FSS-ICU Studies

Validation Studies

Alves GAA, Martinez BP, Lunardi AC. Assessment of the measurement properties of the Brazilian versions of the Functional Status Score for the ICU and the Functional Independence Measure in critically ill patients in the intensive care unit. Rev Bras Ter Intensiva. 2019; 31(4):521-528. Link to PubMed

Camus-Molina A, Gonzalez-Seguel F, Castro-Avila A, Leppe J. Construct Validity of the Chilean-Spanish Version of the Functional Status Score for the Intensive Care Unit: A Prospective Observational Study Using Actigraphy in Mechanically Ventilated Patients. Arch Phys Med Rehabil. 2020; 101(11):1914-1921. PubMed

Da Silva VZM, Araujo Neto JA, Cipriano Jr G, Pinedo M, Needham DM, Zanni JM, Guimaraes FS. Brazilian version of Functional Status Score for the Intensive Care Unit (FSS-ICU): translation and cross-cultural adaptation. Brazilian Journal of Intensive Care. 2017; 29:34-38. Article | PubMed

Do JG, Suh GH, Won YH, Hiser S, Needham DM, Chung CR. Reliability and validity of the Korean version of the functional status score for the ICU after translation and cross-cultural adaptation.  Disability and Rehabilitation, 2021; 42(21), 3092–3097. Article | PubMed

Gonzalez-Seguel F, Camus-Molina A, Carcamo M, Hiser S, Needham D, Leppe J. Inter-observer reliability of trained physiotherapists on the Functional Status Score for the Intensive Care Unit (FSS-ICU) Chilean-Spanish version. Physiotherapy Theory and Practice. 2022; 38:2, 365-371. Link to PubMed | Link to Article

Gonzalez-Seguel F, Camus-Molina A, Leppe J, Hidalgo-Cabalin V, Gutierrez-Panchana T, Needham DM, Guimaraes FS. Chilean version of the Functional Status Score for the Intensive Care Unit: translation and cross-cultural adaptation. Medwave. 2019;19:e7439. Article | PubMed

Gonzalez-Seguel F, Corner EJ, Merino-Osorio C. International Classification of Functioning, Disability, and Health Domains of 60 Physical Functioning Measurement Instruments Using During the Adult Intensive Care Unit Stay: A Scoping Review. Physical Therapy. 2019; 99(5):627-640. Article | PubMed

Hiser S, et al. Interrater Reliability of the Functional Status Score for the Intensive Care Unit. JACPT. 2018;9:186-192. Link to Article

Huang M, et al. Functional Status Score for the ICU: An International Clinimetric Analysis of Validity, Responsiveness, and Minimal Important Difference. Crit Care Med. 2016;44(12). Link to PubMed

Kahraman BO, Ozsoy I, Kahraman T, Tanriverdi A, Acar S, Ozpelit E, Akdeniz B, Hiser S, Guimaraes FS, Needham DM, Savci S. Turkish translation, cross-cultural adaptation, and assessment of psychometric properties of the Functional Status Score for the Intensive Care Unit. Disability and Rehabilitation, 2019; 44(24), 7528–7534. Article | PubMed

Parry SM, et al. Functional outcomes in ICU – what should we be using? – an observational study. Crit Care. 2015;19:127. Link to Article | Link to PubMed

Parry SM, Huang M, Needham D. Evaluating physical functioning in critical care: considerations for clinical practice and research. Critical Care. 2017; 21:249. Free full textPubMed

Ragavan VK, et al.The Functional Status Score for the Intensive Care Unit Scale: Is It Reliable in the Intensive Care Unit? Can It Be Used to Determine Discharge Placement? JACPT. 2016;7(3):93-100. Link to Article

Reis N, Figueiredo F, Biscaro R, Lunardelli E, Maurici R. Psychometric Properties of the Barthel Index Used at Intensive Care Unit Discharge. American Journal of Critical Care. 2022; 31(1):65-72. Link to PubMed | Link to Article

