geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Study protocol: home-based physical rehabilitation for survivors of a critical illness [ACTRN12605000166673


, : Study protocol: home-based physical rehabilitation for survivors of a critical illness [ACTRN12605000166673. Critical Care 10(3): R90-R90

Numerous primary studies and several review papers have highlighted delayed physical and psychological recovery for survivors of critical illness, often beyond 6 months after discharge. This randomized controlled trial with blinded assessment aims to test the effects of an 8-week, home-based, individually tailored physical rehabilitation programme on physical and psychological recovery for survivors of a critical illness after discharge from hospital. Participants are survivors of a critical illness discharged from nine intensive care units (ICUs) in Australia, who are aged 18 years or older, in an ICU longer than 48 hours, discharged home to self-care or carer (non-institutional care), able to participate in physical rehabilitation, and within the hospitals' local geographical areas for home visits. The study is based in participants' home environments. Blinded assessments at weeks 1, 8 and 26 after hospital discharge examine physical functioning, exercise capacity, health-related quality of life and psychological well being. The intervention is graded, individualized endurance and strength training prescribed by a pulmonary rehabilitation physiotherapist over an 8-week period, with three home visits, five follow-up phone calls, and a printed exercise manual supporting the training. Initial focus is on lower limb exercises and walking, with warm-up stretches, and progresses to the addition of core stabilization and upper limb exercises. The burden of a critical illness is well documented. This novel study will determine whether a home-based physical rehabilitation programme improves the recovery trajectory for survivors of critical illness. The projected sample size of 200 patients aims to detect a clinically important 10% improvement in physical functioning. The study will also examine whether other important physical and psychological measures are improved. This multicentre, randomized controlled trial will examine outcomes that are meaningful to patients, their family and society, namely functional ability and well being. The study will also target a health problem that is likely to increase as the population ages. If the programme is effective, it will provide a model that can be easily adapted and adopted by existing primary care or community services to improve the recovery of individuals following critical illness.

US$19.90

PMID: 16792792

DOI: 10.1186/cc4949


Other references

Glenn, G., 2014: Preparation of protein samples for mass spectrometry and N-terminal sequencing. The preparation of protein samples for mass spectrometry and N-terminal sequencing is a key step in successfully identifying proteins. Mass spectrometry is a very sensitive technique, and as such, samples must be prepared carefully since they can...

Tokuda; Kanamoto; Abe; Tsukada, 1991: Triple excitonic mixing associated with recoupling of a Stark-localized state in coupled quantum wells confined by superlattices. Physical Review. B, Condensed Matter 43(9): 7170-7173

Rogers C.M., 1982: Expression in mammalian cells of a cloned yeast saccharomyces cerevisiae gene involved in leucine biosynthesis. Federation Proceedings 41(3): ABSTRACT 2806

Bellayou, H.; Hamzi, K.; Rafai, M.Abdou.; Karkouri, M.; Slassi, I.; Azeddoug, H.; Nadifi, S., 2009: Duchenne and Becker muscular dystrophy: contribution of a molecular and immunohistochemical analysis in diagnosis in Morocco. Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are X-linked recessive disorders caused by mutations of the DMD gene located at Xp21. In DMD patients, dystrophin is virtually absent; whereas BMD patients have 10% to 40% of th...

Lebowitz, J.; Lewis, M.S.; Schuck, P., 2002: Modern analytical ultracentrifugation in protein science: A tutorial review. Analytical ultracentrifugation (AU) is reemerging as a versatile tool for the study of proteins. Monitoring the sedimentation of macromolecules in the centrifugal field allows their hydrodynamic and thermodynamic characterization in solution, with...

McAdams, D.P.; Anyidoho, N.Akua.; Brown, C.; Huang, Y.Ting.; Kaplan, B.; Machado, M.Anne., 2004: Traits and stories: links between dispositional and narrative features of personality. Dispositional traits and life narratives represent two different levels of personality that have not previously been empirically linked. The current study tested five hypotheses connecting Big-Five traits to life-narrative indices of emotional ton...

L.G.ern, C.; Pradelles, P.; Dray, F., 1977: Radioimmunoassay for tubulin detection. Febs Letters 84(1): 97-100

Handa R.J.; Rodriguez E.W.; Fox C.A.; Jacobson C.D., 1989: Characterization and distribution of estrogen receptor er in the diencephalon of the gray short tailed opossum. Society for Neuroscience Abstracts 15(2): 1099

Ismaila, A.; Huisman, E.; Punekar, Y.S., 2014: Comparative Efficacy of Umeclidinium Bromide Versus Other Long-Acting Anticholinergic Monotherapies as Treatments for Copd Patients. Value in Health 17(7): A588-A589

Lin, Y-Chao.; Chen, H-Jen.; Liu, Y-Heng.; Shih, C-Ming.; Hsu, W-Huei.; Tu, C-Yen., 2008: A 30-month experience of thoracic empyema in a tertiary hospital: emphasis on differing bacteriology and outcome between the medical intensive care unit (MICU) and medical ward. Objectives: To analyze the causative pathogens and outcomes of patients with thoracic empyema admitted to the medical intensive care unit (MICU) and medical ward.Methods: We prospectively studied the empyemic patients in the MICU and retrospectiv...