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5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity.

Identifieur interne : 000D82 ( Main/Exploration ); précédent : 000D81; suivant : 000D83

5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity.

Auteurs : Yiqin Mong [Singapour] ; Tilda W. Teo ; Shamay S. Ng

Source :

RBID : pubmed:20298832

Descripteurs français

English descriptors

Abstract

OBJECTIVES

To examine the (1) intrarater, interrater, and test-retest reliability of the 5-repetition sit-to-stand test (5-repetition STS test) scores, (2) correlation of 5-repetition STS test scores with lower-limb muscle strength and balance performance, and (3) cut-off scores among the 3 groups of subjects: the young, the healthy elderly, and subjects with stroke.

DESIGN

Cross-sectional study.

SETTING

University-based rehabilitation center.

PARTICIPANTS

A convenience sample of 36 subjects: 12 subjects with chronic stroke, 12 healthy elderly subjects, and 12 young subjects.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

5-Repetition STS test time scores; hand-held dynamometer measurements of hip flexors, and knee flexors and extensors; ankle dorsiflexors and plantarflexors muscle strength; Berg Balance Scale (BBS); and limits of stability (LOS) test using dynamic posturography.

RESULTS

Excellent intrarater reliability of intraclass correlation coefficient (ICC) (range, .970-.976), interrater reliability (ICC=.999), and test-retest reliability (ICC range, .989-.999) were found. Five-repetition STS test scores were also found to be significantly associated with the muscle strength of affected and unaffected knee flexors (rho=-.753 to -.830; P<.00556) of the subjects with stroke. No significant associations were found between 5-repetition STS test and BBS and LOS tests in subjects with stroke. Cut-off scores of 12 seconds were found to be discriminatory between healthy elderly and subjects with stroke at a sensitivity of 83% and specificity of 75%.

CONCLUSIONS

The 5-repetition STS test is a reliable measurement tool that correlates with knee flexors muscle strength but not balance ability in subjects with stroke.


DOI: 10.1016/j.apmr.2009.10.030
PubMed: 20298832


Affiliations:


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Le document en format XML

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<term>Adult (MeSH)</term>
<term>Chronic Disease (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Disability Evaluation (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Muscle Strength (MeSH)</term>
<term>Muscle Strength Dynamometer (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>Posture (MeSH)</term>
<term>ROC Curve (MeSH)</term>
<term>Recovery of Function (MeSH)</term>
<term>Reproducibility of Results (MeSH)</term>
<term>Stroke (classification)</term>
<term>Stroke Rehabilitation (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Accident vasculaire cérébral (classification)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Courbe ROC (MeSH)</term>
<term>Dynamomètre pour la mesure de la force musculaire (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Force musculaire (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladie chronique (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Reproductibilité des résultats (MeSH)</term>
<term>Réadaptation après un accident vasculaire cérébral (MeSH)</term>
<term>Récupération fonctionnelle (MeSH)</term>
<term>Équilibre postural (MeSH)</term>
<term>Études transversales (MeSH)</term>
<term>Évaluation de l'invalidité (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Chronic Disease</term>
<term>Cross-Sectional Studies</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Strength</term>
<term>Muscle Strength Dynamometer</term>
<term>Postural Balance</term>
<term>Posture</term>
<term>ROC Curve</term>
<term>Recovery of Function</term>
<term>Reproducibility of Results</term>
<term>Stroke Rehabilitation</term>
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<term>Accident vasculaire cérébral</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Courbe ROC</term>
<term>Dynamomètre pour la mesure de la force musculaire</term>
<term>Femelle</term>
<term>Force musculaire</term>
<term>Humains</term>
<term>Maladie chronique</term>
<term>Mâle</term>
<term>Posture</term>
<term>Reproductibilité des résultats</term>
<term>Réadaptation après un accident vasculaire cérébral</term>
<term>Récupération fonctionnelle</term>
<term>Équilibre postural</term>
<term>Études transversales</term>
<term>Évaluation de l'invalidité</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>To examine the (1) intrarater, interrater, and test-retest reliability of the 5-repetition sit-to-stand test (5-repetition STS test) scores, (2) correlation of 5-repetition STS test scores with lower-limb muscle strength and balance performance, and (3) cut-off scores among the 3 groups of subjects: the young, the healthy elderly, and subjects with stroke.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Cross-sectional study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>University-based rehabilitation center.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PARTICIPANTS</b>
</p>
<p>A convenience sample of 36 subjects: 12 subjects with chronic stroke, 12 healthy elderly subjects, and 12 young subjects.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS</b>
</p>
<p>Not applicable.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN OUTCOME MEASURES</b>
</p>
<p>5-Repetition STS test time scores; hand-held dynamometer measurements of hip flexors, and knee flexors and extensors; ankle dorsiflexors and plantarflexors muscle strength; Berg Balance Scale (BBS); and limits of stability (LOS) test using dynamic posturography.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Excellent intrarater reliability of intraclass correlation coefficient (ICC) (range, .970-.976), interrater reliability (ICC=.999), and test-retest reliability (ICC range, .989-.999) were found. Five-repetition STS test scores were also found to be significantly associated with the muscle strength of affected and unaffected knee flexors (rho=-.753 to -.830; P<.00556) of the subjects with stroke. No significant associations were found between 5-repetition STS test and BBS and LOS tests in subjects with stroke. Cut-off scores of 12 seconds were found to be discriminatory between healthy elderly and subjects with stroke at a sensitivity of 83% and specificity of 75%.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The 5-repetition STS test is a reliable measurement tool that correlates with knee flexors muscle strength but not balance ability in subjects with stroke.</p>
</div>
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<AbstractText Label="DESIGN" NlmCategory="METHODS">Cross-sectional study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">University-based rehabilitation center.</AbstractText>
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