Dr. Karin M. Felten-Barentsz: Innovating ICU Physiotherapy

On June 20 2025, Dr. Karin M. Felten-Barentsz successfully defended her doctoral dissertation at Radboudumc in Nijmegen. EWAC Medical is proud to have supported this important work, which brings new evidence and practical solutions to the field of intensive care physiotherapy and rehabilitation. The dissertation, titled “Innovating physiotherapy practice for patients admitted to the Intensive Care Unit – and their relatives,” explores several targeted innovations designed to address complex rehabilitation challenges within the ICU setting. Conducted in collaboration with Radboudumc and HAN University of Applied Sciences, this research contributes to a more patient-centered, evidence-based, and context-driven approach to physiotherapy.

Key Contributions to ICU Rehabilitation

Hydrotherapy for ventilated ICU patients Hydrotherapy, long recognized for its rehabilitative value, was introduced at Radboudumc in a novel setting: for mechanically ventilated ICU patients. Dr. Felten-Barentsz demonstrated that water-based physiotherapy is both feasible and safe in this population, while also being highly appreciated by patients. This marks an important advancement in early mobilization strategies. Family participation in essential care The research also emphasizes the role of family members in ICU care. By enabling relatives to actively support physical and essential care activities, outcomes improved not only for patients but also for families, with reduced psychological stress and enhanced preparedness for caregiving roles post-discharge. Upper extremity rehabilitation While early mobilization often targets lower limbs, this work highlights the importance of upper body engagement. A dedicated exercise box was developed and tested for feasibility, with promising indications of clinical utility in preserving functional capacity during ICU stay. Guidelines during COVID-19 During the pandemic, physiotherapists required fast, practical guidance for treating hospitalized COVID-19 patients. Dr. Felten-Barentsz contributed to national recommendations, ensuring that physiotherapy care remained safe, structured, and effective under extreme circumstances.

Supporting Research, Promoting Progress

As a sponsor of this dissertation, EWAC Medical reaffirms its commitment to advancing clinical knowledge, promoting innovation, and supporting the translation of research into real-world clinical application. We believe in fostering collaborations that help drive forward rehabilitation practices, especially in complex environments such as the ICU. We encourage healthcare professionals, researchers, and industry partners to explore the findings of this dissertation and consider their impact on patient care and interdisciplinary collaboration in intensive care settings. More information: