Feasibility of the modified 30-second sit-to-stand test in an isolation ward of moderate COVID-19

BACKGROUND The recovery after prolonged immobilization during hospitalization because of COVID-19 is the primary goal of moderate to severe COVID-19 rehabilitation. Lower extremity muscle function assessment after immobilization is needed before starting mobilization. Hence, this study aimed to evaluate the feasibility of the modified 30-second sit-to-stand test (m30STS) as one of the prospective tools of functional capacity assessment in moderate COVID-19. METHODS This cross-sectional study recruited the subjects consecutively. All eligible subjects with oxygen saturation (SaO2) ≥95% with or without oxygen supplementation performed the m30STS following the Bohannon’s guidelines. The score of m30STS was calculated based on the number of stands completed within 30 sec. A higher score of the m30STS indicated better lower extremity function. RESULTS Mean score of m30STS was 13.3. No subjects had oxygen desaturation or increased heart rate, and no fall incidents occurred. CONCLUSIONS The m30STS is feasible and safe to evaluate lower extremity for moderate COVID-19 patients with SaO2 >95%. The absence of oxygen desaturation and increase in heart rate showed no increased oxygen consumption during the test.

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Is the 1-Minute Sit-To-Stand Test a Good Tool to Evaluate Exertional Oxygen Desaturation in Chronic Obstructive Pulmonary Disease?

Diagnostics ◽

10.3390/diagnostics11020159 ◽

2021 ◽

Vol 11 (2) ◽

pp. 159

Author(s):

Ana L. Fernandes ◽

Inês Neves ◽

Graciete Luís ◽

Zita Camilo ◽

Bruno Cabrita ◽

...

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Intraclass Correlation ◽

Oxygen Desaturation ◽

Walking Distance ◽

Chronic Obstructive ◽

Cross Sectional ◽

Obstructive Pulmonary Disease ◽

Stand Test ◽

Sit To Stand

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.

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Normative Data for Lower Extremity Functional Scale in Young Adult Healthy Population

10.53350/pjmhs2115103319 ◽

2021 ◽

Vol 15 (10) ◽

pp. 3319-3321

Author(s):

Ayesha Arooj ◽

Sana Hafeez ◽

Saima Riaz ◽

Sidra Munir ◽

Rehan Ramzan Khan ◽

...

Keyword(s):

Young Adult ◽

Lower Extremity ◽

Normative Data ◽

Cross Sectional Study ◽

Functional Score ◽

Healthy Population ◽

Lower Extremity Function ◽

Functional Scale ◽

Cross Sectional ◽

Lower Extremity Functional Scale

Objective: To determine the prescriptive/ normative data for the Lower Extremity Functional Scale in young adult healthy Population. Methodology: Descriptive cross-sectional study was conducted on 1500 participants of normal healthy population. Health of the Participants was assessed by using the SGA-Subjective Global Assessment form. The study comprised of a brief set of questions in which age [as a constant variable and categorized into 3 groups (20-30, 31-40, and 41-50 years)] and sex of the individuals were noted. Next, they were given the lower extremity functional scale (LEFS) questionnaire. The LEFS have twenty queries in four groups. For each query, 0 to 4 points can be obtained, so 80 points can be received in total-demonstrating optimum lower extremity function (Binkley et al. 1999). Data was analyzed by SPSS 21. Results: Result showed that mean outcome/ score for their LEFS for the entire human population was 74.12 (out of 80). Men and Women had mean scores (57.31 and 77.88 respectively). Women scores high as compared to men, as the scores decreases with increasing age. Conclusion: Result showed that Lower extremity functional scale scores vary according to the age and also the gender of the participants. Lower extremity functional score decreases with increasing age. Women have relatively higher scores than men. Key words: Lower Extremity Functional scale

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Association of Seat Height and Arm Position on the Five Times Sit-to-Stand Test Times of Stroke Survivors

BioMed Research International ◽

10.1155/2013/642362 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 7

Author(s):

Shamay S. M. Ng ◽

Susanna Y. Cheung ◽

Lauren S. W. Lai ◽

Ann S. L. Liu ◽

Selena H. I. Ieong ◽

...

