Actively Recruiting
Effect of the "Sitting Out of Bed in an Arm-chair Position" in ICU on Functional Recovery Among Ventilated Patients
Led by Centre Hospitalier Régional d'Orléans · Updated on 2025-12-19
150
Participants Needed
11
Research Sites
130 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
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)."
CONDITIONS
Official Title
Effect of the "Sitting Out of Bed in an Arm-chair Position" in ICU on Functional Recovery Among Ventilated Patients
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patient is older than 18 years
- Patient has been on invasive mechanical ventilation for more than 24 hours
- Patient has a RASS score greater than -3 for more than 12 hours and is in the recovery phase
- Patient's intensive care stay is expected to last at least 48 hours
- Patient has not been placed in a chair during this hospitalization in intensive care
- Fragility score is less than 6 during the month before admission to intensive care
- Patient or their support person/relative has agreed to participate in the study
You will not qualify if you...
- Patient has an absolute and non-resolving contraindication to chair positioning, such as fracture or orthopedic disorder preventing mobilization out of bed
- Patient has obesity with a body mass index greater than 45 kg/cm2
- Patient has sacral eschar stage greater than 2
- Patient uses a wheelchair for mobility, including paraplegic or progressive neurological conditions
- Patient is treated with veno-venous or veno-arterial ECMO at screening
- Patient is moribund or diagnosed with encephalic death
- Patient has acute polyradiculoneuritis (Guillain-Barré syndrome) or myasthenia
- Patient has been on continuous hemodialysis or hemofiltration for more than 72 hours after awakening
- Patient has complete transmetatarsal or higher amputation of one or both lower limbs
- Patient is under guardianship, curatorship, or court protection
- Patient is not affiliated with a social security scheme
- Patient is pregnant or breastfeeding
- Patient has already been included in this study
- Patient is participating in another interventional clinical study related to functional recovery or early rehabilitation in intensive care
AI-Screening
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Trial Site Locations
Total: 11 locations
1
Centre Hospitalier Universitaire d'Orléans
Orléans, Centre-Val de Loire, France, 45067
Actively Recruiting
2
Hopital Nord Franche Comte
Belfort, France
Actively Recruiting
3
CHU Clermont Ferrand
Clermont-Ferrand, France
Actively Recruiting
4
CH de DAX
Dax, France, 40100
Not Yet Recruiting
5
CHU de DIJON
Dijon, France
Actively Recruiting
6
CH Chartres
Le Coudray, France, 28630
Actively Recruiting
7
Ch Du Mans
Le Mans, France, 72037
Actively Recruiting
8
CHI Mont de Marsan
Mont-de-Marsan, France, 40012
Actively Recruiting
9
CH de Saint-Lô
Saint-Lô, France
Not Yet Recruiting
10
Hopital Foch
Suresnes, France
Not Yet Recruiting
11
CHRU de TOURS
Tours, France
Actively Recruiting
Research Team
G
Guillaume FOSSAT
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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