In the News

Dr. Michelle KhoTechnology in Rehabilitation: In-Bed Cycling as a Tool for Early Rehabilitation in the Intensive Care Unit

What was the purpose of the research study?

The CYCLE (Critical Care Cycling to Improve Lower Extremity Strength) Research Program is the first study of its kind in Canada.  The aim of CYCLE is to study whether early exercise using in-bed cycling, started within the first four days of Mechanical Ventilation (MV) and first seven days of Intensive Care Unit (ICU) admission, helps patients recover faster from their ICU stay. Our current study is the CYCLE pilot randomized controlled trial (RCT), where we are studying the feasibility of in-bed cycling in seven hospitals across Ontario.

Why is this research study important?

We know that the ICU offers unique challenges for patient rehabilitation because many of them are mechanically ventilated, sedated, and connected to numerous catheters and devices. The loss of muscle mass and strength occurs rapidly during the first 10 days of an ICU stay, so targeting patients early in their ICU stay is critical to improve their health outcomes.

What was the result of the study and what impact will it have?

In our first study, TryCYCLE, we demonstrated early in-bed cycling as a rehabilitation intervention is feasible and  safe for patients receiving MV. Most importantly, the patients enjoyed the in-bed cycling and it offered them and their family members hope.

Our CYCLE pilot RCT will help us understand if we can feasibly study early in-bed cycling in multiple academic ICUs.  Results from our CYCLE pilot RCT will inform the larger RCT to determine if early in-bed cycling results in patients being more independent with their activities of daily living when they leave the hospital.  Our pilot RCT is helping use move one step closer to changing how we provide rehabilitation programs in the ICU.

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Credit: Canadian Physiotherapy Association
Physiotherapy Practice, Winter 2016, Vol. 6 No. 1


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Nominations are requested for the 32nd annual J. Allyn Taylor International Prize in Medicine

We are soliciting nominations for the 2016 J. Allyn Taylor International Prize in Medicine. The Prize of $25,000 is awarded annually to one or more individuals who have made significant contributions in basic or clinical research.

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