Feasibility of the modified 30-second sit-to-stand test in an isolation ward of moderate COVID-19
DOI:
https://doi.org/10.13181/mji.bc.215477Keywords:
COVID-19, functional capacity, modified 30-second sit-to-stand testAbstract
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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Salman D, Vishnubala D, Le Feuvre P, Beaney T, Korgaonkar J, Majeed A, et al. Returning to physical activity after covid-19. BMJ. 2021;372:m4721. https://doi.org/10.1136/bmj.m4721
George PM, Barratt SL, Condliffe R, Desai SR, Devaraj A, Forrest I, et al. Respiratory follow-up of patients with COVID-19 pneumonia. Thorax. 2020;75:1009-16. https://doi.org/10.1136/thoraxjnl-2020-215314
Mo X, Jian W, Su Z, Chen M, Peng H, Peng P, et al. Abnormal pulmonary function in COVID-19 patients at time of hospital discharge. Eur Respir J. 2020;55(6):2001217. https://doi.org/10.1183/13993003.01217-2020
Ye Q, Wang B, Mao J. The pathogenesis and treatment of the 'cytokine storm' in COVID-19. J Infect. 2020;80(6):607-13. https://doi.org/10.1016/j.jinf.2020.03.037
Bohannon BR, Shove ME, Barreca SR, Masters LM, Sigouin CS. Five-repetition sit-to-stand test performance by community-dwelling adults: a preliminary investigation of times, determinants, and relationship with self-reported physical performance. Isokinet Exerc Sci. 2007;15(2):77-81. https://doi.org/10.3233/IES-2007-0253
Gurses HN, Zeren M, Denizoglu Kulli H, Durgut E. The relationship of sit-to-stand tests with 6-minute walk test in healthy young adults. Medicine. 2018;97(1):e9489. https://doi.org/10.1097/MD.0000000000009489
McAllister LS, Palombaro KM. Modified 30-second sit-to-stand test: reliability and validity in older adults unable to complete traditional sit-to-stand testing. J Geriatr Phys Ther. 2020;43(3):153-8. https://doi.org/10.1519/JPT.0000000000000227
Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Redfern MS, Furman JM. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the five-times- sit-to-stand test. Phys Ther. 2005;85(10):1034-45. https://doi.org/10.1093/ptj/85.10.1034
Applebaum EV, Breton D, Feng ZW, Ta AT, Walsh K, Chassé K, et al. Modified 30-second sit to stand test predicts falls in a cohort of institutionalized older veterans. PLoS One. 2017;12(5):e0176946. https://doi.org/10.1371/journal.pone.0176946
Yanagawa N, Shimomitsu T, Kawanishi M, Fukunaga T, Kanehisa H. Relationship between performances of 10-time-repeated sit-to-stand and maximal walking tests in non-disabled older women. J Physiol Anthropol. 2017;36(2). https://doi.org/10.1186/s40101-016-0100-z
Prastowo NA, Budiarta MO, Suryawinata K, Haryono IR. Comparing tools of balance tests in assessing balance of middle-aged women with or without exercises. JKKI. 2020;11(1):18-26. https://doi.org/10.20885/JKKI.Vol11.Iss1.art4
Yang LL, Yang T. Pulmonary rehabilitation for patients with coronavirus disease 2019 (COVID-19). Chronic Dis Transl Med. 2020;6(2):79-86. https://doi.org/10.1016/j.cdtm.2020.05.002
Centers for Disease Control and Prevention (CDC). Assessment 30-second chair stand 2017. Centers for Disease Control and Prevention (CDC). Available from: https://www.cdc.gov/steadi/pdf/STEADI-Assessment-30Sec-508.pdf.
Rikli RE, Jones CJ. Functional fitness normative scores for community residing older adults, ages 60-94. J Aging Phys Act. 1999;7:162-81. https://doi.org/10.1123/japa.7.2.162
Misdalia T, Moeliono MA, Idjradinata P. The effect of loaded sit-to-stand exercise with periodization in dimension D and E gross motor function measure spastic diplegic type of cerebral palsy. J Indon Med Assoc. 2012;62(10):397-401. Indonesian.
Vaidya T, Chambellan A, de Bisschop C. Sit-to-stand tests for COPD: a literature review. Respir Med. 2017;128:70-7. https://doi.org/10.1016/j.rmed.2017.05.003
Bui KL, Nyberg A, Maltais F, Saey D. Functional tests in chronic obstructive pulmonary disease, part 1: clinical relevance and links to the international classification of functioning, disability, and health. Ann Am Thorac Soc. 2017;14(5):778-84. https://doi.org/10.1513/AnnalsATS.201609-733AS
Meriem M, Cherif J, Toujani S, Ouahchi Y, Hmida AB, Beji M. Sit-to-stand test and 6-min walking test correlation in patients with chronic obstructive pulmonary disease. Ann Thorac Med. 2015;10(4):269-73. https://doi.org/10.4103/1817-1737.165289
Schurr K, Sherrington C, Wallbank G, Pamphlett P, Olivetti L. The minimum sit-to-stand height test: reliability, responsiveness and relationship to leg muscle strength. Clin Rehabil. 2012;26(7):656-63. https://doi.org/10.1177/0269215511427323
Roldán-Jiménez C, Cuesta-Vargas AI, Bennett P. Assessing trunk flexo-extension during sit-to-stand test variant in male and female healthy subjects through inertial sensors. Phys Sportsmed. 2019;47(2):152-7. https://doi.org/10.1080/00913847.2018.1538542
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