What is Post-Intensive Care Syndrome and What Does PT Have To Do With It?

 When you think about a person going into intensive care, you probably picture someone who’s very ill and likely fighting for their life. They may be on a ventilator or other equipment that’s keeping them alive. When you’re in that situation, surviving would be a win. But what happens after these people survive? Do they recover and go back to life as it was? What’s the road to recovery look like?


 Fortunately, medical advances have led to higher survival rates for people who end up in intensive care units – it’s now between 71% and 90%, which is great. But, survival is not the end goal, and getting out of the ICU is not the end of the battle. Many patients show significant losses of physical, mental and cognitive abilities after discharge. It makes sense – if you don’t use it, you lose it! This cluster of problems is called Post-Intensive Care Syndrome or PICS.

 PICS is now recognized as a public health burden. Interventions against PICS need to start in the ICU. Then they need to continue after discharge.

 Physical declines often include significant losses of strength, endurance, and mobility. These can lead to serious difficulty completing basic daily tasks like getting to the bathroom, preparing a meal, or walking to the mailbox. This may keep some people from returning home. For others, it means they need a caregiver to safely return to their previous setting. 50% of ICU survivors have limitations in daily activities 1 year later, so this is a serious and long-lasting problem.

 Mental health is also a very real concern for ICU survivors. They show significant rates of depression – the mean is 28%. 24% of survivors have anxiety and 21% report PTSD. Again, these conditions have a real impact on the quality of life after leaving the ICU.

 Last, declines in cognitive abilities are very common in ICU survivors. 77% have cognitive impairments at 3 months post-discharge and 71% have impairments 1 year out. Cognitive issues after discharge can include poor memory, slower thinking, problems making decisions, or difficulty concentrating.

 Physical therapists play a significant role in the fight against PICS. PT typically begins while the patient is in ICU, focusing on getting the patient up and walking early. Patients begin a progressive exercise program as soon as it’s safe for them. We expect a rise in PICS due to the number of people who COVID-19 has put into critical care and/or on a ventilator.

 While we can’t prevent every problem that critical illness causes, recognizing the losses that remain after discharge from the ICU is an important step. Physical therapists play an important role in combating the effects of PICS and helping people return to higher-quality lives.

Keeping Young Athletes Safe

Keep Young Athletes Safe: Your Guide to Preventing Sports Injuries

School is back in session, and so are fall sports! Whether your child plays soccer, football, volleyball, or is running cross country, keeping them injury-free should be your top priority. The good news? Most youth sports injuries can be prevented with the right approach.

Start with Smart Conditioning
Conditioning is the foundation of injury prevention. Young athletes should begin training at least 4-6 weeks before their sport starts. This gives their bodies time to adapt slowly.

Start with the basics like jogging, jumping jacks, and bodyweight squats. Add sport-specific drills gradually. A soccer player might begin with light ball work, while a runner starts with short, easy distances. The key word here is “gradually” – adding too much too soon leads to injuries.

The Power of a Proper Warm-Up
Never skip the warm-up! A good warm-up is like starting your car on a cold morning. It gets everything moving smoothly. Spend 10 – 15 minutes doing light cardio and dynamic stretches. Think leg swings, arm circles, and gentle lunges. Save static stretching (where you hold the stretch) for after practice.

Recovery is Not Optional
Here’s what many parents don’t realize: rest days are as important as training days. During rest, muscles repair and grow. Young athletes need at least one full rest day per week. They also need 8-9 hours of sleep each night.

Watch for signs your child needs more rest. Are they more tired than usual? Getting sick often? Complaining of aches and pains? These are red flags that they’re overdoing it.

Fuel the Machine
Good nutrition powers performance and prevents injuries. Make sure your young athlete eats regular meals with plenty of fruits, vegetables, lean proteins, and whole grains. Don’t forget hydration! Water should be their go-to drink, save the sports drinks for when they’re exercising for over an hour.

Listen to Their Body
Teach your child that pain is not normal. The old saying “no pain, no gain” is dangerous for young athletes. Some muscle soreness after hard workouts is normal, but sharp pain or pain that doesn’t go away needs attention. Help your young athlete learn to pay attention to their body, and to understand the difference.

When to See a Professional
If your child has pain that lasts more than a few days, affects their daily activities, or keeps them from playing their best, it’s time to see your physical therapist. Early treatment prevents small problems from becoming big ones.

Remember, the goal is to keep sports fun while building lifelong healthy habits. With proper preparation and smart training, your young athlete can have a safe and successful season!

NEURO PT

A cornerstone to treating the whole person in physical therapy is providing patient-
centered care. This is true for all forms of physical therapy, and perhaps more profound
when applied to those who’ve experienced a neurologic injury or disease. But
regardless of your reasons for seeking physical therapy services, we all want to be
seen, understood, and valued in our care.
Patient-centered care relates to understanding and honoring your unique situation and
goals. We value shared decision-making between yourself and your physical therapist,
and ensure that your physical therapy is tailored to align with your goals. We strive to
have a strong therapeutic-alliance with our patients, establishing an effective working
relationship and empowering our patients to become active participants in their care,
leading to more meaningful outcomes.
Our approach to understanding your unique situation and goals includes the use of a
biopsychosocial model of care. This model emphasizes the interconnectedness of our
biological, psychological, and socio-environmental factors in our lives. When this model
is applied to physical therapy care, we work to understand, assess, and intervene in
varied domains of your health to improve your overall well-being and to achieve your
goals.
In neurologic physical therapy, we may look at a variety of aspects of your health to
better understand how we can work together to reach your goals. This may include
assessing and treating one or more of the following:
– Physical limitations; including strength, range of motion, neural dynamics, joint
integrity, and biomechanics.
– Motor control; including our bodies ability to utilize and integrate multiple systems
to produce a movement or complete a task.
– Sensory systems; including vestibular, proprioceptive, tactile and visual systems
that impact our ability to use our bodies effectively.
– Autonomic nervous system; including the regulation of our internal processes to
help improve your functional abilities.
– Lifestyle; including understanding your sleep, nutrition, stress, and substance use
as it relates to your health and function.
– Psychosocial; understanding your self-efficacy, or confidence, in your condition
and abilities, how behavioral health may affect your physical health and function,
and your needs for autonomy and motivation in your care.

If you’d like to learn more about neurologic physical therapy and how it may be of
benefit to you in your journey, please contact us at Great Northern PT!
Phone: (406) 586-4678
Email: rita@greatnorthernpt.com

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