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This study will investigate the safety and feasibility of early intensive physical therapy for patients diagnosed with subarachnoid hemorrhage. Intervention will begin in the neurological Intensive Care Unit (ICU) and continue for 30 days or hospital discharge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention arm | Experimental | Early intensive physical therapy will be the intervention arm. There is not a control group. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical Therapy | Other | Early Intensive Physical therapy in the ICU |
|
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in Physical function in the ICU test (PFit) | Every 7 days until hospital discharge or 28 days of study enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in Activity Measure for Post-Acute Care (AM-PAC) mobility | Every 7 days until hospital discharge or 28 days of study enrollment | |
| Improvement in Timed up and Go (TUG) | Every 7 days until hospital discharge or 28 days of study enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Neuro-Quality of Life (QOL) | Neuro-QOL measures 17 domains of health related quality of life for adults through self-report.. We will use the short form versions for applied cognition, lower extremity mobility and Upper extremity function and Satisfaction with social roles/activities. | Hospital Discharge only |
Inclusion Criteria:
Exclusion Criteria:
Significant language barrier that would limit the ability to participate in the physical therapy program
Severe baseline physical or cognitive impairment that would impair their ability to participate in the protocol
Patients whose vital signs are outside the accepted starting and stopping criteria outlined below:
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| Name | Affiliation | Role |
|---|---|---|
| Amy J Nordon-Craft | University of Colorado, Denver | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UCH | Aurora | Colorado | 80020 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26651376 | Background | Moss M, Nordon-Craft A, Malone D, Van Pelt D, Frankel SK, Warner ML, Kriekels W, McNulty M, Fairclough DL, Schenkman M. A Randomized Trial of an Intensive Physical Therapy Program for Patients with Acute Respiratory Failure. Am J Respir Crit Care Med. 2016 May 15;193(10):1101-10. doi: 10.1164/rccm.201505-1039OC. | |
| 26038155 | Background |
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| ID | Term |
|---|---|
| D013345 | Subarachnoid Hemorrhage |
| ID | Term |
|---|---|
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| Improvement in Postural Assessment Scale for Stroke Patients | Every 7 days until hospital discharge or 28 days of study enrollment |
| Improvement in Medical Research Council (MRC) Muscle Sum Score | Every 7 days until hospital discharge or 28 days of study enrollment |
| Improvement in Hand grip strength | Every 7 days until hospital discharge or 28 days of study enrollment |
| Sottile PD, Nordon-Craft A, Malone D, Schenkman M, Moss M. Patient and family perceptions of physical therapy in the medical intensive care unit. J Crit Care. 2015 Oct;30(5):891-5. doi: 10.1016/j.jcrc.2015.04.119. Epub 2015 May 8. |
| 25319384 | Background | Denehy L, Nordon-Craft A, Edbrooke L, Malone D, Berney S, Schenkman M, Moss M. Outcome measures report different aspects of patient function three months following critical care. Intensive Care Med. 2014 Dec;40(12):1862-9. doi: 10.1007/s00134-014-3513-3. Epub 2014 Oct 16. |
| 21934375 | Background | Nordon-Craft A, Schenkman M, Ridgeway K, Benson A, Moss M. Physical therapy management and patient outcomes following ICU-acquired weakness: a case series. J Neurol Phys Ther. 2011 Sep;35(3):133-40. doi: 10.1097/NPT.0b013e3182275905. |
| 22652987 | Background | Olkowski BF, Devine MA, Slotnick LE, Veznedaroglu E, Liebman KM, Arcaro ML, Binning MJ. Safety and feasibility of an early mobilization program for patients with aneurysmal subarachnoid hemorrhage. Phys Ther. 2013 Feb;93(2):208-15. doi: 10.2522/ptj.20110334. Epub 2012 May 31. |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |