The challenge of designing a post-critical illness rehabilitation intervention

Crit Care. 2011;15(5):1002. doi: 10.1186/cc10362. Epub 2011 Oct 25.


Post-ICU morbidity is an important issue for patients, families, and the health-care system. Elliott and colleagues outlined the results from their novel report of the very first home-based physiotherapy program to be tested in survivors of critical illness. The authors described an explicit intervention, which included a self-instruction exercise manual, trainer visits, and telephone follow-up, with excellent internal validity and yet no difference in outcome measures at 26-week follow-up. These results are discussed in the context of risk stratification/individual tailoring of post-ICU programs to patient and family needs and suggest that the collection of multiple simultaneous outcome measures across functional, neuropsychological, caregiver, and health-care utilization domains may offer additional insight into the benefits of post-rehabilitation programs.

Publication types

  • Editorial
  • Comment

MeSH terms

  • Critical Illness / psychology*
  • Critical Illness / rehabilitation*
  • Female
  • Home Care Services*
  • Humans
  • Male
  • Physical Therapy Modalities / psychology*
  • Quality of Life / psychology*
  • Recovery of Function*