scholarly journals AB1285-HPR ACCELEROMETRIC ASSESSMENT OF PHYSICAL PERFORMANCE DURING THE SIT-TO-STAND TEST IN PATIENTS WITH KNEE OSTEOARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1933.2-1933
Author(s):  
S. Fellous ◽  
H. Rkain ◽  
S. Afilal ◽  
J. Moulay Berkchi ◽  
T. Fatima Zahrae ◽  
...  

Background:Knee osteoarthritis is a major public health issue that causes chronic pain and functional limitation.Objectives:This study aims to evaluate physical performance in knee osteoarthritis by clinical tests and accelerometer measurements, and investigate the relationship between physical perfomance alteration and clinical parameters.Methods:This is a cross-sectional study, included 40 patients with knee osteoarthritis (100% female, average age 57.6 ± 5.2 years, median evolution time was 36 [24, 69] months, overweight in 82.5% of patients). Clinical evaluation performed with the visual analog scale (VAS), Western Ontario and McMaster Osteoarthritis Index (WOMAC), Lequesne score, Get up and Go (GUG) and Timed up and Go (TUG) tests. The percentage of fat mass was measured using impedencemetry.All subjects were instructed to perform sit-to-stand transfers during 30 secondes. We measured the speed, strength and muscular power of the lower limbs during this test using the Myotest PRO® accelerometer.A correlation analysis was performed in search of factors associated with physical performance alteration.Results:The median speed during the sit-to-stand test was 4.3 [3.1-6.2] cm / sec. The median muscular strength and power during this test were 15.2 [13.6-17.7] Nm / kg and 14.5 [9.9-21.7] W / kg respectively.Body mass index (BMI) correlated negatively with the 3 parameters of physivcal performance mesured by the Myotest PRO® accelerometer (speed, strength and muscle power) during the sit-to-stand test (p<0,05). There was no correlation between those measured parameters of physical performance, pain and functional indices of knee osteoarthritis.Conclusion:Our pilot study assessed the physical performance of the lower limbs in knee osteoarthritis patients, by measuring the speed, strength and muscle power during the the sit-to-stand test. It suggests an association between obesity and physical performance alteration in knee osteoarthritis patients.Disclosure of Interests:None declared

2021 ◽  
pp. 026921552110505
Author(s):  
Ning Wei ◽  
Mengying Cai

Objective To explore the optimal frequency of whole-body vibration training for improving the balance and physical performance in older people with chronic stroke. Design a single-blind randomized controlled trial. Setting Two rehabilitation units in the Wuhan Brain Hospital in China. Participants A total of 78 seniors with chronic stroke. Interventions Low-frequency group (13 Hz), high-frequency group (26 Hz), and zero-frequency group (Standing on the vibration platform with 0 Hz) for 10 sessions of side-alternating WBV training. Main measures The timed-up-and-go test, five-repetition sit-to-stand test, 10-metre walking test, and Berg balance scale were assessed pre- and post-intervention. Results Significant time × group interaction effects in five-repetition sit-to-stand test (p = 0.014) and timed-up-and-go test at self-preferred speed (p = 0.028) were observed. The high-frequency group outperformed the zero-frequency group in both five-repetition sit-to-stand test (p = 0.039) and timed-up-and-go test at self-preferred speed (p = 0.024) after 10-sessions training. The low-frequency group displayed only a significant improvement in five-repetition sit-to-stand test after training (p = 0.028). No significant within- or between-group changes were observed in the Berg balance scale and walking speed (p > 0.05). No significant group-difference were found between low-frequency and high-frequency groups. No adverse events were reported during study. Conclusions Compared with 13 Hz, 26 Hz had no more benefits on balance and physical performance in older people with chronic stroke.


2019 ◽  
Vol 32 (6) ◽  
pp. 1085-1092 ◽  
Author(s):  
Keenan A. Ramsey ◽  
Carel G. M. Meskers ◽  
Marijke C. Trappenburg ◽  
Sjors Verlaan ◽  
Esmee M. Reijnierse ◽  
...  

Abstract Background Malnutrition and poor physical performance are both conditions that increase in prevalence with age; however, their interrelation in a clinically relevant population has not been thoroughly studied. Aims This study aimed to determine the strength of the association between malnutrition and measures of both static and dynamic physical performance in a cohort of geriatric outpatients. Methods This cross-sectional study included 286 older adults (mean age 81.8, SD 7.2 years, and 40.6% male) who were referred to geriatric outpatient mobility clinics. The presence of malnutrition was determined using the Short Nutritional Assessment Questionnaire (SNAQ, cut-off ≥ 2 points). Measures of dynamic physical performance included timed up and go (TUG), 4-m walk test, and chair stand test (CST). Static performance encompassed balance tests and hand grip strength (HGS). Physical performance was standardized into sex-specific Z-scores. The association between malnutrition and each individual measure of physical performance was assessed using linear regression analysis. Results 19.9% of the cohort was identified as malnourished. Malnutrition was most strongly associated with CST and gait speed; less strong but significant associations were found between malnutrition and TUG. There was no significant association between malnutrition and HGS or balance. Discussion Physical performance was associated with malnutrition, specifically, dynamic rather than static measures. This may reflect muscle power being more impacted by nutritional status than muscle strength; however, this needs to be further addressed. Conclusions Malnutrition is associated with dynamic physical performance in geriatric outpatients, which should inform diagnosis and treatment/prevention strategies.


