Informations générales (source: ClinicalTrials.gov)
Effect of the "Sitting Out of Bed in an Arm-chair Position" in ICU on Functional Recovery Among Ventilated Patients: a Prospective Randomized Controlled Trial
Interventional
N/A
Centre Hospitalier Régional d'Orléans (Voir sur ClinicalTrials)
juillet 2025
janvier 2028
17 septembre 2025
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)."
Etablissements
| Les établissements d'Île-de-France ayant mis à jour leurs données Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| HOPITAL FOCH | MATTHIEU REFFIENNA | 11/05/2026 07:26:37 | Contacter | ||
| Les établissements sans correspondance certaine dans le répertoire FINESS dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
| Centre Hospitalier Universitaire d'Orléans - 45067 - Orléans - Centre Val De Loire - France | Guillaume FOSSAT | Contact (sur clinicalTrials) | |||
| CH Chartres - 28630 - Le Coudray - France | Florence SMIS | Contact (sur clinicalTrials) | |||
| CH de DAX - 40100 - Dax - France | Adrien AUVET, Dr | Contact (sur clinicalTrials) | |||
| Ch Du Mans - 72037 - Le Mans - France | Maie-Hélène LEROYER | Contact (sur clinicalTrials) | |||
| CHI Mont de Marsan - 40012 - Mont-de-Marsan - France | Arnaud DELAHAYE, Dr | Contact (sur clinicalTrials) | |||
| CHRU de TOURS - Tours - France | Baptiste DARDAINE | Contact (sur clinicalTrials) | |||
| CHU Clermont Ferrand - Clermont-Ferrand - France | Angelina BARRAGE | Contact (sur clinicalTrials) | |||
| CHU de DIJON - Dijon - France | Jose Arturo PINEDA, Pr | Contact (sur clinicalTrials) | |||
| Hopital Foch - Suresnes - France | Matthieu REFFIENNA | Contact (sur clinicalTrials) | |||
| Hopital Nord Franche Comte - Belfort - France | Valerie CHAUVIN | Contact (sur clinicalTrials) | |||
Critères
Tous
Inclusion Criteria:
1. Patient > 18 years old
2. Patient on invasive mechanical ventilation for more than 24 hours
3. Patient in recovery phase with a RASS score greater than "-3" for more than 12 hours
4. Stay expected to last 72 hours
5. Patient has never been placed in a chair during this hospitalization in intensive
care.
6. Fragility score < 6, during the month preceding admission to intensive care
7. Patient (or support person/relative if patient is unable to participate) who has
agreed to take part in the study.
1. Patient > 18 years old
2. Patient on invasive mechanical ventilation for more than 24 hours
3. Patient in recovery phase with a RASS score greater than "-3" for more than 12 hours
4. Stay expected to last 72 hours
5. Patient has never been placed in a chair during this hospitalization in intensive
care.
6. Fragility score < 6, during the month preceding admission to intensive care
7. Patient (or support person/relative if patient is unable to participate) who has
agreed to take part in the study.
1. Patient with an absolute and non-resolving contraindication to chair positioning
1. Fracture or orthopedic disorder contraindicating mobilization out of bed
2. Obesity with body mass index greater than 45 kg/cm2
3. Sacral eschar stage greater than 2
2. Patient using a wheelchair for mobility (i.e. paraplegic patient or patient with
progressive neurological pathology).
3. Patient treated with veno-venous or veno-arterial ECMO at the time of screening.
4. Moribund patient
5. Encephalic death
6. Acute polyradiculoneuritis (Guillain-Barré syndrome)
7. Myasthenia
8. Patient treated by continuous hemodialysis or hemofiltration for more than 72 hours
following the onset of awakening.
9. Complete transmetatarsal or higher amputation of one or both lower limbs.
10. Protected person (under guardianship or curatorship)
11. Person under court protection
12. Person not affiliated to a social security scheme
13. Pregnant or breast-feeding woman
14. Patient already included in the study
15. Patient taking part in an interventional clinical study, the aim of which is to show
an improvement in functional level on discharge from the intensive care unit or
which focuses on the theme of early rehabilitation in the intensive care unit.