Remote Exercise Program for Pediatric ICU Survivors

Inclusion Criteria: * Age 3 to 18 years. * Discharged from the pediatric intensive care unit (PICU) after at least 48 hours of treatment. * Has not recovered to the pre-PICU level of physical function (walking and mobility), confirmed using the Pediatric Overall Performance Category Scale (POPC) and the Gross Motor Function Classification System Family Report Questionnaire (GMFCS Family Report). * Has sufficient cognitive and physical ability to understand and participate in the home-based exercise intervention. * Able to maintain adequate attention for exercise training, assessed using the Richmond Agitation-Sedation Scale (RASS) and age-appropriate delirium assessment (psCAM-ICU or pCAM-ICU), when applicable. * Written informed consent provided by the parent or legal guardian. Exclusion Criteria: * Newly developed neuromuscular disease after PICU admission that prevents participation in the video-based exercise program without therapist assistance. * Medical conditions, indwelling catheters, or implanted medical devices requiring restriction of limb movement. * Language or cognitive impairment that prevents understanding of the video-based exercise program. * Uncontrolled hypertension, arrhythmia, persistent fever due to infection, or any condition making exercise unsafe. * Declines to participate in the study.