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One minute sit-to-stand test is an alternative to 6MWT to measure functional exercise performance in COPD patients.

The clinical respiratory journal
March 1, 2018
Gregory Reychler et al. (9 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the functional exercise performance evaluation between the sit-to-stand test (STST) and the 6-minute walking test (6MWT) and assess the reliability and repeatability of the STST in COPD patients.

Results Summary

The study found that the sit-to-stand test (STST) was strongly correlated with the 6-minute walking test (6MWT) in evaluating functional exercise performance in COPD patients. Both tests showed good repeatability, and the STST demonstrated high reliability. Cardiorespiratory demand differed between the tests, but dyspnea and lower limb fatigue variations were similar.

Population

Forty-two COPD patients.

Effective Dosage

Not applicable (exercise tests, not a supplement).

Duration

Not specified (tests were repeated twice).

Interactions

None mentioned.

Extracted Claims (14)
InterventionDirectionEndpointPopulationDosageImpactClaim #
sit-to-stand test (STST)
no change
6-minute walking distance (6MWD)
COPD patients
r = .716; P < .001
correlated
#1
sit-to-stand test (STST)
no change
test performance
COPD patients
-
good repeatability was found
#2
6-minute walking test (6MWT)
no change
test performance
COPD patients
-
good repeatability was found
#3
sit-to-stand test (STST)
no change
test performance
COPD patients
ICC = 0.902
good reliability was observed
#4
6-minute walking test (6MWT)
increase
heart rate
COPD patients
23% ± 17%
variations were significantly different
#5
sit-to-stand test (STST)
increase
heart rate
COPD patients
13% ± 11%
variations were significantly different
#6
6-minute walking test (6MWT)
decrease
pulsed oxygen saturation
COPD patients
-7.6% ± 4.6%
variations were significantly different
#7
sit-to-stand test (STST)
decrease
pulsed oxygen saturation
COPD patients
-0.7% ± 2.7%
variations were significantly different
#8
6-minute walking test (6MWT)
no change
dyspnea
COPD patients
P = .827
variations were similar
#9
sit-to-stand test (STST)
no change
dyspnea
COPD patients
P = .827
variations were similar
#10
6-minute walking test (6MWT)
no change
lower limb fatigue
COPD patients
P = .467
variations were similar
#11
sit-to-stand test (STST)
no change
lower limb fatigue
COPD patients
P = .467
variations were similar
#12
sit-to-stand test (STST)
no change
functional exercise performance
COPD patients
-
is a valuable alternative
#13
sit-to-stand test (STST)
no change
test performance
COPD patients
-
no learning effect was observed
#14
Abstract

INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is frequently associated with a reduced functional exercise performance. Even if this parameter is routinely evaluated using 6-minute walking test (6MWT), new field tests are regularly investigated as alternative tests. The aim of this study was to compare functional exercise performance evaluation by sit-to-stand test (STST) and 6MWT and to evaluate reliability and repeatability of the STST in COPD patients. METHOD: Forty-two COPD patients performed randomly two tests: 6MWT and STST. Each test was repeated two times. Distance (6MWD) and number of repetitions were measured. Cardiorespiratory parameters, dyspnea and lower limb fatigue (Borg) were recorded before and after the tests. RESULTS: Sit-to-stand repetitions (19 ± 6) and 6MWD (441 ± 104 m) were correlated (r = .716; P < .001). Good repeatability was found for STST and 6MWT. Good reliability was observed for STST (ICC = 0.902). Variations of heart rate and pulsed oxygen saturation were significantly different between these two tests (23% ± 17% vs 13% ± 11%; P = .022 and -7.6% ± 4.6% vs -0.7% ± 2.7%; P < .001 for 6MWT and STST, respectively). Variations of dyspnea and lower limb fatigue were similar between both tests (P = .827 and P = .467). CONCLUSION: The one minute sit-to-stand test is a valuable alternative to 6MWT to estimate functional exercise performance in COPD patients. The cardiorespiratory demand is different between both tests although the variation of dypsnea is similar. No learning effect was observed for STST.

Medical Subject Headings (MeSH)
AgedBlood PressureExercise TestExercise ToleranceFemaleHeart RateHumansMaleMuscle StrengthPulmonary Disease, Chronic ObstructiveQuality of LifeReproducibility of ResultsRespiratory Function TestsSeverity of Illness IndexWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations77
Citations/Year11.0
Relative Citation Ratio4.71
NIH Percentile92.4%
Research Impact Scores
APT Score0.95
Weight Score2.34
Normalized Score0.70
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