Interdisciplinary perception of the physiotherapist's role in the intensive care unit: a descriptive observational study
DOI:
https://doi.org/10.5281/zenodo.22819345Keywords:
physiotherapists, professional role, intensive care units, interprofessional relations, perceptionAbstract
Introduction: The intensive care unit (ICU) is a complex setting where multidisciplinary care is key; the physiotherapist is part of the team that prevents and treats respiratory and musculoskeletal complications. The aim was to analyze the perception of the physiotherapist's role in the ICU among physicians, nurses and physiotherapists in the metropolitan area of Asunción, Paraguay, during 2025.
Materials and methods: Quantitative, observational, descriptive cross-sectional study with 146 health professionals (60% nurses, 23% physiotherapists, 18% physicians) from public and private institutions in Luque, San Lorenzo and Fernando de la Mora, using snowball sampling and a structured questionnaire analyzed with descriptive statistics.
Results: 77% considered the physiotherapist "indispensable"; they highlighted impact on reducing length of stay (60%) and improving prognosis (68%). Only 15% always collaborate with the physiotherapist in clinical decisions, although 92% perceived favorable collaboration in ventilator weaning. Main barriers: lack of equipment (48%), prolonged sedation (42%) and unfamiliarity with the role (24%).
Conclusions: There is a positive valuation of the physiotherapist in the ICU, but integration into clinical decision-making is limited by structural and organizational factors, supporting stronger early mobilization protocols and visibility of the interdisciplinary role.
References
Gogniat E, Fredes S, Tiribelli N, Setten M, Rodrigues La Moglie R, Plotnikow G, et al. Definición del rol y las competencias del kinesiólogo en la unidad de cuidados intensivos. Rev Argent Ter Intensiva. 2018;35(4):1-11. https://revista.sati.org.ar/index.php/MI/article/view/605
Karthika M, Wong D, Nair SG, Pillai LV, Mathew CS. Lung ultrasound: the emerging role of respiratory therapists. Respir Care. 2019;64(2):217-29. https://doi.org/10.4187/respcare.06179
Ramalho F, Oliveira A, Machado A, Azevedo V, Gonçalves MR, Ntoumenopoulos G, et al. Physiotherapists in intensive care units: where are we? Pulmonology. 2024;30(4):319-23. https://doi.org/10.1016/j.pulmoe.2024.02.004
Yang X, Zhang T, Cao L, Ye L, Song W. Early mobilization for critically ill patients. Respir Care. 2023;68(6):781-95. https://doi.org/10.4187/respcare.10481
Matsuoka A, Yoshihiro S, Shida H, Aikawa G, Fujinami Y, Kawamura Y, et al. Effects of mobilization within 72 h of ICU admission in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials. J Clin Med. 2023;12(18):5888. https://doi.org/10.3390/jcm12185888
Schweickert WD, Jablonski J, Bayes B, Chowdhury M, Whitman C, Tian J, et al. Structured mobilization for critically ill patients: a pragmatic cluster-randomized trial. Am J Respir Crit Care Med. 2023;208(1):49-58. https://doi.org/10.1164/rccm.202209-1763OC
Monsees J, Moore Z, Patton D, Watson C, Nugent L, Avsar P, et al. A systematic review of the effect of early mobilisation on length of stay for adults in the intensive care unit. Nurs Crit Care. 2023;28(4):499-509. https://doi.org/10.1111/nicc.12785
Todd Tzanetos DR, Calhoun AW. Respiratory therapy-driven protocols: an important component to decrease overutilization in medicine. Respir Care. 2021;66(1):175-6. https://doi.org/10.4187/respcare.08742
Bakhru RN, Wiebe DJ, McWilliams DJ, Spuhler VJ, Siegel MD. An environmental scan for early mobilization practices in U.S. ICUs. Crit Care Med. 2015;43(11):2360-9. https://doi.org/10.1097/CCM.0000000000001262
Hernández Sampieri R, Fernández Collado C, Baptista Lucio P. Metodología de la investigación. México: McGraw-Hill; 2014. https://dialnet.unirioja.es/servlet/libro?codigo=775008
Hernández González O. Aproximación a los distintos tipos de muestreo no probabilístico que existen. Rev Cubana Med Gen Integr. 2021;37(3):e1442. https://revmgi.sld.cu/index.php/mgi/article/view/1442
Anekwe DE, Milner SC, Bussières A, de Marchie M, Spahija J. Intensive care unit clinicians identify many barriers to, and facilitators of, early mobilisation: a qualitative study using the Theoretical Domains Framework. J Physiother. 2020;66(2):120-7. https://doi.org/10.1016/j.jphys.2020.03.001
Catini ME, Cámpora H, Falduti A, Castaño R, Cuiña M, Rosendo N. Rol del kinesiólogo en la atención del paciente con trastornos de la deglución y disfagia en la unidad de cuidados intensivos. Rev Argent Ter Intensiva. 2024;41. https://revista.sati.org.ar/index.php/MI/article/view/960
Lippi L, de Sire A, D'Abrosca F, Polla B, Marotta N, Castello LM, et al. Efficacy of physiotherapy interventions on weaning in mechanically ventilated critically ill patients: a systematic review and meta-analysis. Front Med (Lausanne). 2022;9:889218. https://doi.org/10.3389/fmed.2022.889218
Hartley SE, Ryad H, Yeowell G. Future-proofing the profession: physiotherapists' perceptions of their current and emerging role. Physiotherapy. 2023;119:72-9. https://doi.org/10.1016/j.physio.2022.11.007
Rajan A, Reddy M, Todur P, Johnson S. Knowledge, confidence, and perception of respiratory therapists as frontliners in managing COVID-19 cases: a questionnaire survey. Indian J Respir Care. 2021;10(1):93-9. https://doi.org/10.4103/ijrc.ijrc_122_20
Burnett DM, Sharpe MR. Identifying the role of the respiratory therapist on the multidisciplinary team in the intensive care recovery clinic. Respir Care. 2021;66(12):1929-31. https://doi.org/10.4187/respcare.09644
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Luján Ullón Acosta, Antonela Capurro Reyes, Elva Indira Jara Galeano (Autor/a)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Articles are distributed under the Creative Commons Attribution 4.0 International — CC BY 4.0 licence. Authors retain copyright and grant the journal the right of first publication. Any reuse must acknowledge authorship, cite the original source and indicate whether changes were made.











