Mechanically ventilated ICU patients who independently used their arms for functional activities (e.g., eating, dressing) before their critical illness. Injury, Occupational Diseases, Poisoning
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults (>= 18 years old) 2. Who used their upper limbs for functional activities (e.g., dressing, bathing) before their critical illness 3. Within the first 7 days of their ICU stay 4. Received or are receiving mechanical ventilation (invasive or non-invasive) for >24 hours 5. Within the first 4 days of starting mechanical ventilation
Exclusion criteria
Exclusion criteria: 1. Known shoulder pathology 2. Impaired shoulder range of motion 3. Any condition impairing patients’ ability to cycle (e.g., arm fracture) 4. Proven or suspected neuromuscular weakness affecting the arms 5. Unable to follow commands pre-critical illness 6. Expected hospital mortality >90% 7. Body habitus unable to fit the bike, palliative goals of care 8. Persistent therapy exemptions in the first 4 days of ICU stay (e.g., cardiorespiratory instability, active major bleeding)
Countries
Australia, Canada