ROLE OF INTEGRATED PHYSICAL THERAPY INTERVENTION ON PULMONARY AND FUNCTIONAL OUTCOME IN A PATIENT WITH STATUS EPILEPTICUS

A.Sankarganesh; M.Karthikeyan; VPR.Sivakumar

Volume : VIII, Issue : III, March - 2019

ROLE OF INTEGRATED PHYSICAL THERAPY INTERVENTION ON PULMONARY AND FUNCTIONAL OUTCOME IN A PATIENT WITH STATUS EPILEPTICUS

A. Sankarganesh, M. Karthikeyan, Vpr. Sivakumar

Abstract :

Introduction: Physiotherapy is widely used in the intensive care unit to minimize respiratory complications and altered the level of consciousness. In patients on mechanical ventilators with in status epilepticus leads to secondary pulmonary and functional deficits and the clinical outcome of physiotherapy are sparsely available. Objective: To assess the changes in conscious level, pulmonary and functional outcome in patient with status epilepticus.Methodology: Single–case study of a 37 Year Old male diagnosed with status epilepticus,admitted at neuro surgery ICU, SRM Medical College Hospital & Research Centre, Kattankulathur Chennai. The patient is a 37–year–old male with traumatic ain injury followed by a left decompressive craniotomy and cranioplasty diagnosed as status epilepticus.A2–month Physiotherapy Intervention program including chest physiotherapy, early mobilization and therapeutic exercises was given following which Glasgow Coma Scale (GCS), PaO2, FiO2, PEEP, Mode of Ventilator Support, Oxygenation index (PaO2/FiO2), (A –a) gradient, Chest X–ray, Functional Independence Measure (FIM) and Disability Rating Scale (DRS). Results: The improvement in GCS, Oxygenation parameters PaO2, oxygenation index, (A–a) gradient, FiO2, PEEP, chest x–ray and functional parameters FIMS and DRS. There has been a modest improvement in consciousness level assessed with the Coma Recovery Scale. Conclusion: An individualized integrated physiotherapy intervention improved the consciousness level, pulmonary outcomes than functional outcomes in status epilepticus