Comparison of different field tests to assess the physical capacity of post-COVID-19 patients

Peroy-Badal, Renata; Sevillano-Castaño, Ana; Torres‐Castro, Rodrigo; García-Fernández, Pablo; Muñoz, José Luis Maté; Dumitrana, Cristina; Rodriguez, Esther Sánchez; Lobo, María Jesús de Frutos; Vilaró, Jordi

doi:10.1016/j.pulmoe.2022.07.011

Cited by 16 publications

(16 citation statements)

References 43 publications

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“…Similarly, other studies reported that a considerable number of post‐COVID‐19 patients showed impaired results in 6MWT as late as 5 and 6 months after hospital discharge 9,29 . Paneroni et al did the evaluation at hospital discharge and presented that endurance was decreased, corresponding to 63% of the predicted normal value using the 1‐min sit‐to‐stand test, 35 which has recently been shown that in patients following COVID‐19 can be used as an alternative in conditions where 6MWT cannot be performed 36 . Nevertheless, in post‐COVID‐19 patients, the 6MWT has been shown as the most widely used test for the assessment of aerobic capacity.…”

Section: Discussionmentioning

confidence: 99%

Functional status and quality of life in post‐COVID‐19 patients two to three weeks after hospitalization: A cross‐sectional study

Qorolli,

Beqaj,

Ibrahimi‐Kaçuri

et al. 2023

Health Science Reports

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Background and AimsExtended hospitalization due to coronavirus disease 2019 (COVID‐19) is associated with residual musculoskeletal and functional deficits lasting even 6 months after discharge; therefore, it is crucial that post‐hospitalized patients are promptly assessed. The aim of this study was to identify post‐COVID‐19 patients' functional status and quality of life, as well as to investigate their inter‐relatedness 2–3 weeks after hospital discharge.MethodsThe study included 39 post‐COVID‐19 patients previously hospitalized in the Clinic for Infectious Diseases at the University Clinical Center of Kosovo (UCCK) from August to December 2021. Physiotherapeutic assessment encompassed socio‐demographic and clinical data including Short Physical Performance Battery (SPPB) for physical functional performance, hand grip strength, 6‐min Walk Test (6MWT) for aerobic capacity and endurance, EuroQol 5‐Dimension 5‐Level (EQ‐5D‐5L) for quality of life, Visual Analogue Scale (VAS) for pain, Borg CR10 for dyspnea, peripheral oxygen saturation and heart rate. Descriptive statistics, Pearson correlation, and multiple linear regression analysis were utilized for data processing.ResultsThe median (interquartile range [IQR]) for Borg CR10, VAS pain scale, total SPPB, grip strength, and 6MWT were 1 (0–3), 3 (1–6), 9 (8–10), 30.5 (23.2–43.5) kg, 344.5 (312.7–381.7) m respectively, while the mean (SD) for EQ‐5D‐5L index value was 0.7 (0.2). The strongest and most significant correlation was depicted between SPPB total score and its subscales, followed by correlation with EQ‐5D‐5L (r = 0.719, p < 0.001), grip strength (r = 0.612 p < 0.001), Borg CR10 (r = −0.515, p = 0.001), 6MWT (r = 0.416, p = 0.02), and VAS scale (r = −0.343, p = 0.03). Using the multiple regression analysis, the grip strength, Borg‐CR10, and 6MWT were found to be strongly predictive of SPPB total score.ConclusionIn post‐COVID‐19 patients' functional status and quality of life were impaired 2–3 weeks following hospitalization. SPPB showed the most frequent and significant correlation with other variables, hence it should be considered as one of the primary screening tools.

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Section: Discussionmentioning

confidence: 99%

Functional status and quality of life in post‐COVID‐19 patients two to three weeks after hospitalization: A cross‐sectional study

Qorolli,

Beqaj,

Ibrahimi‐Kaçuri

et al. 2023

Health Science Reports

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“…Therefore, we believe that the CST and 1min-STST are adequate and simple alternatives that can be easily used in contexts where time and space are limited, since they do not require expensive and sophisticated equipment to evaluate the exercise capacity, thus they can be conducted in home environments, which is undoubtedly an added value. Moreover, a recent study has pointed out that both tests are significantly correlated with the 6MWT in patients who were recovering from the effects of COVID-19 [17], thus both alternative tests are solid and recommendable.…”

