One-minute sit-to-stand test as a quick functional test for people with COPD in general practice

Abstract

Assessing changes in functional exercise capacity is highly relevant in the treatment of people with Chronic Obstructive Pulmonary Disease (COPD), as lung function is often static. In Denmark, most people with COPD are followed in general practice where traditional functional tests, like six-minute walk test, require too much time and space. Therefore, there is an urgent need for a quick functional exercise capacity test that can be performed in a limited setting, such as general practice. This study aimed to identify a quick test to measure functional exercise capacity in people with COPD and identify which factors could affect the implementation of such a test in general practice. A mixed method feasibility study composed of a literature review and qualitative interviews was used. Quick functional tests for people with COPD were identified and evaluated through the COSMIN methodology. For the interviews, 64 general practices were included, and 50 staff members and 14 general practitioners (GPs) participated in the interviews. Responses were categorized and thematically analyzed. The 1 min sit-to-stand-test (1 M STST) was found suitable for a general practice setting. The COSMIN methodology rated it “sufficient” in reliability (ICC 0.90–0.99), measurement error (MID 2.5–3), construct validity and responsiveness (AUC 0.72), and found a moderate to strong correlation in criterion validity (r = 0.4–0.75). Several GPs wished for a quick functional test and emphasized evidence, information, and limitations as essential when deciding on implementation. Other factors identified included time, other tests, and economy. 1 M STST is a valid test to assess functional exercise capacity in people with COPD. The test is quick and can easily be performed in a standard consultation, and several GPs wished for such a test.

Volunter-led community-based exercise programme impact on health outcomes in patients with chronic pulmonary disease in New Zealand

“…The HADS, CAT, and EQ-5D-3L questionnaires are valid and reliable measures in COPD populations (Grufstedt et al, 2018;Jones et al, 2009;Mannino & Buist, 2007;Pickard et al, 2008;Yohannes & Alexopoulos, 2014). Physical function was measured using a 1 min sit-to-stand test, which simulates movements used in daily life and correlates well with clinical outcomes in patients with COPD (Crook et al, 2017;Morita et al, 2018;Spence et al, 2023).…”

What Is Early Recovery of Physical Abilities After Wedge Resection Surgery for Patients With Bone Tumor? An Observational Study

“…6,[8][9][10][11] The 1-minute sit-to-stand (1MSTS) is a test used precisely for assessing the physical performance of different types of patients, such as patients with lung, heart, or kidney diseases, or those receiving palliative care. [12][13][14][15] Data on early recovery of patients after wedge resection treatment are limited in the literature, particularly for the population with bone tumor metastases.…”

“…Breathing exercises (the active cycle of breathing techniques), early mobilization exercises, and the use of volume incentives are recommended from the first postoperative day, with very uniform recovery assessment methods 6,8-11. The 1-minute sit-to-stand (1MSTS) is a test used precisely for assessing the physical performance of different types of patients, such as patients with lung, heart, or kidney diseases, or those receiving palliative care 12-15. Data on early recovery of patients after wedge resection treatment are limited in the literature, particularly for the population with bone tumor metastases.…”