The five times sit to stand test: Responsiveness to change and concurrent validity in adults undergoing vestibular rehabilitation**

2007 ◽  
Vol 16 (4-5) ◽  
pp. 233-243
Author(s):  
Bridget M. Meretta ◽  
Susan L. Whitney ◽  
Gregory F. Marchetti ◽  
Patrick J. Sparto ◽  
Robb J. Muirhead
Keyword(s):  
Gait Speed ◽  
Concurrent Validity ◽  
Dynamic Balance ◽  
Retrospective Chart Review ◽  
Vestibular Rehabilitation ◽  
Timed Up And Go ◽  
Meaningful Improvement ◽  
Stand Test ◽  
Rehabilitation Programs ◽  
Sit To Stand

Objective: The purpose of this study was to determine if patients with balance and vestibular disorders would demonstrate clinically meaningful improvement in the Five Times Sit to Stand Test (FTSST) score as a result of vestibular rehabilitation and to determine the concurrent validity of the FTSST. Design: Retrospective chart review of 351 people who underwent individualized outpatient vestibular rehabilitation programs. Setting: Outpatient tertiary balance and vestibular clinic. Subjects: One hundred and seventeen patients (45 men, 72 women), mean age 62.7 years, with peripheral, central or mixed vestibular dysfunction. Main outcome measures: FTSST, gait speed, Timed Up and Go Test (TUG), Dynamic Gait Index (DGI), Dizziness Handicap Inventory (DHI), and Activities-Specific Balance Confidence Scale (ABC). Results: The mean change in FTSST score was 2.7 seconds. Subjects demonstrated statistically significant improvements in the FTSST, gait speed, ABC, DHI, DGI and TUG after vestibular rehabilitation (p < 0.01). The responsiveness-treatment coefficient (RT) was calculated as 0.58 for the FTSST indicating moderate responsiveness. Logistic regression showed that an improvement in the FTSST of greater than 2.3 seconds resulted in an odds ratio of 4.67 for demonstrating clinical improvement in DHI, compared with a change less than 2.3 seconds. The univariate linear regression model for baseline FTSST predicting FTSST change was significant (p < 0.01) and predicted 49% of the change variance. The FTSST scores demonstrated a moderate correlation with gait speed and the TUG (p< 0.01). FTSST improvement subsequent to vestibular rehabilitation was moderately correlated with improvements in the DGI and the TUG scores (p< 0.01). Conclusions: The FTSST was moderately responsive to change over time and was moderately related to measures of gait and dynamic balance.

ASSOCIATION BETWEEN FUNCTIONAL ASSESSMENT INSTRUMENTS AND FRAILTY IN OLDER ADULTS: THE FRADEA STUDY

2012 ◽  
pp. 1-7
Author(s):  
P. ABIZANDA ◽  
L. ROMERO ◽  
P.M. SANCHEZ-JURADO ◽  
P. ATIENZAR-NÚÑEZ ◽  
J.L. ESQUINAS-REQUENA ◽  
...  
Keyword(s):  
Grip Strength ◽  
Functional Assessment ◽  
Gait Speed ◽  
Elbow Flexion ◽  
Assessment Instruments ◽  
Timed Up And Go ◽  
Stand Test ◽  
Sit To Stand ◽  
Hand Grip ◽  
Flexion Strength

Objectives:To determine the association between functional assessment instruments and frailty.Design:Concurrent cohort study. Setting:Albacete Health Area (Spain). Participants:993 subjects aged ≥ 70years, participating in the FRADEA Study. Measurements:The following functional instruments were applied:Barthel index, Lawton index and Short Form-Late Life Function and Disability Instrument (SF-LLFDI) asdisability questionnaires; Holden ́s Functional Ambulation Classification (FAC) as ambulation scale, and sevenperformance tests: gait speed (m/s), Timed up and go (TUG) (sec), unipodal balance time (sec), 5-chair-sit-to-stand test (sec), Short Physical Performance Battery (SPPB), hand grip strength (kg) and elbow flexion strength(kg). Frailty was assessed by Fried ́s criteria. The association between functional instruments and frailty wasassessed, ROC curves were constructed and the area under the curves (AUC) calculated. The best cut-point wasidentified for each instrument and their sensitivity (S) and specificity (SP) are described. Results:16.9%participants were frail. The AUC, best cut-point, S and SP for each instrument were respectively: Barthel (0.916;≤ 85; 0.90, 0.82), Lawton (0.917; ≤ 3; 0.86, 0.93), SF-LLFDI (0.948; ≤ 90; 0.87, 0.91), FAC (0.885; ≤ 4; 0.81,0.83), gait speed (0.938; ≤ 0.62; 0.90, 0.90), TUG (0.984; ≥ 17.8; 0.93, 0.98), unipodal balance time (0.753; ≤ 5;0.73, 0.71), 5-chair-sit-to-stand test (0.880; ≥ 15; 0.78, 0.76), SPPB (0.956; ≤ 6; 0.88, 0.88), hand grip strength(0.807; ≤ 26; 0.75, 0.75) and elbow flexion strength (0.924; ≤ 15; 0.89, 0.87). Conclusion:The best performancetests to identify frail subjects are the Timed Up and Go test, gait speed and the SPPB, and the best questionnaireis the SF-LLFDI.

