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This randomized controlled trial with blinded assessment aims to test the effects of an 8-week, home-based, individually tailored physical rehabilitation programme on physical and psychological recovery for survivors of a critical illness after discharge from hospital.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Method<\/jats:title>\n                        <jats:p>Participants are survivors of a critical illness discharged from nine intensive care units (ICUs) in Australia, who are aged 18 years or older, in an ICU longer than 48 hours, discharged home to self-care or carer (non-institutional care), able to participate in physical rehabilitation, and within the hospitals' local geographical areas for home visits. The study is based in participants' home environments. Blinded assessments at weeks 1, 8 and 26 after hospital discharge examine physical functioning, exercise capacity, health-related quality of life and psychological well being. The intervention is graded, individualized endurance and strength training prescribed by a pulmonary rehabilitation physiotherapist over an 8-week period, with three home visits, five follow-up phone calls, and a printed exercise manual supporting the training. Initial focus is on lower limb exercises and walking, with warm-up stretches, and progresses to the addition of core stabilization and upper limb exercises.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Results<\/jats:title>\n                        <jats:p>The burden of a critical illness is well documented. This novel study will determine whether a home-based physical rehabilitation programme improves the recovery trajectory for survivors of critical illness. The projected sample size of 200 patients aims to detect a clinically important 10% improvement in physical functioning. The study will also examine whether other important physical and psychological measures are improved.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Conclusion<\/jats:title>\n                        <jats:p>This multicentre, randomized controlled trial will examine outcomes that are meaningful to patients, their family and society, namely functional ability and well being. The study will also target a health problem that is likely to increase as the population ages. If the programme is effective, it will provide a model that can be easily adapted and adopted by existing primary care or community services to improve the recovery of individuals following critical illness.<\/jats:p>\n                     <\/jats:sec>","DOI":"10.1186\/cc4949","type":"journal-article","created":{"date-parts":[[2006,6,22]],"date-time":"2006-06-22T18:33:05Z","timestamp":1151001185000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Study protocol: Home-based physical rehabilitation for survivors of a critical illness [ACTRN12605000166673]"],"prefix":"10.1186","volume":"10","author":[{"given":"Doug","family":"Elliott","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"McKinley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer A","family":"Alison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanne M","family":"Aitken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madeleine T","family":"King","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2006,6,22]]},"reference":[{"key":"4472_CR1","doi-asserted-by":"publisher","first-page":"2119","DOI":"10.1097\/00003246-200111000-00012","volume":"29","author":"NA Black","year":"2001","unstructured":"Black NA, Jenkinson C, Hayes JA, Young D, Vella K, Rowan KM, Daly K, Ridley S: Review of outcome measures used in adult critical care.\n                           Crit Care Med 2001, 29: 2119-2124. 10.1097\/00003246-200111000-00012","journal-title":"Crit Care Med"},{"key":"4472_CR2","doi-asserted-by":"publisher","first-page":"1153","DOI":"10.1007\/s00134-005-2656-7","volume":"31","author":"DM Needham","year":"2005","unstructured":"Needham DM, Dowdy DW, Mendez-Tellez PA, Herridge MS, Pronovost P: Studying outcomes of intensive care unit survivors: measuring exposures and outcomes.\n                           Intensive Care Med 2005, 31: 1153-1160. 10.1007\/s00134-005-2656-7","journal-title":"Intensive Care Med"},{"key":"4472_CR3","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1007\/s00134-002-1624-8","volume":"29","author":"DC Angus","year":"2003","unstructured":"Angus DC, Carlet J: Surviving intensive care: a report from the 2002 Brussels Roundtable.\n                           Intensive Care Med 2003, 29: 368-377.","journal-title":"Intensive Care Med"},{"key":"4472_CR4","doi-asserted-by":"publisher","first-page":"1014","DOI":"10.1136\/bmj.327.7422.1014","volume":"327","author":"C Ball","year":"2003","unstructured":"Ball C, Kirkby M, Williams S: Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomised population based study.\n                           BMJ 2003, 327: 1014. 10.1136\/bmj.327.7422.1014","journal-title":"BMJ"},{"key":"4472_CR5","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1111\/j.1362-1017.2006.00160.x","volume":"11","author":"R Endacott","year":"2006","unstructured":"Endacott R, Chaboyer W: The nursing role in ICU outreach: an international exploratory study.\n                           Nurs Crit Care 2006, 11: 94-102. 10.1111\/j.1362-1017.2006.00160.x","journal-title":"Nurs Crit Care"},{"key":"4472_CR6","doi-asserted-by":"publisher","first-page":"2456","DOI":"10.1097\/01.CCM.0000089938.56725.33","volume":"31","author":"C Jones","year":"2003","unstructured":"Jones C, Skirrow P, Griffiths RD, Humphris GH, Ingleby S, Eddleston J, Waldmann C, Gager M: Rehabilitation after critical illness: a randomized, controlled trial.\n                           Crit Care Med 2003, 31: 2456-2461. 10.1097\/01.CCM.0000089938.56725.33","journal-title":"Crit Care Med"},{"key":"4472_CR7","volume-title":"Review of Intensive Care Resources & Activity 2002\/2003","author":"T Higlett","year":"2005","unstructured":"Higlett T, Bishop N, Hart GK, Hicks P: Review of Intensive Care Resources & Activity 2002\/2003. 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