TryCYCLE: A Pilot Study of Early In-bed Leg Cycle Ergometry in Mechanically Ventilated Patients

Launched by MCMASTER UNIVERSITY · Jun 20, 2013

Keywords

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Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adult patients ≥18 years old
• • Invasively mechanically ventilated ≤4 days
• • Expected additional 2 day ICU stay
• • Ability to ambulate independently pre-hospital (with or without a gait aid)
• Exclusion Criteria:
• • Unable to follow simple commands at baseline
• • Pregnancy
• • Acute conditions impairing ability to walk or cycle (e.g., leg or foot fracture)
• • Acute central condition or peripheral injury resulting in neuromuscular weakness (e.g., stroke, Guillain Barré syndrome)
• • Primary generalized weakness of the central or peripheral nervous system (e.g., multiple sclerosis, myasthenia gravis, Parkinson's disease, amyotrophic lateral sclerosis)
• • Temporary pacemaker wires
• • Expected hospital mortality\> 90%
• • Cycling equipment unable to fit patient's body dimensions (e.g., leg amputation or obesity)
• • Specific surgical exclusion as stipulated by attending
• • -\>7 day ICU stay
• • Physician declines
• • Patient did not meet daily screening criteria to provide in-bed leg cycling during the first 4 days of mechanical ventilation