Changes in intracranial pressure associated with chest physiotherapy.

Journal Article (Journal Article)

INTRODUCTION: Management of intracranial hypertension is pivotal in the care of brain-injured patients. SUMMARY OF CASE: We report the case of a patient with both a closed head injury and anoxic encephalopathy, who subsequently experienced episodes of refractory intracranial hypertension. The patient's care was complicated by the development of a pneumonia, which required frequent turning of the patient and chest physiotherapy. Conventional wisdom suggests that these interventions may stimulate the patient and worsen intracranial pressure, and therefore should be avoided. RESULTS: Our observations on this patient, however, contradict this belief. This single-subject study presents data to support the use of chest physiotherapy in patients at risk for intracranial hypertension. CONCLUSIONS: Further, the evidence is compelling that a randomized-controlled trial is indicated to test the hypothesis that chest physiotherapy may actually result in short-term resolution of high intracranial pressure, and thus provide one more clinical tool in the management of elevated intracranial pressure.

Full Text

Duke Authors

Cited Authors

  • Olson, DM; Thoyre, SM; Turner, DA; Bennett, S; Graffagnino, C

Published Date

  • 2007

Published In

Volume / Issue

  • 6 / 2

Start / End Page

  • 100 - 103

PubMed ID

  • 17522792

International Standard Serial Number (ISSN)

  • 1541-6933

Digital Object Identifier (DOI)

  • 10.1007/s12028-007-0015-y


  • eng

Conference Location

  • United States