| 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 |
The Impact of Different Rehabilitation Methods During ICU Admission on Physical Function
The Impact of Different Rehabilitation Methods During ICU Admission on Physical Function
Impact of a Function-Oriented Rehabilitation Protocol on Functional Outcomes in ICU Patients: A Historical Control Study
Impact of a Function-Oriented Rehabilitation Protocol on Functional Outcomes in ICU Patients: A Historical Control Study
| Japan |
Critically ill patients requiring mechanical ventilation for 48 hours or more
| Intensive care medicine | Rehabilitation medicine |
Others
NO
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.
Efficacy
Confirmatory
Pragmatic
Not applicable
Functional Status Score for the ICU (FSS-ICU) at ICU discharge
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
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
NO
NO
1
Treatment
| Other |
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.
| 18 | years-old | <= |
| Not applicable |
Male and Female
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.
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.
124
| 1st name | Yuya |
| Middle name | |
| Last name | Yanagisawa |
Nihon University Hospital
Rehabilitation Room
101-8309
1-6, Kanda Surugadai, Chiyoda-ku, Tokyo
03-3293-1711
yanagisawa.yuya@nihon-u.ac.jp
| 1st name | Yuya |
| Middle name | |
| Last name | Yanagisawa |
Nihon University Hospital
Rehabilitation Room
101-8309
1-6, Kanda Surugadai, Chiyoda-ku, Tokyo
03-3293-1711
yanagisawa.yuya@nihon-u.ac.jp
Nihon University Hospital
Yanagisawa Yuya
Self funding
Self funding
Nihon University Hospital
1-6, Kanda Surugadai, Chiyoda-ku, Tokyo
03-3293-1711
yanagisawa.yuya@nihon-u.ac.jp
NO
20250901
Nihon University Hospital Clinical Research Review Board
日本大学病院(東京都)
| 2026 | Year | 01 | Month | 31 | Day |
Unpublished
Enrolling by invitation
| 2025 | Year | 09 | Month | 22 | Day |
| 2025 | Year | 09 | Month | 22 | Day |
| 2026 | Year | 02 | Month | 01 | Day |
| 2026 | Year | 10 | Month | 31 | Day |
| 2026 | Year | 01 | Month | 31 | Day |
| 2026 | Year | 01 | Month | 31 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069037