Reis N, Biscaro R,…,Silva R. Early Rehabilitation Index: translation and cross-cultural adaptation to Brazilian Portuguese; and Early Rehabilitation Barthel Index: validation for use in the intensive care unit. Rev Bras Ter Intensiva. 2021;33(3):353-361. Link to PubMed | Link to Article

Silva, VZMD, et al. Brazilian version of the Functional Status Score for the ICU: translation and cross-cultural adaptation. Rev Bras Ter Intensiva. 2017;29(1):34-38. Link to PubMed | Link to Article

Thrush A, Steenbergen E. Clinical properties of the 6-clicks and Functional Status Score for the ICU in a hospital in the United Arab Emirates. Archives of Physical Medicine and Rehabilitation. 2022 Dec;103(12):2404-2409. Link to PubMed |Link to Article

Tymkew H, Norris T, Arroyo C, Schallom M. The Use of Physical Therapy ICU Assessments to Predict Discharge Home. Crit Care Med. 2020 ;48(9):1312-1318  Article | PubMed

Wu, T. T., Su, Q. P., Xiong, J., Hiser, S., Needham, D. M., & Li, H. Reliability and validity of the Chinese version of the functional status score for the ICU (FSS-ICU) after translation and cross-cultural adaptation. Disability and Rehabilitation, 2024; 1–8. Link to PubMed |Link to Article

Publications with FSS-ICU

Campos DR, Bueno TBC, Anjos JSGG, et al. Early Neuromuscular Electrical Stimulation in Addition to Early Mobilization Improves Functional Status and Decreases Hospitalization Days of Critically Ill Patients. Crit Care Med. 2022;50(7):1116-1126. doi:10.1097/CCM.0000000000005557 | PubMed

Castro-Ávila AC, Merino-Osorio C, González-Seguel F, Camus-Molina A, Leppe J. Impact on Mental, Physical and Cognitive functioning of a Critical care sTay during the COVID-19 pandemic (IMPACCT COVID-19): protocol for a prospective, multicentre, mixed-methods cohort study. BMJ Open. 2021;11(9):e053610. doi:10.1136/bmjopen-2021-053610 | PubMed

Coakley K, Friedman L, McLoughlin K, Wozniak A, Hutchison P. Acute Occupational and Physical Therapy for Patients With COVID-19: A Retrospective Cohort Study. Arch Phys Med Rehabil. 2023;104(1):27-33. doi:10.1016/j.apmr.2022.07.010 | PubMed

Doi S, Nakanishi N, Kawahara Y, et al. Effects of Vibration Therapy on the Physical Function of Critically Ill Adults Trial: A Randomized Controlled Trial. Crit Care Med. 2024;52(6):910-919. doi:10.1097/CCM.0000000000006210 | PubMed

Jayachandran B, Venkatesan K, Tan SBC, et al. Feasibility of Combining Functional Mobilisation with Resistance and Endurance Training for Mechanically Ventilated Patients in Intensive Care Unit Setting—A Pilot Study. J Clin Med. 2024;13(8):2412. doi:10.3390/jcm13082412 | PubMed

Kho ME, Molloy AJ, Clarke FJ, et al. TryCYCLE: A Prospective Study of the Safety and Feasibility of Early In-Bed Cycling in Mechanically Ventilated Patients. Dal Pizzol F, ed. PLOS ONE. 2016;11(12):e0167561. doi:10.1371/journal.pone.0167561 | PubMed

Kho ME, Truong AD, Zanni JM, et al. Neuromuscular electrical stimulation in mechanically ventilated patients: A randomized, sham-controlled pilot trial with blinded outcome assessment. J Crit Care. 2015;30(1):32-39. doi:10.1016/j.jcrc.2014.09.014 | PubMed

Leite MA, Osaku EF, Albert J, et al. Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study. Crit Care Res Pract. 2018;2018:1-8. doi:10.1155/2018/4298583 | PubMed

Mehrholz J, Mückel S, Oehmichen F, Pohl M. First results about recovery of walking function in patients with intensive care unit-acquired muscle weakness from the General Weakness Syndrome Therapy (GymNAST) cohort study. BMJ Open. 2015;5(12):e008828. doi:10.1136/bmjopen-2015-008828 | PubMed

