[en] Introduction. Physiotherapy is highly effective in the Intensive Care Unit (ICU) and in the treatment of the critically ill patient. The latter is characterized by various pathologies and associated clinical complications in which the physiotherapist plays a great role as part of the interdisciplinary team whose ultimate goal is the patient's exit from the ICU with no or minimal limitation and in the best achievable conditions of functionality so that the patient's reintegration to daily life activities is equal or similar to the one he/she had before the event that led him/her to the ICU. It has been demonstrated that Physiotherapy brings great benefits and few risks to this type of patient. After the priority period of saving the patient's life, it is important to have a well-planned physiotherapy treatment, in order to avoid complications resulting from the condition itself and the immobilization suffered in these units. The Physiotherapy Service in these units is key to the reduction of morbidity and hospital stay, which has a direct influence on health costs, due to the prevention of possible complications. There are currently some studies available that inform us of the situation of Physiotherapy in the hospital setting, but few studies provide clinical practice guidelines or validated protocols on which to rely. Objective. The aim of this study is to describe the current situation of Physiotherapy in the Galician Autonomous Community in the care setting of Intensive Care Units (ICU's), both in public and private centers. Material and methods. Based on the objective, it is possible to characterize this research as a cross-sectional observational descriptive study, whose procedure for collecting information is by means of a questionnaire. Two semi-structured surveys were used, which were sent to and completed by the Head of ICU Service and by the coordinators of the physiotherapy service of the different Galician hospitals during the months of December and January 2020/21. Results. A total of 28 surveys were sent out for this study (16 to public sector hospitals and 12 to the private sector). The survey obtained a total participation rate of 57.14%. The response rate of the publicly-owned centers was higher, representing 75% of the study, compared to a participation rate of 33.33% for the private centers. All the ICUs have a Physiotherapy Service, with a ratio of 0 to 5 patients per physiotherapist in the public health centers, while in the private centers this service is provided according to demand. This service is referred by interconsultation with the Rehabilitation Service (37%). An average of 16 to 30 minutes per patient per session is dedicated to this service. In spite of the usual morning and afternoon shifts, they have other shifts such as emergencies or weekends, excluding night shifts. The work of the physiotherapists in the ICU has been rated as satisfactory, although it is considered that it does not cover the care needs of the ICU. Conclusions. The availability of physiotherapists in the ICU is significantly less than the recommendations of the Ministry of Health and Social Policy and the European recommendations in force. The degree of implementation in Galician ICUs is low. The development of protocols and clinical practice guidelines for the critically ill patient is needed.

[gl] Introdución. A Fisioterapia ten unha gran efectividade na área da Unidade de Coidados Intensivos (UCI) e o tratamento do paciente crítico. Este último caracterizase por ter varias patoloxías e complicacións clínicas asociadas nas que o fisioterapeuta xoga un gran papel como parte do equipo interdisciplinario cuxo obxectivo final, a saída do paciente da UCI con ningunha ou unha mínima limitación e nas mellores condicións alcanzables de funcionalidade para que a reinserción do mesmo as actividades da vida diaria sexa igual o similar a que tivo antes do suceso que o levou a UCI. Demostrouse que la Fisioterapia aporta grandes beneficios e poucos riscos para este tipo de pacientes. Despois de pasar o período prioritario de salvar a vida do paciente, é importante un tratamento fisioterápico ben planificado para evitar complicacións derivadas da propia enfermidade e da inmobilización sufrida nestas unidades. O Servizo de Fisioterapia nestas unidades é clave para reducir a morbilidade e a estancia hospitalaria, o que inflúe directamente nos custos sanitarios, debido a prevención de posibles complicacións. Na actualidade, disponse de algúns estudos que nos informan da situación da Fisioterapia no ámbito hospitalario, pero poucos estudos aportan guías de práctica clínica ou protocolos validados nos que apoiarnos. Objectivo. O obxectivo deste estudo é describir a situación actual da Fisioterapia na Comunidade Autónoma Galega no ámbito asistencial das Unidades de Coidados Intensivos (UCI's), tanto nos centros públicos como privados. Material e métodos. Partindo do obxectivo, e posible caracterizar esta investigación como un estudo descritivo observacional de corte transversal, cuxo procedemento de recollida de información é a través de cuestionario. Utilizaronse dúas enquisas semiestructuradas as cales foron remitidas e cubertas polo Xefe de Servizo das UCIs e por os coordinadores do servizo de fisioterapia dos distintos centros hospitalarios galegos ó largo dos meses de decembro de 2020 e Xaneiro de 2021. Resultados. Para a realización deste estudo enviáronse un total de 28 enquisas (16 a centros hospitalarios do sector público e 12 ó sector privado). A enquisa obtivo unha porcentaxe de participación total do 57,14%. A tasa de resposta dos centros de titularidade pública foi maior, representado un 75% do estudo, frente a unha participación de un 33,33% pola parte dos centros privados. Tódalas UCIs dispoñen de Servicio de Fisioterapia, cun ratio de 0 a 5 doentes por fisioterapeuta na sanidad pública mentres que na privada realizase según demanda. Este servizo derívase mediante interconsulta co Servizo de Rehabilitación (37%). Dedícaselle una media de 16 a 30 min. por doente e sesión. A pesar das quendas habituais de maña e tarde, dispoñen de outras como urxencias ou fins de semana, excluíndose a de nocturnidad. O traballo dos fisioterapeutas na UCI foi calificado como satisfactorio, aínda que non cubre as necesidades asistenciais da UCI. Conclusións. A dispoñibilidade dos fisioterapeutas na UCI é significativamente menor as recomendacións do Ministerio de Sanidade e Política Social e as europeas vixentes. O grado de implementación nas UCIs galegas é baixo. Precisase da elaboración de protocolos e guías de práctica clínica para o doente crítico.