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)."
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
150
Once the patient has been awake with a RASS score between -1 and +1 for more than 12 hours, he or she must be placed in a chair (by any means) every day for a minimum of 30 minutes until "discharge" from intensive care (or until D28, depending on which comes first), unless there are transient contraindications. If the patient is unable to signal his or her wish to stop the chair session, the criteria for intolerance will be sought and the patient placed in the chair, but in all cases the chair session will not exceed 4 hours.
Centre Hospitalier Universitaire d'Orléans
Orléans, Centre-Val de Loire, France
RECRUITINGHopital Nord Franche Comte
Belfort, France
RECRUITINGCHU Clermont Ferrand
Clermont-Ferrand, France
RECRUITINGCH de DAX
Dax, France
NOT_YET_RECRUITINGCHU de DIJON
Dijon, France
RECRUITINGCH Chartres
Le Coudray, France
RECRUITINGCh Du Mans
Le Mans, France
RECRUITINGCHI Mont de Marsan
Mont-de-Marsan, France
RECRUITINGCH de Saint-Lô
Saint-Lô, France
NOT_YET_RECRUITINGHopital Foch
Suresnes, France
NOT_YET_RECRUITING...and 1 more locations
Functional level on "discharge" from intensive care
Functional level at "discharge" from the intensive care unit measured by the Physical Function ICU Test scored (PFIT-s). Minimum value = 0 , meaning worse functionnal status Maximum value = 12, meaning better functionnal status
Time frame: On discharge from intensive care or day 28 (depending on which comes first)
ICU Mobility scale
Maximum level of mobility achieved Minimum value = 0, meaning "no mobility" Maximum value = 10, meaning "walking without assistance"
Time frame: Day 28
MRC sum score
Presence of muscular weakness acquired in intensive care Minimum value = 0, meaning "no muscular contraction" Maximum value = 60, meaning "normal muscular force"
Time frame: Day 28
Length of stay in intensive care unit
Time frame: Day 28
Ventilator free days
Number of days without invasive mechanical ventilation
Time frame: Day 28
Mortality rate
Time frame: Day 28
Total length of hospital stay
Time frame: Day 28
Mortality
Time frame: Month 6
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