• Change in interleukin-1beta level in blood (picogram/milliliter) [ Time Frame: Day 1, day 3 and day 7 of study ]
• Change in Interleukin-6 level in blood (picogram/milliliter) [ Time Frame: Day 1, day 3 and day 7 of study ]
• Change in Tumor Necrosis Factor-alpha level in blood (picogram/milliliter) [ Time Frame: Day 1, day 3 and day 7 of study ]
• Change in C Reactive Protein level in blood (nanogram/milliliter) [ Time Frame: Day 1, day 3 and day 7 of study ]
• Change in Brain Derived Neurotrophic Factor level in blood (picogram/milliliter) [ Time Frame: Day 1, day 3 and day 7 of study ]
• Change in interleukin-1beta level in cerebrospinal fluid (picogram/milliliter) [ Time Frame: Day 1, day 3 and day 7 of study ]
  Cerebrospinal fluid (CSF) will be collected only in patients with an external ventricular drain as part of patients' care.
• Coefficient of correlation between interleukin-1beta level in CSF and blood [ Time Frame: Day 1 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Coefficient of correlation between interleukin-1beta level in CSF and blood [ Time Frame: Day 3 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care.
• Coefficient of correlation between interleukin-1beta level in CSF and blood [ Time Frame: Day 7 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Change in Interleukin-6 level in CSF (picogram/milliliter) [ Time Frame: Day 1, day 3 and day 7 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care.
• Coefficient of correlation between Interleukin-6 level in CSF and blood [ Time Frame: Day 1 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care.
• Coefficient of correlation between Interleukin-6 level in CSF and blood [ Time Frame: Day 3 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care.
• Coefficient of correlation between Interleukin-6 level in CSF and blood [ Time Frame: Day 7 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care.
• Change in tumor Necrosis Factor-alpha level in CSF (picogram/milliliter) [ Time Frame: Day 1, day 3 and day 7 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Coefficient of correlation between tumor Necrosis Factor-alpha level in CSF and blood [ Time Frame: Day 1 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Coefficient of correlation between tumor Necrosis Factor-alpha level in CSF and blood [ Time Frame: Day 3 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Coefficient of correlation between tumor Necrosis Factor-alpha level in CSF and blood [ Time Frame: Day 7 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Change in C Reactive Protein level in CSF (nanogram/milliliter) [ Time Frame: Day 1, day 3 and day 7 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Coefficient of correlation between C Reactive Protein level in CSF and blood [ Time Frame: Day 1 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Coefficient of correlation between C Reactive Protein level in CSF and blood [ Time Frame: Day 3 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Coefficient of correlation between C Reactive Protein level in CSF and blood [ Time Frame: Day 7 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Change in Brain Derived Neurotrophic Factor level in CSF (picogram/milliliter) [ Time Frame: Day 1, day 3 and day 7 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Coefficient of correlation between Brain Derived Neurotrophic Factor levels in CSF and blood [ Time Frame: Day 1 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Coefficient of correlation between Brain Derived Neurotrophic Factor level in CSF and blood [ Time Frame: Day 3 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Coefficient of correlation between Brain Derived Neurotrophic Factor level in CSF and blood [ Time Frame: Day 7 of study ]
  CSF will be collected only in patients with an external ventricular drain as part of patients' care
• Change in salivary cortisol level (microgram/deciliter) [ Time Frame: Day 1, day 3 and day 7 of study ]

