Effect of the "Sitting Out of Bed in an Arm-chair Position" in ICU on Functional Recovery Among V… (NCT06973746) | Clinical Trial CompassRecruitingNot Applicable
Effect of the "Sitting Out of Bed in an Arm-chair Position" in ICU on Functional Recovery Among Ventilated Patients
France150 participantsStarted 2025-07-04 Plain-language summary
Chair positioning is one of a series of early mobilization techniques. At present, this technique, which involves moving a patient out of the resuscitation bed, can be performed passively or actively. It does not constitute a rehabilitative act as such, but it is considered in common paradigms as a technique to improve "the patient's breathing and strength".
However, recommendations issued in 2013 by the Society of intensive care physiotherapy and the society "Société de réanimation de langue française (SRLF)", reveal that this chair position cannot be recommended with a high grade.
The aim of the investigators is therefore to break down this early mobilization process in intensive care, to find out whether the armchair is an indispensable tool for improving functional and muscular processes.
The research hypothesis is therefore as follows:
"Early armchairing of the resuscitation patient, improves functional recovery compared to a conservative positioning strategy (sitting in bed)."
Who can participate
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Inclusion criteria
- âś“. Patient \> 18 years old
- âś“. Patient on invasive mechanical ventilation for more than 24 hours
- âś“. Patient in recovery phase with a RASS score greater than "-3" for more than 12 hours
- âś“. Stay expected to last 48 hours
- âś“. Patient has never been placed in a chair during this hospitalization in intensive care.
- âś“. Fragility score \< 6, during the month preceding admission to intensive care
- âś“. Patient (or support person/relative if patient is unable to participate) who has agreed to take part in the study.
Exclusion criteria
- âś•. Patient with an absolute and non-resolving contraindication to chair positioning
- âś•. Fracture or orthopedic disorder contraindicating mobilization out of bed
- âś•. Obesity with body mass index greater than 45 kg/cm2
What they're measuring
1Functional level on "discharge" from intensive care
Timeframe: On discharge from intensive care or day 28 (depending on which comes first)
Trial details
NCT IDNCT06973746
SponsorCentre Hospitalier Régional d'Orléans
Sponsor typeOTHER
Study typeINTERVENTIONAL
Primary completion2028-01
Contact for this trial
Guillaume FOSSAT