• icucycle.com
  • Alex Molloy: (289) 808 6947

Research Coordinator

Research Coordinator

Click any of the following numbers corresponding to the schema to jump directly to that section of documents on this page.

     1                                                     3     4           5                          6                              7                              8                              9

Screen Shot 2019-11-19 at 12.15.13 PM

1 - Screening

(ICU Admission)

Case Report Forms

Note: Include patients who meet all eligiblility criteria on the screening logs and enter all eligible non-randomized patients into iDatafax.

2 - Consent

(ICU Admission)

Click here to download all "Consent" Documents from above.

3 - Randomization

(Randomized / Study Entry ≤4 d MV)

Case Report Forms

Study Materials

Randomize.net Information - Contact Methods Centre for details

Clinical Note

Bedside Handout

Chart Stickers

Click here to download all "Randomization" Documents from above.

4 - Daily ICU Responsibilites

(30 min cycling + Routine PT OR Routine PT)

Case Report Forms

Form 4 Daily Data (PDF)

*Form 4A Daily Data (PDF)

*If a patient is discharged from ICU and readmitted within 72 hours, complete this form in place of DAILY DATA (Form 4) for each complete study day outside ICU prior to readmission.


Click here to download all "Daily ICU Responsibilities" Documents from above.

5 - ICU Awakening


Test #1

Click here to download all "ICU Awakening" Documents from above.

6 - ICU Discharge

(ICU Discharge)

Test #2

7 - 3 Days Post-ICU Discharge

(3 d Post-ICU Discharge)

Case Report Forms


Note: Contact PT for blinded outcomes assessment. 

Study Materials


8 - Hospital Discharge, Death or Withdrawal

(Hospital Discharge)

Test #4

9 - 90 Days Post Randomization

(90 Day After Enrollment)

Test #5