Simple Lower Limb Functional Tests in Patients With Chronic Obstructive Pulmonary Disease: A Systematic Review

Bisca, Gianna Waldrich; Morita, Andrea Akemi; Hernandes, Nídia A.; Probst, Vanessa Suziane; Pitta, Fábio

doi:10.1016/j.apmr.2015.07.017

Cited by 48 publications

(41 citation statements)

References 48 publications

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“…Unlike the 6MWT, where a practice test is recommended, the STS test seems less prone to the learning effect 19,20. Recent data show that the number of repetitions a patient is able to do during the 1-minute STS correlated with the level of physical activity, which makes it a good surrogate of physical activity 25. This was also reported by van Gestel et al who showed that the number of steps taken per day related to the number of repetitions in the 1-minute STS test among COPD patients 26.…”

Section: Discussionmentioning

confidence: 99%

Is the 1-minute sit-to-stand test a good tool for the evaluation of the impact of pulmonary rehabilitation? Determination of the minimal important difference in COPD

Vaidya¹,

Bisschop²,

Beaumont³

et al. 2016

COPD

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BackgroundThe 1-minute sit-to-stand (STS) test could be valuable to assess the level of exercise tolerance in chronic obstructive pulmonary disease (COPD). There is a need to provide the minimal important difference (MID) of this test in pulmonary rehabilitation (PR).MethodsCOPD patients undergoing the 1-minute STS test before PR were included. The test was performed at baseline and the end of PR, as well as the 6-minute walk test, and the quadriceps maximum voluntary contraction (QMVC). Home and community-based programs were conducted as recommended. Responsiveness to PR was determined by the difference in the 1-minute STS test between baseline and the end of PR. The MID was evaluated using distribution and anchor-based methods.ResultsForty-eight COPD patients were included. At baseline, the significant predictors of the number of 1-minute STS repetitions were the 6-minute walk distance (6MWD) (r=0.574; P<10−3), age (r=−0.453; P=0.001), being on long-term oxygen treatment (r=−0.454; P=0.017), and the QMVC (r=0.424; P=0.031). The multivariate analysis explained 75.8% of the variance of 1-minute STS repetitions. The improvement of the 1-minute STS repetitions at the end of PR was 3.8±4.2 (P<10−3). It was mainly correlated with the change in QMVC (r=0.572; P=0.004) and 6MWD (r=0.428; P=0.006). Using the distribution-based analysis, an MID of 1.9 (standard error of measurement method) or 3.1 (standard deviation method) was found. With the 6MWD as anchor, the receiver operating characteristic curve identified the MID for the change in 1-minute STS repetitions at 2.5 (sensibility: 80%, specificity: 60%) with area under curve of 0.716.ConclusionThe 1-minute STS test is simple and sensitive to measure the efficiency of PR. An improvement of at least three repetitions is consistent with physical benefits after PR.

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Section: Discussionmentioning

confidence: 99%

Is the 1-minute sit-to-stand test a good tool for the evaluation of the impact of pulmonary rehabilitation? Determination of the minimal important difference in COPD

Vaidya¹,

Bisschop²,

Beaumont³

et al. 2016

COPD

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“…14 Sit-to-stand test (STST) is one of these alternatives. 20 One minute STST overcomes the demonstrated floor effect of the 5 or 10 repetitions STST. 15 Contrarily to 6MWT, more specific muscle groups are involved in this test.…”

Section: Introductionmentioning

confidence: 95%

“…The objective is to reduce length or to counteract the 30 m-hallway requested to realization of this test in clinical routine. 20 Most studies used a protocol based on fixed periods of time and the number of repetitions within one minute is the widely reported in COPD patients. Similarly to 6MWT, it is a self-paced test which can be influenced by the motivation of the patient.…”

Section: Introductionmentioning

confidence: 99%

“…19 The protocols used in the literature vary depending on height of the chair and recording of time spent to perform a fixed repetitions number or repetitions number performed during a fixed time. 20 Most studies used a protocol based on fixed periods of time and the number of repetitions within one minute is the widely reported in COPD patients. 20 One minute STST overcomes the demonstrated floor effect of the 5 or 10 repetitions STST.…”

Section: Introductionmentioning

confidence: 99%

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One minute sit‐to‐stand test is an alternative to 6MWT to measure functional exercise performance in COPD patients

Reychler

Boucard

Péran

et al. 2017

Clinical Respiratory J

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“…Patients are asked to perform typical movements or tasks, which are measured or rated by the examiner. Advantages of performance tests include quantitative description of function, objective external assessment, and high sensitivity to change [4]. However, performance tests can be heavily confounded by the environment including the examiner as well as equipment but also by day-to-day variability.…”

Section: The Needmentioning

confidence: 99%

Need for Digital Biomarkers in Musculoskeletal Trials

Goldhahn¹

2017

Digit Biomark

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Pain and loss of function – both problems cause patients to visit a musculoskeletal specialist. Therefore, both lead symptoms should serve as a benchmark for new therapeutic approaches. New technologies generating digital biomarkers have the potential to significantly change musculoskeletal trials. However, more work is needed to agree upon data and variable standards, to improve user friendliness, and to ensure data integrity along the whole processing way. Therefore, rigorous and systematic testing of new technological approaches is required to establish new outcome variables suitable for musculoskeletal trials. Consortia of researchers working on similar technologies and outcome variables should collaborate from the beginning to enable comparing and pooling data. Early interaction with health authorities and regulatory bodies are necessary to pave the way for a widespread use of a new technology.

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Simple Lower Limb Functional Tests in Patients With Chronic Obstructive Pulmonary Disease: A Systematic Review

Cited by 48 publications

References 48 publications

Is the 1-minute sit-to-stand test a good tool for the evaluation of the impact of pulmonary rehabilitation? Determination of the minimal important difference in COPD

Is the 1-minute sit-to-stand test a good tool for the evaluation of the impact of pulmonary rehabilitation? Determination of the minimal important difference in COPD

One minute sit‐to‐stand test is an alternative to 6MWT to measure functional exercise performance in COPD patients

Need for Digital Biomarkers in Musculoskeletal Trials

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