Use of Vestibular Rehabilitation in the Pediatric Population

2019 ◽  
Vol 4 (6) ◽  
pp. 1399-1405 ◽  
Author(s):  
Jennifer Christy
Keyword(s):  
Pediatric Population ◽  
Dynamic Balance ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Gross Motor ◽  
Gaze Stabilization ◽  
Motor Delay ◽  
Rehabilitation Programs ◽  
Motor Practice ◽  
Balance Exercises

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.

Optimal frequency of whole body vibration training for improving balance and physical performance in the older people with chronic stroke: A randomized controlled trial

2021 ◽  
pp. 026921552110505
Author(s):  
Ning Wei ◽  
Mengying Cai
Keyword(s):  
Older People ◽  
Physical Performance ◽  
High Frequency ◽  
Low Frequency ◽  
Chronic Stroke ◽  
Whole Body ◽  
Timed Up And Go ◽  
Stand Test ◽  
Sit To Stand ◽  
Frequency Group

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.

scholarly journals Concordância de diferentes critérios de sarcopenia em idosas comunitárias

2018 ◽  
Vol 25 (2) ◽  
pp. 151-157
Author(s):  
Lunara dos Santos Viana ◽  
Osmair Gomes de Macedo ◽  
Karla Helena Coelho Vilaça ◽  
Patrícia Azevedo Garcia
Keyword(s):  
Older People ◽  
Timed Up And Go ◽  
Stand Test ◽  
Sit To Stand ◽  
European Working ◽  
Working Groups

RESUMO Determinou-se a frequência e a concordância entre diferentes critérios de sarcopenia em idosas comunitárias. Trata-se de um estudo transversal com 64 idosas, no qual determinou-se a massa muscular pela análise de impedância bioelétrica (BIA) e cálculo do índice muscular esquelético, a força muscular foi determinada pelo dinamômetro de preensão palmar, a capacidade funcional pelos testes Timed Up and Go (TUG) e Sit-to-Stand test (STS). Os idosos foram classificados em não sarcopênicos, pré-sarcopênicos, sarcopênicos moderados e graves utilizando diferentes critérios de sarcopenia. Os dados foram analisados utilizando teste qui-quadrado e estatística Kappa. Obteve-se como resultado que 37,5% das idosas apresentaram baixa massa muscular, 34,4%, fraqueza muscular, 3,1% apresentaram incapacidade funcional para levantar e andar e 25,9% para sentar e levantar da cadeira. Considerando apenas a massa muscular, 37,5% da amostra foi classificada como sarcopênica (moderada ou grave) e, considerando os critérios do European Working Groups on Sarcopenia in Older People, 15,6% obteve essa classificação ao avaliar a capacidade funcional com TUG e 22,4% com STS. A concordância entre as definições de sarcopenia variou de moderada a excelente (p<0,001). Entre as idosas com integridade da massa muscular (n=40), 30% apresentaram fraqueza de preensão palmar, 2,5% incapacidade no TUG e 25,7% no STS. Foi concluído que as idosas apresentaram alta frequência de sarcopenia independentemente do critério utilizado. Observou-se moderada a excelente concordância entre os critérios de sarcopenia investigados. A identificação de idosos com integridade da massa muscular coexistindo com fraqueza muscular e incapacidade funcional reforça a importância da avaliação dos três parâmetros no cenário clínico-científico.

scholarly journals 06 Development of Indexes Derived from Lower Trunk Angular Velocity During Modify Sit-to-Stand Test in the Community Elderly

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv1-iv2
Author(s):  
Koyama Shota ◽  
Asai Tsuyoshi ◽  
Oshima Kensuke ◽  
Fukumoto Yoshihiro ◽  
Kubo Hiroki
Keyword(s):  
Angular Velocity ◽  
Motor Function ◽  
Concurrent Validity ◽  
Retest Reliability ◽  
Stand Test ◽  
Lower Trunk ◽  
Sit To Stand ◽  
Gyro Sensor ◽  
Function Tests ◽  
Test Retest Reliability

