UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000060533
Receipt number R000069037
Scientific Title Impact of a Function-Oriented Rehabilitation Protocol on Functional Outcomes in ICU Patients: A Historical Control Study
Date of disclosure of the study information 2026/01/31
Last modified on 2026/01/31 11:10:27

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Basic information

Public title

The Impact of Different Rehabilitation Methods During ICU Admission on Physical Function

Acronym

The Impact of Different Rehabilitation Methods During ICU Admission on Physical Function

Scientific Title

Impact of a Function-Oriented Rehabilitation Protocol on Functional Outcomes in ICU Patients: A Historical Control Study

Scientific Title:Acronym

Impact of a Function-Oriented Rehabilitation Protocol on Functional Outcomes in ICU Patients: A Historical Control Study

Region

Japan


Condition

Condition

Critically ill patients requiring mechanical ventilation for 48 hours or more

Classification by specialty

Intensive care medicine Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to introduce a functional extubation protocol based on the Functional Status Score for the ICU (FSS-ICU) for patients admitted to the ICU, and to examine changes in physical functional outcomes before and after its implementation.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Functional Status Score for the ICU (FSS-ICU) at ICU discharge

Key secondary outcomes

At ICU discharge
ICU Mobility Scale (IMS), Medical Research Council sum score (MRCs)
At hospital discharge
Short Physical Performance Battery (SPPB), Barthel Index
At 90 days after ICU discharge
Hospital Anxiety and Depression Scale (HADS), EQ-5D-5L, Barthel Index


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

In the intervention group, a stepwise rehabilitation protocol based on the Functional Status Score for the ICU (FSS-ICU) is implemented for patients during their ICU stay. Rehabilitation is provided at least once daily and includes basic functional activities such as rolling, sitting up, sitting balance, standing, and walking.
Progression of the intervention is determined based on hemodynamic and respiratory status and level of consciousness of the patient, following safety assessment by the treating physician and study investigator.
The historical control group utilized data from ICU patients who underwent rehabilitation using the standard mobilization protocol prior to the introduction of the functional mobilization protocol.
Rehabilitation was generally performed at least once daily, with safety confirmed using the same initiation and discontinuation criteria as the intervention group.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients aged 18 years or older who were admitted to the emergency and critical care center of Nihon University hospital and required mechanical ventilation for 48 hours or longer.

Key exclusion criteria

1)Patients who are unable to understand instructions until ICU discharge due to severe impaired consciousness.
2)Patients admitted for cerebrovascular disease with motor paralysis.
3)Patients who develop severe complications during hospitalization.
4)Patients who required total assistance for all activities of daily living prior to hospital admission.
5)Patients who refused to participate in this study.

Target sample size

124


Research contact person

Name of lead principal investigator

1st name Yuya
Middle name
Last name Yanagisawa

Organization

Nihon University Hospital

Division name

Rehabilitation Room

Zip code

101-8309

Address

1-6, Kanda Surugadai, Chiyoda-ku, Tokyo

TEL

03-3293-1711

Email

yanagisawa.yuya@nihon-u.ac.jp


Public contact

Name of contact person

1st name Yuya
Middle name
Last name Yanagisawa

Organization

Nihon University Hospital

Division name

Rehabilitation Room

Zip code

101-8309

Address

1-6, Kanda Surugadai, Chiyoda-ku, Tokyo

TEL

03-3293-1711

Homepage URL


Email

yanagisawa.yuya@nihon-u.ac.jp


Sponsor or person

Institute

Nihon University Hospital

Institute

Department

Personal name

Yanagisawa Yuya


Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nihon University Hospital

Address

1-6, Kanda Surugadai, Chiyoda-ku, Tokyo

Tel

03-3293-1711

Email

yanagisawa.yuya@nihon-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1

20250901

Org. issuing International ID_1

Nihon University Hospital Clinical Research Review Board

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

日本大学病院(東京都)


Other administrative information

Date of disclosure of the study information

2026 Year 01 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2025 Year 09 Month 22 Day

Date of IRB

2025 Year 09 Month 22 Day

Anticipated trial start date

2026 Year 02 Month 01 Day

Last follow-up date

2026 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 01 Month 31 Day

Last modified on

2026 Year 01 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069037