Browse > Article
http://dx.doi.org/10.13066/kspm.2013.8.4.549

The Usability of Sit to Stand Test Performance in Chronic Stroke  

Cho, Hwi-Young (Department of Physical Therapy, Gachon University)
An, Seung-Heon (Department of Physical Therapy, National Rehabilitation Center)
Lee, Yun-Bok (Department of Nursing, Kyungnam University)
Hong, Hyun-Hwa (Department of Nursing, Kyungnam University)
Lee, Gyu-Chang (Department of Physical therapy, Kyungnam University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.8, no.4, 2013 , pp. 549-558 More about this Journal
Abstract
PURPOSE: This study is designed as a retrospective study, and identified the clinical usability of Sit to Stand (STS) test for predicting of fall incidence in stroke patients who experienced a fall within 1 year. METHODS: Between July 2011 and November 2012, 69 inpatients with stroke in K rehabilitation hospital were participated under voluntarily signing the informed consent form. STS test and 10m walk test (10MWT) were used to assess the muscle strength of lower-extremity and walking velocity, respectively. Also, we tested dynamic balance and motor function of lower-extremity in affected-side using with the Berg balance scale (BBS) and the Fugl-Meyer assessment of lower extremity (FM-L/E). METHODS: There were significant differences between subjects with fall-experienced group and without subjects without fall-experienced group in STS test, 10MWT, BBS scores and FM-L/E. STS test significantly showed a negative correlation between 10MWT (r=-.657), BBS (r=-.512), and FM-L/E (r=-.563). And, 10MWT have a influence on the performance of STS test (the capacity of explanation = 20%). The cut-off value of STS performance predicting falls experience is ${\geq}14.36$ seconds (sensitivity=76%; specificity=79%, area under curve=.785). According to logistic regression analysis of falls experience, subjects ${\geq}14.36$ s showed that 4.164 times (odd ratio) increased in falls than subjects < 14.36 s in STS test. CONCLUSION: This study demonstrated that STS test may be a useful tool predicting and measuring falls in patients with stroke. Further study will be needed to elucidate the kinematic analysis of STS test and the relationship between physical activity level and falls in stroke patients.
Keywords
Balance; Gait velocity; Sit to Stand Test; Strength; Stroke;
Citations & Related Records
연도 인용수 순위
  • Reference
1 An SH, Kim UG, Park CS. The study on predicting of fall incidence using the falls related efficacy scale in people with chronic stroke. J sp educa rehabil sci. 2013;52(1):241-58.
2 Ainsworth BE, Haskell WL, Whitt MC, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci in Sports Exerc. 2000;32(9 Suppl): S498-504.   DOI
3 Andersson AG, Kamwendo K, Appelros P. Fear of falling in stroke patients: relationship with previousfalls and functional characteristics. Int J Rehabil Res. 2008;31(3):261-4.   DOI   ScienceOn
4 Belgen B, Beninato M, Sullivan PE, et al. The association of balance capacity and falls self-efficacy with history of falling in community-dwelling people with chronic stroke. Arch Phys Med Rehabil. 2006;87(4):554-61.   DOI   ScienceOn
5 Beninato M, Portney LG, Sullivan PE. Using the International Classification of Functioning, Disability and Health as a framework to examine the association between falls and clinical assessment tools in people with stroke. Phys Ther. 2009;89(8):816-25.   DOI   ScienceOn
6 Berg K, Wood-Dauphinee S, Williams JI. The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27(1):27-36.
7 Blum L, Korner-Bitensky N. Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. Phys Ther. 2008;88(5):559-66.   DOI   ScienceOn
8 Bohannon RW. Sit-to-stand test for measuring performance of lower extremity muscles. Percept Mot Skills. 1995;80(1):163-6.   DOI   ScienceOn
9 Buatois S, Miljkovic D, Manckoundia P, et al. Five times sit to stand test is a predictor of recurrent falls in healthy community-living subjects aged 65 and older. J Am Geriatr Soc. 2008;56(8):1575-7.   DOI   ScienceOn
10 Buatois S, Perret-Guillaume C, Gueguen R, et al. A simple clinical scale to stratify risk of recurrent falls in community-dwelling adults aged 65 years and older. Phys Ther. 2010;90(4):550-60.   DOI   ScienceOn
11 Chiu AY, Au-Yeung SS, Lo SK. A comparison of four functional tests in discriminating fallers from non-fallers in older people. Disabil Rehabil. 2003;25(1):45-50.   DOI
12 Fugl-Meyer AR, Jaasko L, Leyman I, et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13-31.
13 Duncan PW, Propst M, Nelson SG. Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident. Phys Ther. 1983;63(10):1606-10.
14 Duncan RP, Leddy AL, Earhart GM. Five times sit-to-stand test performance in Parkinson's disease. Arch Phys Med Rehabil. 2011;92(9):1431-6.   DOI   ScienceOn
15 Flansbjer UB, Holmback AM, Downham D, et al. Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med. 2005;37(2):75-82.   DOI   ScienceOn
16 Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85-94.   DOI
17 Horstman AM, Beltman MJ, Gerrits KH, et al. Intrinsic muscle strength and voluntary activation of both lower limb and functional performance after stroke. Clin Physiol Funct Imaging. 2008;28(4):251-61.   DOI   ScienceOn
18 Lomaglio MJ, Eng JJ. Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait Posture. 2005;22(2):126-31.   DOI   ScienceOn
19 Lord SR, Murray SM, Chapman K, et al. Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol A Biol Sci Med Sci. 2002;57(8):M539-43.   DOI
20 Maeda N, Kato J, Itotani K, et al. Relationship between sit-to-stand(STS) motion characteristics and walking ability in stroke patients. Gait Posture. 2012;36(1):S57-8.   DOI   ScienceOn
21 Mong Y, Teo TW, Ng SS. 5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity. Arch Phys Med Rehabil. 2010;91(3):407-13.   DOI   ScienceOn
22 Nakagawa S. A farewell to Bonferroni: the problems of low statistical power and publication bias. Behavioral Ecology. 2004;15(6):1044-5.   DOI   ScienceOn
23 Ng SS, Ng PC, Lee CY, et al. Walkway lengths for measuring walking speed in stroke rehabilitation, J Rehabil Med. 2012;44(1):43-6.   DOI
24 Ouellette MM, LeBrasseur NK, Bean JF, et al. High-intensity resistance training improves muscle strength, self-reported function, and disability in long-term stroke survivors. Stroke. 2004;35(6):1404-9.   DOI   ScienceOn
25 Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80(9):896-903.
26 Taylor D, Stretton CM, Mudge S, et al. Does clinic-measured gait speed differ from gait speed measured in the community in people with stroke? Clini Rehabil. 2006;20(5):438-44.   DOI   ScienceOn
27 Taylor-Piliae RE, Latt LD, Hepworth JT, et al. Predictors of gait velocity among community-dwelling stroke survivors. Gait Posture. 2012;35(3):395-9.   DOI   ScienceOn
28 Thomas JI, Lane JV. A pilot study to explore the predictive validity of 4 measures of falls risk in frail elderly patients. Arch Phys Med Rehabil. 2005;86(8):1636-40.   DOI   ScienceOn
29 Whitney SL, Wrisley DM, Brown KE, et al. Is perception of handicap related to functional performance in persons with vestibular dysfunction? Otol Neurotol. 2004;25(2):139-43.   DOI   ScienceOn
30 Tiedemann A, Shimada H, Sherrington C, et al. The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing. 2008;37(4):430-5.   DOI   ScienceOn