Chinese Journal of Emergency and Critical Care Nursing >
Research progress on sit-to-stand transition functional training in critically ill patients
Received date: 2025-04-11
Online published: 2026-03-02
Supported by
Nanjing Medical University Education Research Project(2023ZC117)
Sit-to-stand is a critical step in the physical rehabilitation process for critically ill patients,and its dysfunction severely affects the patient’s recovery process and prognosis. This article reviews the core value of sit-to-stand function in the physical rehabilitation of critically ill patients,systematic assessment of critically ill patients prior to implementing sit-to-stand function training,intervention strategies,and outcome evaluation,with the aim of providing reference for clinical practice in the function training for critically ill patients. Currently,standardized protocols for sit-to-stand training have yet to be developed and refined.
XU Xiumei , WANG Chen , WANG Yaping , ZHANG Yaowen , ZHU Yaqin , XIAO Peihua , LI Li . Research progress on sit-to-stand transition functional training in critically ill patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(3) : 379 -384 . DOI: 10.3761/j.issn.2096-7446.2026.03.022
| [1] | Ohtake PJ, Lee AC, Scott JC, et al. Physical impairments asso-ciated with post-intensive care syndrome:systematic review based on the World Health Organization’s international classi-fication of functioning,disability and health framework[J]. Phys Ther, 2018, 98(8):631-645. |
| [2] | Siao SF, Wang TG, Ku SC, et al. Inability to sit-to-stand in medical ICUs survivors:when and why we should care[J]. Crit Care Med, 2024, 52(12):1828-1836. |
| [3] | Thomas S, Burridge JH, Pohl M, et al. Recovery of sit-to-stand function in patients with intensive-care-unit-acquired muscle weakness:results from the general weakness syndrome therapy cohort study[J]. J Rehabil Med, 2016, 48(9):793-798. |
| [4] | O’Grady HK, Edbrooke L, Farley C, et al. The sit-to-stand test as a patient-centered functional outcome for critical care re-search:a pooled analysis of five international rehabilitation studies[J]. Crit Care, 2022, 26(1):175. |
| [5] | Mao YR, Wu XQ, Zhao JL, et al. The crucial changes of sit-to-stand phases in subacute stroke survivors identified by move-ment decomposition analysis[J]. Front Neurol, 2018, 9:185. |
| [6] | 刘瑞平, 钱蕾, 刘燕燕, 等. 有跌倒史老年人坐立运动过程中的肌肉协同分析[J]. 中国临床解剖学杂志, 2024, 42(2):196-200. |
| Liu RP, Qian L, Liu YY, et al. Muscle synergy analysis during the sit-to-stand movement in elderly individuals with a history of falling[J]. Chin J Clin Anat, 2024, 42(2):196-200. | |
| [7] | Schenkman M, Berger RA, Riley PO, et al. Whole-body move-ments during rising to standing from sitting[J]. Phys Ther, 1990, 70(10):638-648;discussion648-651. |
| [8] | Hirschfeld H, Thorsteinsdottir M, Olsson E. Coordinated ground forces exerted by buttocks and feet are adequately program-med for weight transfer during sit-to-stand[J]. J Neurophysiol, 1999, 82(6):3021-3029. |
| [9] | 江智霞, 林凤芝. ICU患者早期活动及其阻碍因素的研究进展[J]. 中华急危重症护理杂志, 2020, 1(6):508-511. |
| Jiang ZX, Lin FZ. Research on early mobilization in ICU patients and analysis of barriers[J]. Chin J Emerg Crit Care Nurs, 2020, 1(6):508-511. | |
| [10] | 陈蒿, 罗旋, 余培琳, 等. 基于循证的ICU机械通气病人目标导向早期活动方案的构建[J]. 护理研究, 2024, 38(18):3209-3217. |
| Chen H, Luo X, Yu PL, et al. Construction of evidence-based goal-directed early mobilization program for patients with mechanical ventilation in ICU[J]. Chin Nurs Res, 2024, 38(18):3209-3217. | |
| [11] | 成晶, 梁敏, 陈琼, 等. 渐进式早期活动方案在ICU机械通气患者中的应用[J]. 中国护理管理, 2024, 24(10):1481-1486. |
| Cheng J, Liang M, Chen Q, et al. Implementation of the progressive early activity plan in ICU patients undergoing mechanical ventilation[J]. Chin Nurs Manag, 2024, 24(10):1481-1486. | |
| [12] | Schujmann DS, Teixeira Gomes T, Lunardi AC, et al. Impact of a progressive mobility program on the functional status,res-piratory,and muscular systems of ICU patients:a randomized and controlled trial[J]. Crit Care Med, 2020, 48(4):491-497. |
| [13] | Hodgson CL, Stiller K, Needham DM, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults[J]. Crit Care, 2014, 18(6):658. |