• Change in hand-held dynamometry score (pounds) [ Time Frame: Daily on study days 1-7 ]
  An average of three hand-held dynamometry measurements will be calculated for each measurement episode and the change over time will be measured.
• Hand-held dynamometry score (pounds) [ Time Frame: On the day of transfer from the ICU or discharge, whichever comes first, assessed up to 60 days ]
  An average of three hand-held dynamometry measurements will be calculated.
• Hand-held dynamometry score (pounds) [ Time Frame: At 30-day follow-up visit ]
  An average of three hand-held dynamometry measurements will be calculated.
• Global pre-morbid physical health status as measured by the Promis Scale v1.2 [ Time Frame: Day 1 of study ]
  The global physical health status subscale of the Promis scale v1.2 will be used to measure pre-morbid physical health status. A 5-point Likert scale is used to score each of the four items. The scores for each item are summed as a raw score and are converted to T scores using a standardized table with higher T scores indicating better physical health status.
• Global pre-morbid mental health status as measured by the Promis Scale v1.2 [ Time Frame: Day 1 of study ]
  The global mental health status subscale of the Promis scale will be used to measure pre-morbid mental health status. A 5-point Likert scale is used to score each of the four items. The scores for each item are summed as a raw score and are converted to T scores using a standardized table with higher T scores indicating better mental health status.
• Global pre-morbid pain status as measured by the Promis Scale v1.2 [ Time Frame: Day 1 of study ]
  The pain subscale of the Promis scale of global health will be used to measure pre-morbid pain status. A 10 point visual analog scale is used with higher scores indicating greater pain levels. Raw scores will be used for analysis.
• Global pre-morbid fatigue as measured by the Promis Scale v1.2 [ Time Frame: Day 1 of study ]
  The fatigue subscle of the Promis scale of global health will be used to measure pre-morbid fatigue status. A 5 point Likert scale is used with higher scores indicating no fatigue and lower scores indicating increasing levels of fatigue. Raw scores will be used for analysis.
• Functional status as assessed by the Modified Rankin Score [ Time Frame: On transfer from the ICU or discharge from the hospital, whichever comes first, assessed up to 60 days ]
  The modified Rankin score will be used to measure function in terms of activities of daily living after stroke. A six-point ordinal scale (0-6) with lower scores indicating less disability and higher scores indicating increasingly severe disability. A score of 6 indicates death.
• Functional status as assessed by the Modified Rankin Score [ Time Frame: During the 30-day follow-up visit ]
  The modified Rankin score will be used to measure function in terms of activities of daily living after stroke. A six-point ordinal scale (0-6) with lower scores indicating less disability and higher scores indicating increasingly severe disability. A score of 6 indicates death.
• Change in muscle strength as assessed by the Medical Research Council Sum (MRCS) Score [ Time Frame: Daily on study days 1-7 ]
  The MRCS will be used to measure muscle strength over time. The instrument is a 60 point scale indicating muscle strength in 6 muscle groups. Three muscle groups each on the right and left upper extremities and three each in the right and left lower extremities. Each muscle group is scored from 0-5 out of a possible 5 points. A composite score with a maximum of 60 is produced, 30 points can be achieved for each side of the body.
• Muscle strength as assessed by the Medical Research Council Sum (MRCS) Score [ Time Frame: On transfer from the ICU or discharge from the hospital, whichever comes first, assessed up to 60 days ]
  The MRCS will be used to measure muscle strength. The instrument is a 60 point scale indicating muscle strength in 6 muscle groups. Three muscle groups each on the right and left upper extremities and three each in the right and left lower extremities. Each muscle group is scored from 0-5 out of a possible 5 points. A composite score with a maximum of 60 is produced, 30 points can be achieved for each side of the body.
• Muscle strength as assessed by the Medical Research Council Sum (MRCS) Score [ Time Frame: During the 30-day follow-up visit ]
  The MRCS will be used to measure muscle strength. The instrument is a 60 point scale indicating muscle strength in 6 muscle groups. Three muscle groups each on the right and left upper extremities and three each in the lower extremities. Each muscle group is scored from 0-5 out of a possible 5 points. A composite score with a maximum of 60 is produced, 30 points can be achieved for each side of the body.
• Ability to perform activities of daily living as assessed by the Barthel Index [ Time Frame: On transfer from the ICU or discharge from the hospital, whichever comes first, assessed up to 60 days ]
  The Barthel index will be used to measure a participant's ability to perform activities of daily living in detail. The instrument is a 10-item scale with a maximum of 100 points. Higher scores indicate higher levels of function.
• Ability to perform activities of daily living as assessed by the Barthel Index [ Time Frame: During the 30-day follow-up visit ]
  The Barthel index will be used to measure a participant's ability to perform activities of daily living in detail. The instrument is a 10-item scale with a maximum of 100 points. Higher scores indicate higher levels of function.
• Health status as assessed by the Stroke Impact Scale version 3.0 [ Time Frame: During the 30-day follow up visit ]
  This is a 59-item questionnaire that will measure health status in 8 domains following the stroke. A 5-point Likert scale is used to score each item with higher scores indicating higher perceived health status.
• Perception of stroke recovery as assessed by the Stroke Impact Scale version 3.0 [ Time Frame: During the 30-day follow up visit ]
  The last question of the instrument measures a participant's perception of stroke recovery using a 0-100 scale with higher scores representing higher levels of recovery and lower scores representing less recovery.

• Intra Cerebral Hemorrhage
• Stroke Hemorrhagic

• Experimental: Supine cycle ergometry of the lower extremities
  Patients will receive two 20 minute cycle ergometry sessions separated by at least 4 hours in addition to usual care. The cycle will be set to a gear of zero and will begin in passive mode, the patient will be able to actively cycle if patients are able.
  Intervention: Device: Supine cycle ergometry of the lower extremities
• No Intervention: Control
  Patients will receive usual care only.

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Inclusion Criteria:

• Supratentorial intracerebral hemorrhage with or without intraventricular hemorrhage
• Pre-morbid modified Rankin Score of 0-2
• Patient must be able to provide informed consent or have a legally authorized representative to provide consent on patient's behalf

Exclusion Criteria:

• Patients with known inflammatory conditions, infection requiring antibiotics or pregnancy
• Patients receiving daily anti-inflammatory medications including but not limited to prednisone, methotrexate, non-steroidal anti-inflammatory medications (ibuprofen, naproxen, indomethacin, celecoxib) and aspirin >325mg
• Glasgow Coma Score (GCS) 3 48 hours after admission
• Patients in whom withdrawal of life support is being considered by surrogate decision makers
• Injury to the lower extremities, hips or pelvis, weight >250 kg (weight limit of cycle), or body habitus precluding normal function of cycle