The Five Times Sit-to-Stand Test: safety and reliability with older intensive care
            unit patients at discharge

Melo, Thiago Araújo de; Duarte, Antônio Carlos Magalhães; Bezerra, Thaysa Samanta; França, Fabrícia; Soares, Neila Silva; Brito, Débora Thaíse Freires de

doi:10.5935/0103-507x.20190006

Cited by 59 publications

(59 citation statements)

References 28 publications

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“…Patients were permitted to perform three repetitions for familiarization prior to formal testing. Physical functional outcomes The primary physical function outcome of interest was performance of 5-times sit-to-stand test (5 × STS) at hospital discharge since it is a fundamental component of mobility and an independent measure of muscle strength and power [ 42 ]. The short performance physical battery (SPPB) [ 43 , 44 ], six-minute walk distance (6MWD) [ 45 , 46 ] and clinical frailty scale (CFS) were assessed at hospital discharge.…”

Section: Methodsmentioning

confidence: 99%

Acute skeletal muscle wasting and dysfunction predict physical disability at hospital discharge in patients with critical illness

et al. 2020

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Background Patients surviving critical illness develop muscle weakness and impairments in physical function; however, the relationship between early skeletal muscle alterations and physical function at hospital discharge remains unclear. The primary purpose of this study was to determine whether changes in muscle size, strength and power assessed in the intensive care unit (ICU) predict physical function at hospital discharge. Methods Study design is a single-center, prospective, observational study in patients admitted to the medicine or cardiothoracic ICU with diagnosis of sepsis or acute respiratory failure. Rectus femoris (RF) and tibialis anterior (TA) muscle ultrasound images were obtained day one of ICU admission, repeated serially and assessed for muscle cross-sectional area (CSA), layer thickness (mT) and echointensity (EI). Muscle strength, as measured by Medical Research Council-sum score, and muscle power (lower-extremity leg press) were assessed prior to ICU discharge. Physical function was assessed with performance on 5-times sit-to-stand (5STS) at hospital discharge. Results Forty-one patients with median age of 61 years (IQR 55–68), 56% male and sequential organ failure assessment score of 8.1 ± 4.8 were enrolled. RF muscle CSA decreased significantly a median percent change of 18.5% from day 1 to 7 (F = 26.6, p = 0.0253). RF EI increased at a mean percent change of 10.5 ± 21% in the first 7 days (F = 3.28, p = 0.081). At hospital discharge 25.7% of patients (9/35) met criteria for ICU-acquired weakness. Change in RF EI in first 7 days of ICU admission and muscle power measured prior to ICU were strong predictors of ICU-AW at hospital discharge (AUC = 0.912). Muscle power at ICU discharge, age and ICU length of stay were predictive of performance on 5STS at hospital discharge. Conclusion ICU-assessed muscle alterations, specifically RF EI and muscle power, are predictors of diagnosis of ICU-AW and physical function assessed by 5x-STS at hospital discharge in patients surviving critical illness.

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Section: Methodsmentioning

confidence: 99%

Acute skeletal muscle wasting and dysfunction predict physical disability at hospital discharge in patients with critical illness

et al. 2020

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“…To investigate, validate and evaluate the transferability of the automated sensor system, a second test was selected. The FTSTS test also incorporates basic motion linked to daily activities [20], but it complements TUG in assessing strength of lower limbs and durability, is time based and identifies fall risk [21]. Both TUG and FTSTS tests are approved by the NHS.…”

Section: Measured Capabilitymentioning

confidence: 99%

Evaluation of Home-Based Rehabilitation Sensing Systems with Respect to Standardised Clinical Tests