2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv13-iv17
Author(s):  
Azianah Ibrahim ◽  
Nur Aimuni Abu Hassan ◽  
Halizahanim Hassan

Abstract Introduction It is important to identify older adult fallers in order to implement early prevention management also prevent recurrent falls. This study aimed to explore the profiles of older adult fallers and non-fallers in regards to socio-demographic, physical performance, fear of falls that includes the activities that were feared in regard to falls. Analysis Descriptive and mean comparison test. Methodology Participants for this study were recruited among individuals aged 60 years and above, able to walk 3m, able to stand independently for longer than 1min and able to comprehend and follow instructions. Exclusion criteria include recent vertebral or lower limb fracture (less than 6months), unstable angina, unable to follow command and severe hearing and vision impairment. Design: Cross-sectional study. Results A number of 27 older adults were screened for falls. Based on Timed Up and Go test (cut off 11.18s), 8 (29.6%) of them were identified as fallers. Fallers were majority females (10, 37%), had visual impairment (4,14.8%), older (77.4±2.9years versus 68.4±5.7years) and had slightly higher in fear of falls score (13.2±5.5 versus 12.0±7.0). In view of physical performance, fallers were slower in Timed Up and Go test (13.6±2.4 versus 9.1±1.4), weaker in hand grip strength (14.3±2.5kg versus 21.5±19.3kg) and weaker in sit-to-stand performance (13.3±2.7s versus 10.7±2.7s). Age (p&lt;0.05) and sit-to-stand performance (p&lt;0.05) significantly differed between fallers and non-fallers. Among seven activities assessed using short Falls Efficacy Scale-International, non-fallers were found to have more fear during various activities compared to fallers. Implication Exploration of falls risk profiles in older adults will hopefully allow better understanding and further improvement in developing falls prevention management plans.


2018 ◽  
Vol 32 (1) ◽  
pp. 17-24
Author(s):  
Lucélia Justino Borges ◽  
Renata Da Conceição ◽  
Vandrize Meneghini ◽  
Tiago Rosa de Souza ◽  
Aline Rodrigues Barbosa

The aim of this study was to verify the physical performance (PP) and daily sitting time in the oldest population in a rural community dwelling in southern Brazil. In addition, to analyze the association between physical performance tests (PPT) and daily sitting time (ST). This was a cross-sectional, population-based household study. All residents aged 80 years and older were examined in 2010. PPT included standing balance (four measures of static balance), five times “sit-to-stand” test and “pick up a pen” test (assessed by time). Daily ST was estimated by questionnaire. Women of the younger age groups displayed better results in the PPT compared to older women. The men had good results in the tests, independent from their age group (except for 95-100 years of age). For women, the mean time in the “sit to stand” test decreased with the advancing age, whereas for men, we observed the opposite. Men and women displayed similar means in the “pick up a pen” test. The mean daily ST increased with the advancement of age. After adjustment for sex, age, and number of morbidities, the daily ST was ~52 minutes lower for those with better balance (β -52.6; p = 0.001). For those with better performance in the “sit to stand” test, the time was ~35 minutes lower (β -35.8; p = 0.001). Men and women differ in the rate of decline in PPT. The results suggest that longer sitting time is a limiting factor of good performance in tests for the oldest of the population.


Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 159
Author(s):  
Ana L. Fernandes ◽  
Inês Neves ◽  
Graciete Luís ◽  
Zita Camilo ◽  
Bruno Cabrita ◽  
...  

Background: Chronic obstructive pulmonary disease (COPD) is frequently associated with exertional oxygen desaturation, which may be evaluated using the 6-minute walking test (6MWT). However, it is a time-consuming test. The 1-minute sit-to-stand test (1STST) is a simpler test, already used to evaluate the functional status. The aim of this study was to compare the 1STST to the 6MWT in the evaluation of exertional desaturation. Methods: This was a cross-sectional study including 30 stable COPD patients who performed the 6MWT and 1STST on the same day. Six-minute walking distance (6MWD), number of 1STST repetitions (1STSTr), and cardiorespiratory parameters were recorded. Results: A significant correlation was found between the 6MWD and the number of 1STSTr (r = 0.54; p = 0.002). The minimum oxygen saturation (SpO2) in both tests showed a good agreement (intraclass correlation coefficient (ICC) 0.81) and correlated strongly (r = 0.84; p < 0.001). Regarding oxygen desaturation, the total agreement between the tests was 73.3% with a fair Cohen’s kappa (κ = 0.38; p = 0.018), and 93.33% of observations were within the limits of agreement for both tests in the Bland–Altman analysis. Conclusion: The 1STST seems to be a capable tool of detecting exercise-induced oxygen desaturation in COPD. Because it is a less time- and resources-consuming test, it may be applied during the outpatient clinic consultation to regularly evaluate the exercise capacity and exertional desaturation in COPD.


