ICU sedation, delirium & recovery

Efficacy of suspension-based lower-limb rehabilitation device in enhancing lower limb function among patients with ICU-acquired weakness: a self-controlled randomized clinical trial

Crit CarePublished Randomised controlled trial

Authors' conclusion

Prompt intervention with SS-assisted rehabilitation combined with conventional therapy may help attenuate muscle atrophy, improve muscle strength, and enhance hip and knee AROM in patients with ICUAW, potentially offering a novel rehabilitation strategy for this population.

Study context

Population
Patients with ICU-acquired weakness (Intensive Care Unit-acquired weakness (ICUAW))within-patient design
Participants
60 patients
Comparison
Intervention limb vs Control limb
Primary endpoint
Change in lower-limb muscle thickness (rectus femoris, vastus intermedius, vastus medialis, vastus lateralis, tibialis anterior) by musculoskeletal ultrasound
Methodological detailsprospective, within-patient (self-controlled) randomisation
  • Prospective
  • Within-patient (self-controlled) randomisation

Primary result

As reported in the abstract

Lower-limb muscle thickness
Control limb: significantly reduced at 1 and 2 weeks vs baseline (p < 0.01); no significant difference between 1 and 2 weeks
p = 0.06

Secondary outcomes

OutcomeP value
MRC scoreControl limb vs Intervention limb · 1 week; lower in control limbP = 0.05
MRC scoreControl limb vs Intervention limb · 2 weeks; lower in control limbP = 0.003
Active range of motion (AROM)Control limb vs Intervention limb · 1 week; lower in control limbP = 0.003
Active range of motion (AROM)Control limb vs Intervention limb · 2 weeks; lower in control limbP < 0.001

Lower-limb circumference

No significant interaction or main effect
P = 0.18

Original publication

Efficacy of suspension-based lower-limb rehabilitation device in enhancing lower limb function among patients with ICU-acquired weakness: a self-controlled randomized clinical trial. Crit Care. Published 16 January 2026. doi:10.1186/s13054-026-05840-1

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