Abstract Background The sit-to-stand test (STS) is a representative motor test. In most of STS, the time taken to complete the test was used as its score, and its quality of motion has not been focused. In the present study, we measured the lower trunk angular velocity using gyro sensor during STS and computed the angular velocity-based indices (AV-index). We investigated its test-retest reliability and concurrent validity. Method Seventy-eight older people in community-dwelling were participated. Basic-health-related-information and the previous one-year fall-history were obtained by a questionnaire. As motor-function tests, One Leg Standing test (OLS), 3 minutes walking test (3MWT), Timed Up and Go test (TUG) were performed. Additionally, Modify Five-Times-STS was performed twice, the lower trunk angular velocity during the tests were measured using gyro sensor. From the obtained-signal waveforms in the sagittal plane (SP), root mean square (RMS) and coefficient of auto correlation (AC), the mean impact at sitting timing (STS impact) in Modify Five-Times-STS were computed. The intra-class correlation coefficient (ICC) was calculated for the test-retest reliability of the AV-indices. The coefficients of Pearson’s correlation were computed between AV-indices and the Five-Times-STS score, and scores of motor-function tests. Result The ICC of STS impact and RMS in SP were 0.85. The ICC of the other AV-index were lower than 0.5. The RMS in SP was significantly associated with OLS (r = 0.24), and 3MWT (r = 0.36), TUG (r = −0.32). Additionally, the STS impact was significantly associated with 3MWT (r = 0.54). Conclusions The test-retest reliability of two AV-index (STS impact and RMS in SP) is good. The concurrent validity of AV-index is partly confirmed.

scholarly journals Impact of Caryolanemagnolol on Gait and Functional Mobility on Individuals with Huntington’s Disease

2015 ◽  
Vol 14 (9) ◽  
pp. 1713-1717
Author(s):  
Ran Du
Keyword(s):  
Huntington's Disease ◽  
Huntington’S Disease ◽  
Rating Scale ◽  
Negative Impact ◽  
Dynamic Balance ◽  
Functional Mobility ◽  
Stand Test ◽  
Mobility Test ◽  
Sit To Stand ◽  
The Impact

Purpose: To highlight the impact of caryolanemagnolol on gait measures in forward walking, balance and mobility measures, as well as in hand and forearm function measures.Methods: Twenty patients with Huntington’s disease (HD) on stable doses of caryolanemagnolol were evaluated after medication and again following resumption of medication. The improvement in spatiotemporal gait parameters was measured by GAITRite, balance and/or mobility using Tinetti mobility test (TMT), five times sit-to-stand test (5TSST), and six-condition Romberg tests, as well as the function of the hand and forearm by finger tapping and Luria tests on Huntington's disease rating scale (UHDRS) motor scale.Results: The results demonstrated significant improvement in the unified UHDRS motor scores, Tinetti mobility test (TMT) total and balance subscale scores, and the five times sit-to-stand test when oncaryolanemagnolol compared to off-caryolanemagnolol. Spatiotemporal gait measures, the six condition Romberg test, and UHDRS hand and forearm function items remained unaffected on caryolanemagnolol treatment. Improved TMT and 5TSST performance when on drug indicates that caryolanemagnolol use may improve balance and functional mobility in individuals with HD.Conclusions: Caryolanemagnolol improves chorea and functional mobility by improving dynamic balance in individuals without any negative impact on motor function in walking and transfers.Keywords: Huntington's disease, Caryolanemagnolol, Gait measures, Choreic movements, Mobility tests

scholarly journals An online functional assessment experience in individuals over 65+ during Covid 19 pandemics: physiotherapist opinion & participant opinion

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
E Yilmaz ◽  
B Akinci ◽  
G Utku ◽  
E Erdinc ◽  
I Atmaca ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
The Elderly ◽  
Online Assessment ◽  
Timed Up And Go ◽  
Stand Test ◽  
Testing Environment ◽  
Sit To Stand ◽  
The Mean ◽  
Assessment Session

