Subarachnoid Hemorrhage
Conditions
Keywords
Physical Therapy, early intervention
Brief summary
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.
Interventions
OTHERPhysical Therapy
Early Intensive Physical therapy in the ICU
Sponsors
University of Colorado, Denver
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Patients diagnosed by CT scan or MRI with subarachnoid hemorrhage and admitted to the neurological ICU \>48 hours.
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: 1. intracranial pressure ≤ 15 mm Hg 2. Cerebral perfusion pressure \>50 or \<70 mm Hg 3. Mean arterial pressure ≥ 80 and ≤ 110 4. Heart rate ≥40 and \<140 bpm 5. Pulse oximetry \>88%
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in Physical function in the ICU test (PFit) | Every 7 days until hospital discharge or 28 days of study enrollment |
Secondary
| Measure | 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 |
| 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 |
| Improvement in Postural Assessment Scale for Stroke Patients | Every 7 days until hospital discharge or 28 days of study enrollment |
Other
| Measure | Time frame | Description |
|---|---|---|
| Neuro-Quality of Life (QOL) | Hospital Discharge only | 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. |
Countries
United States
Outcome results
None listed