| [14] | 赵福华, 袁萍, 闫莉枞, 等. 早期目标导向活动方案在机械通气患者中的应用[J]. 中国护理管理, 2025, 25(4):529-534. |
| Zhao FH, Yuan P, Yan LZ, et al. Application of early goal-directed mobilization protocol in mechanically ventilated patients[J]. Chin Nurs Manag, 2025, 25(4):529-534. | |
| [15] | De Melo TA, Silva Guimar?es F, Lapa E Silva JR. The five times sit-to-stand test:safety,validity and reliability with critical care survivors’s at ICU discharge[J]. Arch Physiother, 2022, 13(1):2. |
| [16] | Egger M, Finsterh?lzl M, Buetikofer A, et al. Balance function in critical illness survivors and evaluation of psychometric properties of the Mini-BESTest[J]. Sci Rep, 2024, 14:12089. |
| [17] | Parry SM, Denehy L, Beach LJ, et al. Functional outcomes in ICU-what should we be using?-an observational study[J]. Crit Care, 2015, 19(1):127. |
| [18] | 何玲英, 黄丽华, 张月丽. 佩尔梅危重患者活动评分量表的汉化及信效度检测[J]. 护理与康复, 2017, 16(11):1144-1148. |
| He LY, Huang LH, Zhang YL. Chinesization on Perme Inten-sive Care Unit Mobility Scale and assessment on its reliabi-lity and validity[J]. J Nurs Rehabil, 2017, 16(11):1144-1148. | |
| [19] | 吴雨晨. 切尔西物理功能评估量表的汉化与临床应用[D]. 兰州: 兰州大学, 2020. |
| Wu YC. Sinicization and clinical application of Chelsea Physical Function Assessment Scale[D]. Lanzhou: Lanzhou Uni-versity, 2020. | |
| [20] | 刘明月, 方芳, 杨富. ICU患者早期康复评估工具的临床应用进展[J]. 中国康复医学杂志, 2024, 39(2):299-303. |
| Liu MY, Fang F, Yang F. Clinical application progress on early rehabilitation assessment tools in ICU patients[J]. Chin J Rehabil Med, 2024, 39(2):299-303. | |
| [21] | Wu TT, Su QP, Xiong J, et al. Reliability and validity of the Chinese version of the Functional Status Score for the ICU(FSS-ICU) after translation and cross-cultural adaptation[J]. Disabil Rehabil, 2025, 47(5):1324-1331. |
| [22] | 刘明月, 方芳, 赵丽莉. ICU患者身体功能测试评分量表的汉化及信效度检验[J]. 中华现代护理杂志, 2022, 28(26):3530-3534. |
| Liu MY, Fang F, Zhao LL. The Chinese version of the Physical Function Intensive Care Test Score and its reliability and validity[J]. Chin J Mod Nurs, 2022, 28(26):3530-3534. | |
| [23] | Reid JC, Clarke F, Cook DJ, et al. Feasibility,reliability,respon-siveness,and validity of the patient-reported functional scale for the intensive care unit:a pilot study[J]. J Intensive Care Med, 2020, 35(12):1396-1404. |
| [24] | 吕露露, 张雪静. 三级医院ICU重症患者早期活动现状及障碍因素调查[J]. 护理学杂志, 2020, 35(10):31-34. |
| Lü LL, Zhang XJ. Early mobilization of critically ill patients in the ICU of tertiary hospitals and its barriers[J]. J Nurs Sci, 2020, 35(10):31-34. | |
| [25] | Jayachandran B, Venkatesan K, Tan SBC, et al. Feasibility of combining functional mobilisation with resistance and endu-rance training for mechanically ventilated patients in inten-sive care unit setting-a pilot study[J]. J Clin Med, 2024, 13(8):2412. |
| [26] | Campos DR, Bueno TBC, Anjos JSGG, et al. Early neuromus-cular electrical stimulation in addition to early mobilization improves functional status and decreases hospitalization days of critically ill patients[J]. Crit Care Med, 2022, 50(7):1116-1126. |
| [27] | 范定容, 周恒宇, 蔡莹, 等. 神经肌肉电刺激对急性重症胰腺炎合并ARDS患者肌肉力量改善效果评估[J]. 陆军军医大学学报, 2024, 46(22):2539-2546. |
| Fan DR, Zhou HY, Cai Y, et al. Efficacy assessment for NMES in improving muscle strength in patients with SAP complicated by ARDS[J]. J Army Med Univ, 2024, 46(22):2539-2546. | |
| [28] | 李若祎. 超早期床旁功率自行车活动对机械通气患者ICU获得性衰弱的预防效果研究[D]. 北京: 北京协和医学院, 2021. |
| LI RY. Effect of very early bedside cycling exercise on ICU-acquired weakness in critically ill patients with mechanical ventilation[D]. Beijing: Peking Union Medical College, 2021. | |
| [29] | Suzuki G, Kanayama H, Arai Y, et al. Early mobilization using a mobile patient lift in the ICU:a randomized controlled trial[J]. Crit Care Med, 2024, 52(6):920-929. |
| [30] | 王文巧, 赵红梅. 重症监护病房康复智慧化平台[J]. 中华结核和呼吸杂志, 2023, 46(11):1051-1054. |
| Wang WQ, Zhao HM. Intelligent rehabilitation platform in in-tensive care unit[J]. Chin J Tubere Respir Dis, 2023, 46(11):1051-1054. | |
| [31] | 夏艳玲, 潘文彦, 赵洋洋, 等. 虚拟现实技术在ICU患者早期活动中的应用研究[J]. 中华护理杂志, 2023, 58(9):1050-1055. |
| Xia YL, Pan WY, Zhao YY, et al. Application of virtual reality technology in early activities of ICU patients[J]. Chin J Nurs, 2023, 58(9):1050-1055. |
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