Vourganas

Stanković

Michala

2019

Sensors

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With increased demand for tele-rehabilitation, many autonomous home-based rehabilitation systems have appeared recently. Many of these systems, however, suffer from lack of patient acceptance and engagement or fail to provide satisfactory accuracy; both are needed for appropriate diagnostics. This paper first provides a detailed discussion of current sensor-based home-based rehabilitation systems with respect to four recently established criteria for wide acceptance and long engagement. A methodological procedure is then proposed for the evaluation of accuracy of portable sensing home-based rehabilitation systems, in line with medically-approved tests and recommendations. For experiments, we deploy an in-house low-cost sensing system meeting the four criteria of acceptance to demonstrate the effectiveness of the proposed evaluation methodology. We observe that the deployed sensor system has limitations in sensing fast movement. Indicators of enhanced motivation and engagement are recorded through the questionnaire responses with more than 83% of the respondents supporting the system's motivation and engagement enhancement. The evaluation results demonstrate that the deployed system is fit for purpose with statistically significant ( c > 0.99, R 2 > 0.94, ICC > 0.96) and unbiased correlation to the golden standard. Author Contributions: Conceptualization, I.V.; methodology, I.V.; software, I.V.; validation, I.V.; formal analysis, I.V.; investigation, I.V.; resources, I.V.; data curation, I.V.; writing-original draft preparation, I.V.; writing-review and editing, L.S., V.S. and A.L.M.; visualization, I.V.; supervision, V.S. and L.S.; project administration, I.V.; funding acquisition, V.S. All authors have read and agreed to the published version of the manuscript.

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“…To measure the clinical usefulness of the instrument, the clinical experience of each of the examiners with it was considered, in addition to information obtained in the literature. Thus, the instruments selected were: Berg balance scale 15 ; modified Ashworth scale 16 ; esthesiometry 17 ; goniometry 18 ; Barthel index 19 ; lower extremity motor coordination test (Lemocot) 20 ; functional independence measure 21 , mini-mental state examination 22 , Medical Outcomes Study: 36-Item Short Form Health Survey (SF-36) 23 ; incremental shuttle walking test (ISWT) 24 ; heel-shin test 25 ; block box testing 26 ; six-minute walk test (6MWT) 27 ; Romberg balance test 28 ; sit and stand test 29 ; test of going up and downstairs 30 ; 10-meter walking speed test 30 ; finger-nose test 26; test of nine pins and nine holes 26 ; and timed up and go test (TUG) 30 .…”

Section: Cross-cultural Translation and Adaptationmentioning

confidence: 99%

Tradução, adaptação transcultural e confiabilidade da escala de utilidade clínica de Tyson e Connell

Veiga¹,

Morais²,

Nascimento³

et al. 2020

Fisioter. Pesqui.

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RESUMO O objetivo deste estudo foi traduzir e adaptar a escala de utilidade clínica de Tyson e Connell para o português brasileiro, além de avaliar sua confiabilidade interexaminador e intraexaminador. O processo de tradução e adaptação transcultural foi desenvolvido em cinco estágios: tradução; síntese das traduções; retrotradução; avaliação pelo comitê de especialistas; e teste da versão pré-final. Para avaliação da confiabilidade intra e interexaminador da escala, 20 instrumentos de avaliação foram analisados de forma independente por dois examinadores (confiabilidade interexaminador). Além disso, um dos examinadores fez todas as avaliações, em dois momentos distintos, com um intervalo de 30 dias entre uma e outra (confiabilidade intraexaminador). A tradução e a adaptação transcultural foram realizadas de forma sistemática, seguindo os critérios propostos, de modo que houve apenas pequenas alterações em dois itens para tornar a escala mais útil a todos os instrumentos disponíveis na literatura. Em relação à confiabilidade interexaminador da escala de utilidade clínica de Tyson e Connell-Brasil, o valor encontrado foi CCI=0,85 (IC 95%, 0,79-0,87), enquanto para a confiabilidade intraexaminador o resultado foi CCI=0,89 (IC 95%, 0,85-0,93). Os resultados deste processo indicaram adequado grau de equivalência semântica, conceitual e cultural. Além disso, as medidas de confiabilidade intra e interexaminadores foram consideradas adequadas. Esses achados demonstraram que a escala é adequada para avaliar a utilidade clínica de instrumentos de avaliação comumente utilizados em pacientes. Dessa forma, deve ser incorporada na prática clínica e em pesquisas para a escolha do melhor instrumento.

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The Five Times Sit-to-Stand Test: safety and reliability with older intensive care unit patients at discharge

Cited by 59 publications

References 28 publications

Acute skeletal muscle wasting and dysfunction predict physical disability at hospital discharge in patients with critical illness

Acute skeletal muscle wasting and dysfunction predict physical disability at hospital discharge in patients with critical illness

Evaluation of Home-Based Rehabilitation Sensing Systems with Respect to Standardised Clinical Tests

Tradução, adaptação transcultural e confiabilidade da escala de utilidade clínica de Tyson e Connell

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