None listed
Conditions
Brief summary
This study involves a prospective, single-group, observational design. No aspect of usual clinical care (i.e. medical, nursing, physiotherapy or other allied health) will be altered. Instead, the study involves documenting the feasibility and safety of our usual practice with respect to early progressive mobilisation of patients with non-traumatic acute subarachnoid haemorrhage or subdural haemorrhage.
Interventions
Medical, nursing and allied health interventions will not change from those routinely provided. If a patient satisfies certain screening criteria, the physiotherapist will assess the patient as per usual practice, including the patient’s ability to follow commands and trunk/limb strength, and decide on the appropriate type of mobility intervention. The type of mobility intervention will be progressed over time, as per the patient’s condition and tolerance, from progressively upright positions in bed, bed exercises, sitting on the edge of the bed, sitting balance, functional exercises in sitting, standing, standing balance exercises, marching on the spot, sitting out of bed and walking. These mobilisation activities may involve the use of equipment (e.g. lifting machines, appropriate seating). Mobility interventions will commence once the patient is deemed medically stable and will continue for the duration of their in-patient stay.
Sponsors
Eligibility
Inclusion criteria
* Admitted under the care of the Royal Adelaide Hospital Neurosurgery Department with a diagnosis of non-traumatic acute subarachnoid haemorrhage or subdural haemorrhage (confirmed by computed tomography scan). * Aged at least 18 years.
Exclusion criteria
* Not previously mobile. * Not for active treatment. * Other conditions/injuries contraindicating mobilisation.