Author(s):  
Angie L Sardina ◽  
Alyssa A Gamaldo ◽  
Ross Andel ◽  
Shanthi Johnson ◽  
Tamara A Baker ◽  
...  

Abstract Background Musculoskeletal pain alters physiological function, which may be evidenced as early as middle age. Previous research has concluded that middle-aged adults are a high-risk group for musculoskeletal pain and report functional limitations similar to older adults. However, few studies have examined the relationships between musculoskeletal pain and physical function, using objective performance measures in a sample of racially and socioeconomically diverse adults. Thus, this study examined musculoskeletal pain in relation to physical function in middle-aged (30–64 years) White and Black adults and investigated whether the relationship varied by sociodemographic characteristics. Methods This cross-sectional examination incorporated data from the Healthy Aging in Neighborhoods of Diversity across the Life-Span Study. Participants (n = 875) completed measures of musculoskeletal pain and objective measures of physical performance (ie, lower and upper body strength, balance, and gait abnormalities). Physical performance measures were standardized to derive a global measure of physical function as the dependent variable. Results Approximately, 59% of participants identified at least 1 pain sites (n = 518). Multivariable regression analyses identified significant relationships between greater musculoskeletal pain and poorer physical function (β = −0.07, p = .031), in mid midlife (β = −0.04, p = .041; age 40–54) and late midlife (β = −0.05, p = .027; age 55–64). Conclusions This study observed that musculoskeletal pain was associated with poorer physical function within a diverse group of middle-aged adults. Future research should longitudinally explore whether chronic musculoskeletal pain identified at younger ages is associated with greater risk for functional limitation and dependence in later life.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S474-S475
Author(s):  
Dennis W Klima ◽  
Jeremy Stewart ◽  
Frank Freijomil ◽  
Mary DiBartolo

Abstract While considerable research has targeted gait, balance and preventing falls in individuals with Parkinson’s disease (PD), less in known about the ability to rise from the floor in this population. The aims of this study were to 1) Examine the relationship between locomotion and physical performance tests and the timed supine to stand performance measure and to 2) Identify both the time required and predominant motor patterns utilized by persons with PD to complete to floor rise transition. A cross-sectional design was utilized. Twenty community-dwelling older adults with PD (mean age 74.8+/-9.5 years; 13 men) performed a standardized floor rise test and locomotion tests in a structured task circuit. Subject demographic and anthropometric data were also collected. Statistical analyses included descriptive statistics and Pearson Product Moment correlations. Fifteen subjects (75%) demonstrated the crouch kneel pattern and fourteen (70%) used an all-4’s strategy to rise to stand. The mean time to rise from the floor was 14.9 (+/- 7.6) seconds and slower than published norms for persons without PD. Nine subjects required the use of a chair to perform floor recovery. Supine to stand performance time was significantly correlated with the: Dynamic Gait Index (r= - 0.66; p&lt;0.002), Five Times Sit to Stand Test (r=0.78; p&lt;0.001), Timed Up and Go Test (r=0.74; p&lt;0.001), and gait velocity (r= -0.77; p&lt;0.001). Rising from the floor demonstrates concurrent validity with locomotion and physical performance tests. Floor recovery techniques can be incorporated in fall prevention initiatives in conjunction with PD symptom management.


2017 ◽  
Vol 40 (3) ◽  
pp. 355-362 ◽  
Author(s):  
Abraham M. Joshua ◽  
Shreekanth D. Karnad ◽  
Akshatha Nayak ◽  
B.V. Suresh ◽  
Prasanna Mithra ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Anabèle Brière ◽  
Sylvie Nadeau ◽  
Séléna Lauzière ◽  
Denis Gravel

Background. The weight-bearing (WB) and effort distributions during the five-repetition sit-to-stand test (5R-STS) were assessed in healthy and hemiparetic subjects and were compared to the distributions obtained for a single STS task (1-STS). Methods. Eighteen hemiparetic subjects and 12 controls were included. The WB distribution and time were computed using the vertical ground reaction forces. The knee muscles' effort distribution was quantified with the electromyographic (EMG) data of the STS transfers expressed relatively to the EMG values of maximal strength assessments. Results. In both groups, the time, WB, and effort distributions did not differ between repetitions of the 5R-STS test. The WB and effort distributions of the first repetition were more asymmetrical than those for the 1-STS for the hemiparetic subjects only. Conclusions. Since no changes were found between repetitions, the 5R-STS test might not be demanding enough. The hemiparetic subjects adopt different WB and effort distribution strategies according to the number of STSs to complete.


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