Effect of neurological physiotherapy in patients with head surgery in ICU- A pilot Randomized clinical trial"

INTERVENTION: Intervention1: Neuro‐ rehabilitation protocol: The protocols objective is to enhance the overall functional improvement, which will not only improve health benefits for them but will also reduce the chances of occurrence of comorbidities which indirectly elongates the ICU stays. The major five domains include regaining consciousness, chest physiotherapy, sensory re‐education, limb physiotherapy, and motor re‐learning. In the first domain coma stimulation therapy, Transcutaneous direct current stimulation (20mA for 20 minutes), and music therapy is given(5 minutes). Along with it chest physiotherapy (percussion and vibrations for 10 minutes)and limb physiotherapy(b/l upper limb and lower limb passive range of motion exercises(10 reps and 2 sets)) is given. In sensory re education tapping, brushing and stroking(10 reos and 1 set) is given along with quick stretches. Control Intervention1: Conventional pgysiotherapy: Chest physiotherapy (diaphragmatic facilitation and intercoastal stretch for 10 minutes) Range of motion exercises(for upperlimb and lower limb 10 reps and 1 set) Stretching exercises(5reps and 2 sets) Ambulation (5 min ) CONDITION: Health Condition 1: G939‐ Disorder of brain, unspecified PRIMARY OUTCOME: Glasgow Coma Scale (GCS) ; Modified Ashworth Scale (MAS) ; Montreal Cognitive Assessment Scale (MoCA) ; Coma Recovery Scale‐ Revised (CRS‐R) ; Timepoint: Outcome measures will be assessed at baseline and 15 days post‐ interventions ; SECONDARY OUTCOME: NilTimepoint: Nil INCLUSION CRITERIA: Patients who will have craniotomies as a result of Brain Tumours Removal of blood clot from the blood vessel Cerebral Aneurysm Arteriovenous malformations (AVM) Arteriovenous fistula (AVF) Drainage of brain abscess Repairing fractures in skull Patients who will be on mechanical ventilator post‐ craniotomy or oxygen support or on tracheotomy. GCS Grade between 3 to 8.