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  1. Article ; Online: Early mobilisation in the intensive care unit: shifting from navigating risks to a patient-centred approach.

    Wozniak, Hannah / Kho, Michelle E / Fan, Eddy

    The Lancet. Respiratory medicine

    2024  

    Language English
    Publishing date 2024-03-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2686754-0
    ISSN 2213-2619 ; 2213-2600
    ISSN (online) 2213-2619
    ISSN 2213-2600
    DOI 10.1016/S2213-2600(24)00039-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 7041: Show issues Location:
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  2. Article ; Online: The Promise and Opportunity Costs of New Rehabilitation Technology in the ICU.

    O'Grady, Heather K / Kho, Michelle E

    Critical care medicine

    2024  Volume 52, Issue 5, Page(s) 837–839

    MeSH term(s) Costs and Cost Analysis ; Technology ; Intensive Care Units
    Language English
    Publishing date 2024-04-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000006217
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1261: Show issues Location:
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  3. Article ; Online: From Strict Bedrest to Early Mobilization: A History of Physiotherapy in the Intensive Care Unit.

    Kho, Michelle E / Connolly, Bronwen

    Critical care clinics

    2023  Volume 39, Issue 3, Page(s) 479–502

    Abstract: Critically ill patients are at risk of post-intensive care syndrome, including physical, cognitive, and psychological sequelae. Physiotherapists are rehabilitation experts who focus on restoring strength, physical function, and exercise capacity. ... ...

    Abstract Critically ill patients are at risk of post-intensive care syndrome, including physical, cognitive, and psychological sequelae. Physiotherapists are rehabilitation experts who focus on restoring strength, physical function, and exercise capacity. Critical care has evolved from a culture of deep sedation and bed rest to one of awakening and early mobility; physiotherapeutic interventions have developed to address patients' rehabilitation needs. Physiotherapists are assuming more prominent roles in clinical and research leadership, with opportunities for wider interdisciplinary collaboration. This paper reviews the evolution of critical care from a rehabilitation perspective, highlights relevant research milestones, and proposes future opportunities for improving survivorship outcomes.
    MeSH term(s) Humans ; Early Ambulation ; Bed Rest ; Intensive Care Units ; Physical Therapy Modalities ; Critical Care ; Critical Illness/rehabilitation
    Language English
    Publishing date 2023-02-26
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1006423-0
    ISSN 1557-8232 ; 0749-0704
    ISSN (online) 1557-8232
    ISSN 0749-0704
    DOI 10.1016/j.ccc.2023.01.003
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  4. Article ; Online: Implications of the COVID-19 Pandemic for the Well-Being of the ICU Workforce Considerations for the ICU Interprofessional Team.

    Kho, Michelle E / Reid, Julie C

    Chest

    2022  Volume 162, Issue 2, Page(s) 285–287

    MeSH term(s) COVID-19 ; Humans ; Intensive Care Units ; Interprofessional Relations ; Pandemics ; Patient Care Team ; SARS-CoV-2 ; Workforce
    Language English
    Publishing date 2022-08-06
    Publishing country United States
    Document type Editorial ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2022.06.009
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  5. Article ; Online: Physical rehabilitation in the intensive care unit: past, present, and future.

    Kho, Michelle E / Berney, Sue / Connolly, Bronwen

    Intensive care medicine

    2023  Volume 49, Issue 7, Page(s) 864–867

    MeSH term(s) Humans ; Intensive Care Units ; Exercise Therapy ; Critical Care ; Critical Illness/rehabilitation ; Physical Therapy Modalities
    Language English
    Publishing date 2023-05-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-023-07099-4
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  6. Article: [No title information]

    Kho, Michelle E / Thabane, Lehana

    Physiotherapy Canada. Physiotherapie Canada

    2021  Volume 72, Issue 3, Page(s) 227–229

    Title translation Les études pilotes et les études de faisabilité en réadaptation : la prochaine décennie.
    Language French
    Publishing date 2021-01-12
    Publishing country Canada
    Document type Editorial
    ZDB-ID 639189-8
    ISSN 1708-8313 ; 0300-0508
    ISSN (online) 1708-8313
    ISSN 0300-0508
    DOI 10.3138/ptc-72-3-gef2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Pilot and Feasibility Studies in Rehabilitation: Moving into the Next Decade.

    Kho, Michelle E / Thabane, Lehana

    Physiotherapy Canada. Physiotherapie Canada

    2021  Volume 72, Issue 3, Page(s) 225–227

    Language English
    Publishing date 2021-01-12
    Publishing country Canada
    Document type Editorial
    ZDB-ID 639189-8
    ISSN 1708-8313 ; 0300-0508
    ISSN (online) 1708-8313
    ISSN 0300-0508
    DOI 10.3138/ptc-72-3-gee2
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  8. Article ; Online: To mobilise or not to mobilise: is that the right question?

    Hodgson, Carol L / Kho, Michelle E / da Silva, Vinicius Maldaner

    Intensive care medicine

    2023  Volume 49, Issue 8, Page(s) 1000–1004

    MeSH term(s) Humans ; Physical Therapy Modalities
    Language English
    Publishing date 2023-05-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-023-07088-7
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  9. Article ; Online: Treatment Fidelity in 94 Randomized Controlled Trials of Physical Rehabilitation in the ICU: A Scoping Review.

    Farley, Christopher / Newman, Anastasia N L / Hoogenes, Jen / Brooks, Dina / Duffett, Mark / Kho, Michelle E

    Critical care medicine

    2024  Volume 52, Issue 5, Page(s) 717–728

    Abstract: Objectives: Recent reviews demonstrated discordant effects of ICU-based physical rehabilitation on physical function. These inconsistencies may be related to differences in treatment fidelity-the extent to which a protocol is delivered as planned. ... ...

    Abstract Objectives: Recent reviews demonstrated discordant effects of ICU-based physical rehabilitation on physical function. These inconsistencies may be related to differences in treatment fidelity-the extent to which a protocol is delivered as planned. Before evaluating the association of fidelity with outcomes, we must first understand the extent of treatment fidelity reporting in ICU-based physical rehabilitation randomized controlled trials (RCTs).
    Data sources: Six electronic databases from inception to December 2022.
    Study selection: We included RCTs enrolling adults or children admitted to the ICU, if greater than or equal to 50% were invasively mechanically ventilated greater than 24 hours, and underwent an ICU-based physical rehabilitation intervention, with no limitation to comparators or outcomes.
    Data extraction: We screened and extracted data independently and in duplicate, with a third reviewer as needed. Extracted data included study characteristics, treatment descriptions, and the presence of National Institutes of Health Behaviour Change Consortium (NIH-BCC) treatment fidelity tool components. Treatment fidelity scores were calculated as the proportion of reported (numerator) out of total NIH-BCC components (denominator). We calculated scores across studies and by treatment group (intervention vs. comparator). We used linear regression to assess for a time trend in study treatment fidelity scores.
    Data synthesis: Of 20,433 citations, 94 studies met inclusion criteria. Authors reported a median (first-third quartiles) of 19% (14-26%) of treatment fidelity components across studies. Intervention group scores were higher than comparator groups (24% [19-33%] vs. 14% [5-24%], p < 0.01). We found a mean increase in study treatment fidelity scores by 0.7% (0.3 points) per year.
    Conclusions: Only 19% of treatment fidelity components were reported across studies, with comparator groups more poorly reported. Future research could investigate ways to optimize treatment fidelity reporting and determine characteristics associated with treatment fidelity conduct in ICU-based physical rehabilitation RCTs.
    MeSH term(s) United States ; Adult ; Child ; Humans ; Randomized Controlled Trials as Topic ; Hospitalization ; Intensive Care Units
    Language English
    Publishing date 2024-01-24
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000006192
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    Zs.A 1261: Show issues Location:
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  10. Article ; Online: Exploring the use of rehabilitation in individuals with head and neck cancer undergoing treatment: a scoping review.

    Nayiga, Brenda Kibuka / Abrams, Sophia Werden / Rhayel, Ashwak / Edward, Holly / Tang, Ada / Kho, Michelle E / Sebestien, Hotte / Smith-Turchyn, Jenna

    Disability and rehabilitation

    2024  , Page(s) 1–21

    Abstract: Explore the use, characteristics, feasibility, and functional outcomes of rehabilitation interventions used for individuals with head and neck cancer (HNC) during treatment.: Searches were conducted in four databases from Jan 2011 to Dec 31, 2022. ... ...

    Abstract Explore the use, characteristics, feasibility, and functional outcomes of rehabilitation interventions used for individuals with head and neck cancer (HNC) during treatment.
    Searches were conducted in four databases from Jan 2011 to Dec 31, 2022. Included studies had to include adults with HNC undergoing treatment, a rehabilitation intervention, an assessment of functional outcome(s) addressed by the International Classification of Functioning Framework (ICF) and be published in English language. Title and abstract screening, full-text review, and data extraction were completed independently, in duplicate. Descriptive statistics and a qualitative synthesis summarized findings.
    Twenty-seven studies were included in this review. The majority of studies were randomized controlled trials (70%). Most individuals represented in the included studies were males (92% of all participants) between 50 and 60 years of age. Interventions led by a speech language pathologist (33%) were most commonly described. Sixteen studies (59%) described primary outcomes that fit the ICF "impairment" domain.
    We identified few studies that explored the use, feasibility, and effectiveness of rehabilitation interventions for individuals with HNC during treatment. Future research should assess the effectiveness of rehabilitation interventions on functional outcomes beyond the ICF body function and structure domain.
    Language English
    Publishing date 2024-03-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 1104775-6
    ISSN 1464-5165 ; 0963-8288
    ISSN (online) 1464-5165
    ISSN 0963-8288
    DOI 10.1080/09638288.2024.2328810
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