Abstract
Purpose: Organophosphate (OP) poisoning presents a significant challenge in healthcare, with varying severities requiring adaptive management strategies. This case series examines the physiotherapy management of three patients with different levels of OP poisoning severity: mild, moderate and severe. The study highlights the crucial role of physiotherapy in the multidisciplinary care of OP poisoning patients and demonstrates the need for phase-specific interventions tailored to individual patient needs. Method: The severe case required prolonged mechanical ventilation and intensive care, with physiotherapy progressing from passive techniques to active mobilization over 15 days. The moderate case showed faster recovery, allowing for earlier initiation of active interventions and functional training within 7 days. The mild case benefited from early respiratory exercises and mobilization, emphasizing the importance of physiotherapy even in less severe presentations. Results: Across all cases, physiotherapy management adapted to the changing clinical presentation, focusing initially on respiratory function and secretion clearance, then progressing to neuromuscular facilitation and functional mobility. Early physiotherapy involvement, within 24-36 hours of admission, was crucial in preventing complications and facilitating recovery. Conclusion: In this case series, we emphasize the importance of a holistic, phase-specific approach to physiotherapy in OP poisoning. It demonstrates that individualized treatment plans addressing respiratory, neuromuscular, and functional aspects are essential for comprehensive care and optimal outcomes across varying severities of OP poisoning.
Recommended Citation
Shukla MP, Chaudhary SA, Deshpande H, Gupta N. The Phases of Variation in Physiotherapy Management of Organophosphate Poisoning Patients: A Case Series. The Internet Journal of Allied Health Sciences and Practice. 2026 Mar 03;24(1), Article 3.
