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Perme ICU Rehab Seminars

 Always committed to providing an exceptional learning experience...

About Us

Perme ICU Rehab Seminars is located in Houston, TX and is the leading company for ICU rehab education.  We offer the highest quality of education, the greatest level of expertise, and tireless dedication to the rehab professional community. Our mission is to bring inspiration and innovation to every rehab professional practicing in ICU.


Our goal is to offer the participants with the knowledge they need to face the daily challenges of providing quality care for patients in ICU. It is especially important to us that our participants meet their personal and professional goals. We are personally motivated to insure their success.


We keep a low course enrollment so we can provide a state-of-art educational experience. This will allow participants to have enough opportunity to interact with the instructor and ask questions. We are confident that the Perme ICU Rehab Seminars will provide participants with the right knowledge to further improve their clinical skills.

About our President: Christiane S. Perme, PT CCS FCCM

Christiane S. Perme, PT CCS FCCM

Click here to see my CV

Publications: Christiane S. Perme, PT CCS FCCM

  1. Tennant MFH, Perme C, Butcher A. Cutting-Edge Physical Therapy in Mechanical Circulatory Support: Critical Care Physical Therapy Perspectives. Tex Heart Inst J. 2023 Jul 17;50(4):e238180. PMID: 37470248.

  2. Maqueda, C, Perme C. A novel mobilization criteria checklist 12 to 24 after intravenous thrombolysis in acute ischemic stroke. Journal of Acute Care Physical Therapy. Published online July 8, 2022. DOI:10.1097/JAT.0000000000000194. 

  3. Wilches Luna, C Perme, AC Gastaldi. Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score. Can J Respir Ther 2021;57:148–153. doi: 10.29390/cjrt-2021-018.

  4. Perme C et al. Relationship of the Perme ICU Mobility Score and Medical Research Council Sum Score With Discharge Destination for Patients in 5 Different Intensive Care Units. Journal of Acute Care Physical Therapy: October 2020 - Volume 11 - Issue 4 - p 171-177. doi: 10.1097/JAT.0000000000000132.

  5. Wilches EC et al. Spanish version of the Perme Intensive Care Unit Mobility Score: Minimal Detectable Change and Responsiveness. Physiotherapy Research International. Version of record online: 14 September 2020.

  6. Balas MC, Pun BT, Pasero C, Engel HJ, Perme C, Esbrook CL, Kelly T, Hargett KD, Posa PJ, Barr J, Devlin JW, Morse A, Barnes-Daly MA, Puntillo KA, Aldrich JM,Schweickert WD, Harmon L, Byrum DG, Carson SS, Ely EW, Stollings JL. Common Challenges to Effective ABCDEF Bundle Implementation: The ICU Liberation Campaign Experience. Crit Care Nurse. 2019 Feb;39(1):46-60.PMID: 30710036.

  7. Stollings JL, Devlin JW, Pun BT, Puntillo KA, Kelly T, Hargett KD, Morse A, Esbrook CL, Engel HJ, Perme C, Barnes-Daly MA, Posa PJ, Aldrich JM, Barr J, Carson SS, Schweickert WD, Byrum DG, Harmon L, Ely EW, Balas MC. Implementing the ABCDEF Bundle: Top 8 Questions Asked During the ICU Liberation ABCDEF Bundle Improvement Collaborative. Crit Care Nurse. 2019 Feb;39(1):36-45. PMID: 30710035.

  8. Pun BT, Balas MC, Barnes-Daly MA, Thompson JL, Aldrich JM, Barr J, Byrum D, Carson SS, Devlin JW, Engel HJ, Esbrook CL, Hargett KD, Harmon L, Hielsberg C, Jackson JC, Kelly TL, Kumar V, Millner L, Morse A, Perme CS, Posa PJ, Puntillo KA, Schweickert WD, Stollings JL, Tan A, D'Agostino McGowan L, Ely EW. Caring for Critically Ill Patients with the ABCDEF Bundle: Results of the ICU Liberation Collaborative in Over 15,000 Adults. Crit Care Med. 2019 Jan;47(1):3-14. PMID: 30339549.

  9. Wilches Luna EC, Hernández NL, Siriani de Oliveira A, Kenji Nawa R, Perme C, Gastaldi AC. Perme ICU Mobility Score (Perme Score) and the ICU Mobility Scale (IMS): translation and cultural adaptation for the Spanish language.Colomb Med (Cali). 2018 Dec 30;49(4):265-272. PMID: 30700919.

  10. Wilkens S, Klarmann S, Glase S, Mohr LM, Richter P, Christiane S. Perme CS, Nawa RK, Nydahl P. Perme Intensive Care Unit Mobility Score. Pflegen Intensiv 2018;15(3): 64-67.

