The incident of head trauma has been increasing every year. Success management requires patient to bedrest. Bedrest with head injury could be done by providing intervention with passive range of motion (PROM) and changing position. The risks and benefits of interventions must be carefully evaluated and the best treatment options must be directed. This study aimed to identify whether passive physiotherapy is safe for cerebral hemodynamic status in critical patients with head trauma. The literature reviews were conducted using the PRISMA model. The articles were collected from 5 journal database sources including PubMed, EBSCO, ScienceDirect, Scopus and ProQuest. Searching process was performed by main search terms, including “(Passive Range of Motion OR Passive Exercise OR Physiotherapy) AND (Intracerebral Pressure OR Cerebral Pressure OR Cerebral Hemodynamic)”. Quality of each articles were assessed by Critical Appraisal Skills Program (CASP) tools and synthesized to identify common themes. Totally 9 articles were meets inclusion criteria and used. The result of showed that several passive physiotherapy techniques can be applied to head injury patient such as passive ROM, bed cycle and bed-based ambulation. Passive physiotherapy is safe to use with changing cerebral hemodynamic status but has the potential to cause several effects such as slightly increasing heart rate, mean arterial pressure (MAP) and headache. These effects are temporary and will return to normal condition after the end of the training session. Passive physiotherapy is safe to cerebral hemodynamic status including intracranial pressure, cerebral perfusion pressure, and mean arterial pressure, in critical patient with head trauma