing Recovery Through Research and Practice

Introduction

The dissertation by Dr. Karin M. Felten-Barentsz presents a pioneering investigation into improving physiotherapy for critically ill patients in Intensive Care Units (ICUs). With a focus on context-based innovations, the research explores methods that go beyond conventional early mobilization practices, offering a new perspective on patient recovery and family engagement.

Key Areas of Innovation

1. Hydrotherapy for ICU Patients

Radboudumc became the first hospital to implement hydrotherapy in critically ill, ventilated patients. The studies showed that hydrotherapy is safe, feasible, and highly appreciated by patients. Patients reported regaining hope and control, often citing hydrotherapy as a pivotal moment in their recovery journey.

2. Family Participation in Care

Recognizing the emotional and psychological toll on ICU patients and their relatives, the research emphasizes family involvement in essential care and physical activities. Studies found that family participation not only supports the patient’s rehabilitation but also reduces stress and enhances preparedness for caregiving post-discharge.

3. Upper Extremity Rehabilitation

Traditional ICU physiotherapy focuses on lower body mobility. Dr. Felten-Barentsz introduced an innovative Exercise Box to encourage upper extremity movement, with feasibility studies showing positive results in demand and patient engagement.

4. Pandemic-Responsive Guidelines

The COVID-19 crisis highlighted the need for rapid, evidence-based physiotherapy guidelines. Contributions to national protocols ensured safe, adaptive, and effective care delivery during unprecedented challenges.

Conclusion

This thesis bridges clinical practice and scientific research, offering actionable innovations to improve ICU physiotherapy outcomes. It sets a new standard for holistic, patient- and family-centered rehabilitation strategies in critical care environments.