Keyword(s):

Cross Sectional Study ◽

Rehabilitation Centre ◽

Cross Sectional ◽

Seat Height ◽

Stand Test ◽

Arm Position ◽

Sit To Stand ◽

Knee Height ◽

Significant Difference ◽

The Times

Objectives. To investigate (1) the association of seat height and (2) the association of arm position on the five times sit-to-stand test (FTSTS) times of individuals with stroke.Design. A cross-sectional study.Setting. University-based rehabilitation centre.Subjects. Patients (n=43) with chronic stroke.Methods. The times in completing the FTSTS with different seat height (85%, 100%, and 115% knee height) and arm positions (arms across chest, hands on thighs).Results. FTSTS times were significantly different between 85% and 100% seat heights, and between the 85% and 115% seat heights in both arm positions. However, there was no significant difference between the FTSTS times with the two arm positions at any seat height tested.Conclusion. Seat heights lower than the knee height result in longer FTSTS times, whereas arms positions did not significantly affect the FTSTS times.

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An Examination of Lower Extremity Function in Elderly of Dhulikhel, Nepal: A Cross Sectional Study

Indian Journal of Physiotherapy and Occupational Therapy - An International Journal ◽

10.5958/0973-5674.2017.00149.6 ◽

2017 ◽

Vol 11 (4) ◽

pp. 218

Author(s):

Inosha Bimali ◽

Soniya Maharjan

Keyword(s):

Lower Extremity ◽

Cross Sectional Study ◽

Sectional Study ◽

Lower Extremity Function ◽

Cross Sectional ◽

Extremity Function

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Associations between Clinical Symptoms and Degree of Ossification in Patients with Cervical Ossification of the Posterior Longitudinal Ligament: A Prospective Multi-Institutional Cross-Sectional Study

Journal of Clinical Medicine ◽

10.3390/jcm9124055 ◽

2020 ◽

Vol 9 (12) ◽

pp. 4055

Author(s):

Takashi Hirai ◽

Toshitaka Yoshii ◽

Shuta Ushio ◽

Jun Hashimoto ◽

Kanji Mori ◽

...

Keyword(s):

Lower Extremity ◽

Clinical Symptoms ◽

Posterior Longitudinal Ligament ◽

Cross Sectional Study ◽

Lower Extremity Function ◽

Cross Sectional ◽

Pain Scores ◽

Computed Tomography Images ◽

Patient Reported ◽

Lower Extremity Dysfunction

This study aimed to clarify whether ossification predisposition influences clinical symptoms including pain, restriction of activities of daily living, and quality of life in patients with cervical ossification of the posterior longitudinal ligament (OPLL). Cervical ossification predisposition potentially causes neurologic dysfunction, but the relationship between clinical symptoms and radiologic severity of OPLL has not yet been investigated. Data were prospectively collected from 16 institutions across Japan. We enrolled 239 patients with cervical OPLL. The primary outcomes were patient-reported outcomes, including visual analog scale (VAS) pain scores and other questionnaires. Whole-spine computed tomography images were obtained, and correlations were investigated between clinical symptoms and radiologic findings, including the distribution of OPLL, the sum of the levels where OPLL was present (OP-index), and the canal narrowing ratio (CNR) grade. The cervical OP-index was Grade 1 in 113 patients, Grade 2 in 90, and Grade 3 in 36. No significant correlations were found between radiologic outcomes and VAS pain scores. The cervical OP-index was associated with lower extremity function, social dysfunction, and locomotive function. The CNR grade was not correlated with clinical symptoms, but Grade 4 was associated with lower extremity dysfunction. Thickness and extension of ossified lesions may be associated with lower extremity dysfunction in cervical OPLL.

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Use of sit-to-stand test to assess the physical capacity and exertional desaturation in patients post COVID-19

Chronic Respiratory Disease ◽

10.1177/1479973121999205 ◽

2021 ◽

Vol 18 ◽

pp. 147997312199920

Author(s):

Rodrigo Núñez-Cortés ◽

Gonzalo Rivera-Lillo ◽

Marisol Arias-Campoverde ◽

Dario Soto-García ◽

Roberto García-Palomera ◽

...

Keyword(s):

Hospital Stay ◽

Routine Data ◽

Cross Sectional Study ◽

Physical Capacity ◽

Mean Difference ◽

Prolonged Hospital Stay ◽

Cross Sectional ◽

Stand Test ◽

Sit To Stand ◽

Prolonged Hospital

We propose the use of the 1-minute sit-to-stand test (1STST) to evaluate the physical capacity and exertional desaturation one month after discharge in a sample of patients who survived COVID-19 pneumonia. This was a cross-sectional study that collected routine data from consecutive patients admitted to the outpatient program in a public hospital in Chile. Patients were asked to complete a 1STST. Data were analyzed according to those with and without a prolonged hospital stay of >10 days. Eighty-three percent of the patients were able to complete the test (N = 50). The median age was 62.7 ± 12.5 years. The average number of repetitions in the 1STST was 20.9 ± 4.8. Thirty-two percent of patients had a decrease in pulse oxygen saturation (SpO2) ≥ 4 points. The prolonged hospital stay subgroup had a significant increase in exertional desaturation (mean difference = 2.6; 95% CI = 1.2 to 3.9; p = 0.001) and dyspnea (mean difference = 1.1; 95% CI = 0.4 to 2.1; p = 0.042) compared to the group of length of stay ≤10 days. In-hospital survivors of COVID-19, the 1STST showed a decrease in physical capacity at one month in those 90% who were able to complete it. The 1STST was able to discriminate between those with and without a prolonged hospital stay and was able to detect exertional desaturation in some patients.

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25-Hydroxyvitamin D and Its Relationship with Autonomic Dysfunction Using Time- and Frequency-Domain Parameters of Heart Rate Variability in Korean Populations: A Cross-Sectional Study

Nutrients ◽

10.3390/nu6104373 ◽

2014 ◽

Vol 6 (10) ◽

pp. 4373-4388 ◽

Cited By ~ 6

Author(s):

Young Tak ◽

Jeong Lee ◽

Yun Kim ◽

Sang Lee ◽

Byung Cho

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Frequency Domain ◽

Autonomic Dysfunction ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Hydroxyvitamin D ◽

25 Hydroxyvitamin D

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Work Ability and Employment in Rheumatoid Arthritis: A Cross-Sectional Study on the Role of Muscle Strength and Lower Extremity Function

International Journal of Rheumatology ◽

10.1155/2018/3756207 ◽

2018 ◽

Vol 2018 ◽

pp. 1-11 ◽

Cited By ~ 3

Author(s):

Carolin Berner ◽

Sandra Haider ◽

Igor Grabovac ◽

Thomas Lamprecht ◽

Karl Heinrich Fenzl ◽

...

Keyword(s):

Muscle Strength ◽

Lower Extremity ◽

Work Ability ◽

Employment Status ◽

Knee Extensor ◽

Lower Extremity Function ◽

Cross Sectional ◽

Hand Grip ◽

Extremity Function ◽

Knee Extensor Strength

Objective. The aim of the present study was to assess the association between muscle strength, lower extremity function, employment status, and work ability in RA patients. Methods. One hundred seropositive RA outpatients of working age were included in this cross-sectional study. Employment status was assessed by interview and work ability by the Work Ability Index-Single Item Scale (WAS). Muscle strength was determined using dynamometer measurement of isometric hand grip and knee extensor strength. Lower extremity function was measured using the short physical performance battery (SPPB). Regression models estimate the association between unemployment, work ability and muscle strength, and lower extremity function, controlling for sociodemographic and disease-related factors. Results. Forty-one percent of the RA patients were not gainfully employed, and their median work ability had a good WAS value (7.00 [4.00-7.00]). Patients with better knee extensor strength (OR=1.07, 95% CI [1.02-1.12) and better physical performance (OR=1.71, 95% CI [1.18-2.49]) had a significantly better chance of gainful employment. The odds for hand grip strength remained significant when adjusted for sociodemographic (OR=1.5, 95% CI [1.00-1.09]), but not for disease-specific variables. Better hand grip strength (β=0.25, p=0.039) and better knee extensor strength (β=0.45, p=0.001) as well as better lower extremity function (SPPB) (β=0.51, p<0.001) remained significantly associated with work ability following adjustment for sociodemographic and disease-specific variables. Conclusions. The association of employment status and work ability with parameters of physical fitness suggests that improvement in muscle strength and lower extremity function may positively influence work ability and employment in individuals with RA.

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