Mehrholz J, Thomas S, Burridge JH, et al. Fitness and mobility training in patients with Intensive Care Unit-acquired muscle weakness (FITonICU): study protocol for a randomised controlled trial. Trials. 2016;17(1):559. doi:10.1186/s13063-016-1687-4 | PubMed

Nakanishi N, Doi S, Kawahara Y, Shiraishi M, Oto J. Effect of vibration therapy on physical function in critically ill adults (VTICIA trial): protocol for a single-blinded randomised controlled trial. BMJ Open. 2021;11(3):e043348. doi:10.1136/bmjopen-2020-043348 | PubMed

Nakanishi N, Oto J, Tsutsumi R, Akimoto Y, Nakano Y, Nishimura M. Upper limb muscle atrophy associated with in-hospital mortality and physical function impairments in mechanically ventilated critically ill adults: a two-center prospective observational study. J Intensive Care. 2020;8(1):87. doi:10.1186/s40560-020-00507-7 | PubMed

Newman ANL, Kho ME, et al, for the Canadian Critical Care Trials Group. CardiO Cycle: a pilot feasibility study of in-bed cycling in critically ill patients post cardiac surgery. Pilot Feasibility Stud. 2021;7(1):13. doi:10.1186/s40814-020-00760-5 | PubMed

Parrotte K, Mercado L, Lappen H, et al. Outcome Measures to Evaluate Functional Recovery in Survivors of Respiratory Failure. CHEST Crit Care. 2024;2(3):100084. doi:10.1016/j.chstcc.2024.100084 | PubMed

Queiroz RSD, Saquetto MB, Martinez BP, Cazeta BBR, Hodgson C, Gomes-Neto M. Progressive active mobilization with dose control and training load in critically ill patients (PROMOB): Protocol for a randomized controlled trial. PLOS ONE. 2020;15(9):e0238352. doi:10.1371/journal.pone.0238352  | PubMed

Ramos IR, Santos JS, Pires Dos Santos MC, et al. Development, reliability, and validity of the mobility assessment scale in hospitalized patients (HMob). Braz J Phys Ther. 2024;28(2):101047. doi:10.1016/j.bjpt.2024.101047  | PubMed

Richtrmoc MK, Souza Leite W, Martins Azevedo A, et al. Effect of Early Mobilization on Respiratory and Limb Muscle Strength and Functionality of Nonintubated Patients in Critical Care: A Feasibility Trial. Crit Care Res Pract. 2020;2020:1-9. doi:10.1155/2020/3526730

Silva-Gutiérrez A, Artigas-Arias M, Alegría-Molina A, et al. Characterization of muscle mass, strength and mobility of critically ill patients with SARS-CoV-2 pneumonia: Distribution by sex, age, days on mechanical ventilation, and muscle weakness. Front Physiol. 2023;14:1095228. doi:10.3389/fphys.2023.1095228 | PubMed

Suzuki G, Kanayama H, Arai Y, et al. Early Mobilization Using a Mobile Patient Lift in the ICU: A Randomized Controlled Trial. Crit Care Med. 2024;52(6):920-929. doi:10.1097/CCM.0000000000006219 | PubMed

Thrush A, Rozek M, Dekerlegand JL. The clinical utility of the functional status score for the intensive care unit (FSS-ICU) at a long-term acute care hospital: a prospective cohort study. PhysTher. 2012;92(1538-6724 (Electronic)):1536-1545. doi:10.2522/ptj.20110412 | PubMed

Warmbein A, Schroeder I, Mehler-Klamt A, et al. Robot-assisted early mobilization of intensive care patients: a feasibility study protocol. Pilot Feasibility Stud. 2022;8(1):236. doi:10.1186/s40814-022-01191-0 | PubMed

Zanni JM, Korupolu R, Fan E, et al. Rehabilitation therapy and outcomes in acute respiratory failure: An observational pilot project. J Crit Care. 2010;25(2):254-262. doi:10.1016/j.jcrc.2009.10.010 | PubMed