Safety and Feasibility of an Exercise Prescription Approach to Rehabilitation Across the Continuum of Care for Survivors of Critical Illness

Sue Berney; Kimberley Haines; Elizabeth H. Skinner; Linda Denehy

doi:10.2522/ptj.20110406

Figures

Figure 1.

Flow of participants through exercise rehabilitation outcome measure time points. PFIT=Physical Function in ICU Test, D/C=discharge, 6MWT=Six-Minute Walk Test.

Figure 2.

Exercise sessions achieved during acute hospitalization. ICU=intensive care unit.

Figure 3.

Outpatient exercise sessions achieved.

Appendix 1.

An Example of an Individualized Exercise Program^a

^a ICU=intensive care unit, PFIT=Physical Function in ICU Test, MIP=marching in place, RPE=rating of perceived exertion, STS=sit-to-stand.

Appendix 2.

Criteria Used to Determine When Participants Should Not Exercise or Whether Exercise Training Should Be Ceased^a

^a MAP=mean arterial pressure, HR=heart rate, Fio₂=fraction of inspired oxygen, Pao₂=partial pressure of oxygen (arterial), PEEP=positive end-expiratory pressure, Spo₂=pulse oximeter oxygen saturation.

Appendix 3.

Definition of Serious Adverse Events

Tables

Table 1.

Intensive Care Unit (ICU) Exercise Trial Intervention^{^a}

↵a RPE=rating of perceived exertion as measured using the modified Borg Scale, PFIT=Physical Function in ICU Test, RM=repetition maximum.
^b If patient was unable to stand or march in place, commenced focused strength and functional retraining.

Table 2.

Demographic and Outcome Data of the Intervention Group and the Intensive Care Unit (ICU) Point Prevalence Group^{^a}

↵a BMI=body mass index, APACHE II=Acute Physiology and Chronic Health Evaluation score, LOS=length of stay, IQR=interquartile range, ICUAW=ICU-acquired weakness (Medical Research Council sum score <48), MV=mechanical ventilation.

Table 3.

Occurrence of the Most Common Reasons for Failure to Deliver Exercise Sessions and Barriers to Exercise Training in Intensive Care Unit (ICU) and on the Ward