Abstract Funding Acknowledgements Type of funding sources: None. Background The quarantine during COVID-19 pandemic affects the clinical visits of elderly people. Since, telehealth gained importance, it is essential to adapt routine visits to the tele-assessment for elderly people especially in high risk factor for both functional impairment and fall risks. Our aim was to present our online assessment experiences in the elderly who underwent particular home quarantine during COVID-19 pandemics. Method: Thirty-three participants aged 65-85 (mean = 71.33 ± 5.35/years, 20 women, 13 men) those never attended an online assessment before were invited to a video-conference based assessment session. It was advised that a relative of the participant or caregiver must attend the online assessment session and follow the instructions of the physiotherapist. The assessments were conducted in the following sequence over seven main topics that are important in terms of functionality in the elderly: (1) physical activity were questioned using International Physical Activity Questionnaire-Short Form, (2) the functional performance were tested with 30 seconds Sit-to-Stand test (SST), (3) participation to the daily living activities with KATZ Index, (4) coronavirus anxiety with Coronavirus Anxiety Scale (CAS), (5) fear of falling with Falls Efficacy Scale, (6) the balance and mobility with Timed-Up and Go test (TUG) in a 3-meter corridor, and (7) frailty with Clinical Frailty Scale. The assessments were done by six physiotherapists (one PhD, 2 MSc, and 3 BSc). The opinions of the participants and physiotherapists regarding their experiences were noted. Result: All participants were finished the assessment and not reported adverse events. The mean of all outcomes showed in Table 1. The mean assessment time was 23.26 ±6.89 minutes. The bad internet connection reported in only one session. Seven of the participants (21.2%) mentioned that SST or TUG were somewhat effortful despite their short duration. The physiotherapists also reported that ensuring an appropriate testing environment for the sit to stand test and Timed-Up and Go test were not always possible. In addition, the sit-to stand test Two of the participants (6 %) were felt discomfort from the questions of CAS. Twenty-one (63.6 %) online assessment were rated as "good" while 12 (36.4 %) were rated as "fair" by the relative of the participant or caregiver in terms of preparing the tools (chair etc.) and testing environment. No problem reported by both therapists and participants related to the questions of IPAQ-SF, CFS, KATZ or FES. Conclusion: This study indicated that an online tele-assessment session is safe and applicable in elderly who underwent home quarantine during COVID-19 pandemic. It was observed that an application of survey based assessments were easier than functional assessments. The results of this study offer an exemplary tele-assessment session for elderly people. Future studies may focus the consistency of the tele-assessment and clinic based assessment results.

Validity of muscular fitness self-assessments in the ecofit smartphone application (Preprint)

2021 ◽  
Author(s):  
Anna Jansson ◽  
David Lubans ◽  
Mitch Duncan ◽  
Jordan Smith ◽  
Adrian Bauman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Concurrent Validity ◽  
The Self ◽  
Muscular Fitness ◽  
Stand Test ◽  
Face To Face ◽  
Physical Activity Interventions ◽  
Sit To Stand ◽  
Self Assessments ◽  
Push Up

BACKGROUND Mobile health apps that promote physical activity are being developed at a rapid rate. App-based interventions have the potential for wide reach and therefore, may be a useful tool in up-scaling physical activity interventions. In larger scale interventions, face-to-face assessments are less cost effective, and researchers often rely on surveys or built-in activity trackers to assess ongoing efficacy/effectiveness of outcomes. While there are valid means of assessing aerobic activity via smartphone apps, there is limited evidence of valid muscular fitness assessments that can be self-administered within mHealth. OBJECTIVE To evaluate the concurrent validity of upper and lower body muscular fitness that have been independently assessed by participants via the ecofit app, and face-to-face assessments conducted by a trained researcher. METHODS This study compared baseline data from the ecofit two-armed randomised controlled trial and self-assessed data collected via the ecofit smartphone app. As part of baseline assessment in a larger community-based physical activity intervention ‘ecofit’, participants undertook the validated 90-degree push-up and the 60-second sit-to-stand test face-to-face with a trained researcher. Those allocated to the intervention group received access to the ecofit app and were instructed to complete the self-assessed fitness tests within 14-days of receiving access to the app. To assess the concurrent validity, the self-assessed push-up and sit-to-stand tests were correlated using Spearman’s correlation coefficient against the research-assessed results. Bland-Altman plots were also used to allow visualisation of the differences between the self- and research-assessed tests. RESULTS Fifty-four participants completed at least one of the two muscular fitness self-assessments within 14-days of receiving the app, of these 24.1% and 100% completed the push-up and the sit-to-stand test respectively. The results found a strong significant correlation for the push-up test (0.83, p <.001) and a moderate significant correlation for the sit-to-stand test (0.63, p <.001). CONCLUSIONS This study provides support for the concurrent validity of self-reported upper and lower body muscular fitness assessments (i.e., the push-up and sit-to-stand tests) in mHealth. While these tests may be a feasible option for large scale physical activity interventions, more research is needed to determine the generalisability of these results. CLINICALTRIAL The ecofit trial is registered with the Australian and New Zealand Clinical Trial Registry (ANZCTR): ACTRN12619000868189.

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