Section: Discussionmentioning

confidence: 99%

“…While previous studies have modified the length of the corridor [14,15], these have reported a decrease of 70 m in a 10 m-corridor in patients with non-communicable chronic diseases, exceeding the minimally relevant clinical difference [15], with such difference being potentially greater in older post-COVID-19 patients with long stays in bed [16]. However, other tests also evaluate physical capacity, such as the Chester step test (CST), where the aim is to climb and step down from a 30 cm-high step at a certain speed, increasing the latter progressively, and the 1 minute sit-tostand test (1min-STST), where the patient stands up from, and sits on, an armless chair as many times as possible in 1 min [17]. These tests require little space, as compared to the 6MWT [18].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, due to the fact that the capacity to stand from a chair is an important component to maintain the independence of older people and people with disabilities [23,24], the 1min-STST has been accepted as an indicator of the functional state of older people [25], showing high reliability [26] and strong correlations with the 6MWT, and it is used in the evaluation of chronic obstructive pulmonary disease [27]. Nevertheless, both the CST and 1min-STST are rarely used in patients who have recovered from COVID-19 [17]. Therefore, the aim of this study was to compare the CST and 1min-STST in post-COVID-19 patients.…”

Section: Introductionmentioning

confidence: 99%

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Test–Retest Reliability and Minimal Detectable Change in Chester Step Test and 1-Minute Sit-to-Stand Test in Long COVID Patients

Sevillano-Castaño,

Peroy-Badal,

Torres-Castro

et al. 2023

Applied Sciences

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The COVID-19 is a multiorgan disease that appeared in December 2019 in the Chinese province of Wuhan. It produces various clinical manifestations, although it mainly affects the respiratory system. Given these potentially detrimental long-term consequences of COVID-19, an appropriate assessment must be carried out to plan early rehabilitation interventions. To assess the persistent symptoms it produces, as well as exercise tolerance for a given exertion, stress testing is a feasible and cost-effective option. Therefore, the objective of this study was to provide test-retest reliability for the Chester Step Test and 1 minute Sit to Stand tests and to establish the minimum detectable change in Long-COVID patients. Method: This observational, descriptive, cross-sectional study was conducted following the STROBE guidelines. A total of 42 patients carried out, twice per partici-pant, the Chester Step and 1-Minute Sit-to-Stand (1min-STST) tests on two different days, with a five-day time lag between the initial measurement and the second measurement. Results: The Test-retest reliability for the Chester Step was excellent within session ICC (95% CI) 0.96 (0.93 to 0.98), being even better for the 1-STST, ICC (95% CI) 0.98 (0.96 to 0.99). Establishing a change of at least 16.96 steps (MDC90) or 20.15 steps (MDC95) and 1.89 stands (MDC90) or 2.71 stands (MDC95), respectively. Conclusions: The Chester Step and 1min-STST tests are reproducible and reliable tools to measure exercise tolerance in long COVID patients. The minimum detectable changes observed in the values recorded by the participants can be very useful for the evaluation of the effectiveness of interventions applied to these patients.

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“…The CST has also been widely used in patients with chronic and acute respiratory diseases (e.g., COPD and severe acute respiratory syndrome) [ 39 , 52 , 53 , 54 ]. Furthermore, a recent investigation identified that the number of steps achieved in the CST correlates moderately and significantly with the distance walked during the 6MWT in post-COVID-19 patients, being a good alternative when 6MWT cannot be performed [ 55 ]. Moreover, the CST has proven to be a reproducible tool (ICC = 0.993) to assess exercise capacity and exertional desaturation in post-COVID-19 patients.…”

Section: Field Test In Post-covid-19 Patients ( Figure 1 ...mentioning

confidence: 99%

Assessment of Exercise Capacity in Post-COVID-19 Patients: How Is the Appropriate Test Chosen?

Torres‐Castro

Larrateguy

Alsina-Restoy

et al. 2023

Life

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There is a wide range of sequelae affecting COVID-19 survivors, including impaired physical capacity. These sequelae can affect the quality of life and return to work of the active population. Therefore, one of the pillars of following-up is the evaluation of physical capacity, which can be assessed with field tests (such as the six-minute walk test, the one-minute standing test, the Chester step test, and the shuttle walking test) or laboratory tests (such as the cardiopulmonary exercise test). These tests can be performed in different contexts and have amply demonstrated their usefulness in the assessment of physical capacity both in post-COVID-19 patients and in other chronic respiratory, metabolic, cardiologic, or neurologic diseases. However, when traditional tests cannot be performed, physical function can be a good substitute, especially for assessing the effects of an intervention. For example, the Short Physical Performance Battery assessment and the Timed Up and Go assessment are widely accepted in older adults. Thus, the test should be chosen according to the characteristics of each subject.

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Comparison of different field tests to assess the physical capacity of post-COVID-19 patients

Cited by 16 publications

References 43 publications

Functional status and quality of life in post‐COVID‐19 patients two to three weeks after hospitalization: A cross‐sectional study

Functional status and quality of life in post‐COVID‐19 patients two to three weeks after hospitalization: A cross‐sectional study

Test–Retest Reliability and Minimal Detectable Change in Chester Step Test and 1-Minute Sit-to-Stand Test in Long COVID Patients

Assessment of Exercise Capacity in Post-COVID-19 Patients: How Is the Appropriate Test Chosen?

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