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We, therefore, investigated, in patients with normal andincreased ICP in a neurosurgical ICU, whether somephysical therapy procedures caused deleterious effectson ICP and cerebral perfusion pressure (CPP). Bothpassive range of motion (PROM) and exercises wereinvestigated because they are applied to different groupsof patients, may cause a different degree of stimulation,and thus may affect the ICP differently. Patients withnormal ICP and patients with high ICP were studiedseparately, with different interventions used, becauseclinical deterioration could have occurred with someprocedures in patients with intracranial l~ypertension.~Because position influences the ICP and thus may interferewith the effects of some physical therapy procedures,patients with normal ICP were studied in severalpositions. Patients with high ICP were studied only in themost recommended position (ie, 50" head-up position
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