  11. Nydahl P,  Wilkens S,  Glase S, Mohr LM,  Richter P,  Klarmann S, Perme CS, Nawa RK (2017): The German translation of the Perme Intensive Care Unit Mobility Score and inter-rater reliability between physiotherapists and nurses. European Journal of Physiotherapy, Pages 1-7.Published online: 24 Nov 2017. DOI: 10.1080/21679169.2017.1401660.

  12. Perme C. 2015 Acute Care Lecture Award: Solidifying the Future of the Physical Therapy Profession in ICU: The Time Is Now! Journal of Acute Care Physical Therapy. August 2015.Vol. 6 - Issue 2: p 37–44.

  13. Perme C, Nawa RK, Winkelman C, Masud F. A tool to assess mobility status in critically ill patients: The Perme Intensive Care Unit Mobility Score. Methodist Debakey Cardiovasc J. 2014 Jan;10(1):41-9. PMID: 24932363.

  14. Nawa RK, Lettvin C, Winkelman C, Evora PR, Perme C. Initial interrater reliability for a novel measure of patient mobility in a cardiovascular intensive care unit. J Crit Care. 2014 Jun;29(3):475. Epub 2014 Jan 31. PMID: 24630690.

  15. Elliott D, Davidson JE, Harvey MA, Bemis-Dougherty A, Hopkins RO, Iwashyna TJ, Wagner J, Weinert C, Wunsch H, Bienvenu OJ, Black G, Brady S, Brodsky MB, Deutschman C, Doepp D, Flatley C, Fosnight S, Gittler M, Gomez BT, Hyzy R, Louis D, Mandel R, Maxwell C, Muldoon SR, Perme CS, Reilly C, Robinson MR, Rubin E, Schmidt DM, Schuller J, Scruth E, Siegal E, Spill GR, Sprenger S, Straumanis JP, Sutton P, Swoboda SM, Twaddle ML, Needham DM. Exploring the Scope of Post-Intensive Care Syndrome Therapy and Care: Engagement of Non-Critical Care Providers and Survivors in a Second Stakeholders Meeting. Crit Care Med. 2014 Jul 31.  PMID: 25083984.

  16. Hillegass E,  Fick A, Pawlik A, Crouch R, Perme, C, Chandrashekar R, McNamara SB, Cahalin L. Official Guidelines from the Cardiovascular and Pulmonary Section: Supplemental oxygen utilization during physical therapy interventions. Cardiopulm Phys Ther J. 2014 Jun;25(2):38-49.

  17. Perme C et al. Safety and Efficacy of Mobility Interventions in Patients with Femoral Catheters in the ICU: A Prospective Observational Study. Cardiopulmonary Physical Therapy Journal. 2013 24(2):12-17

  18. Perme C, Lettvin C, Throckmorton TA, et al. Early Mobility and Walking for Patients with Femoral Arterial Catheters in Intensive Care Unit: a Case Series. J. Acute Care Phys Ther; spring 2011, Vol 2, Number 1:30-34.

  19. Perme C, Chandrasekhar R. Early Mobility and Walking Program for Patients in the Intensive Care Unit: Creating a Standard of Care. Am J Crit Care. 2009 May; 18(3): 212-221.PMID: 19234100. 

  20. Perme C, Chandrasekhar R. Managing the patient on Mechanical Ventilation in ICU:  Early Mobility and Walking Program. Acute Care Perspectives. Spring 2008, Vol 17, Number 1, 10-15

  21. Perme C, Southard R, Joyce D, Noon G, Loebe M. Early Mobilization of LVAD Recipients Who Require Prolonged Mechanical Ventilation. Texas Heart Institute Journal 2006; 33: 130-3. PMID:16878612

  22. Needham DM et al. Improving long-term outcomes after discharge from ICU: report from a stakeholders’ conference. Crit Care Med. 2012; 40:502-509.PMID: 21946660.

  23. Masud F et al. Updates on critical care management of cardiovascular patients. Methodist DeBakey Cardiovascular Journal 2011.Vol 7, Number 4, 28-3.PMID: 22143474.

Christiane Perme, PT CCS FCCM is a 1981 graduate from the Catholic University in Brazil where she received a degree in Physical Therapy. She became a Board Certified Cardiovascular and Pulmonary Clinical Specialist in 2005.  In 2017 she was accepted as a Fellow of the American College of Critical Care Medicine, the first physical therapist in the world to achieve such recognition.


Mrs. Perme is the owner of Perme ICU Rehab Seminars and a Clinical Development Specialist at the Houston Methodist Hospital, where she has practiced for the past 35 years with a variety of complex ICU and acute care patients.


Mrs. Perme has published 23 articles and is co-author in 9 book chapters. She has extensive experience in treating adult patients in ICU with special interest in patients requiring mechanical ventilation.  Mrs. Perme a world-renowned speaker and has presented hundreds of courses and lectures in the United States, Ukraine, Brazil, United Arab Emirates, Chile, Colombia, Puerto Rico, Denmark, Russia, Brazil, Nigeria, Netherlands, Canada, and Spain.

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