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  4. The Use of a Single-Time Sit-To-Stand Test in Ambulatory Individuals With Spinal Cord Injury by Primary Health Care Providers

The Use of a Single-Time Sit-To-Stand Test in Ambulatory Individuals With Spinal Cord Injury by Primary Health Care Providers

Top Spinal Cord Inj Rehabil, 2023 · DOI: 10.46292/sci22-00021 · Published: April 1, 2023

Spinal Cord InjuryRehabilitation

Simple Explanation

This study explores how well a simple sit-to-stand test works when used by primary healthcare providers to assess ambulatory individuals with spinal cord injury (SCI). The study looked at whether the test results matched other standard measures of strength and mobility. The study found that the sit-to-stand test, when performed without using the arms, is a reliable way for primary healthcare providers to assess the leg strength and mobility of people with SCI. This means that healthcare providers can use this simple test in homes and communities to monitor the progress of individuals with SCI and to help them maintain their independence.

Study Duration
6 Months
Participants
82 ambulatory individuals with incomplete SCI
Evidence Level
Not specified

Key Findings

  • 1
    The STSTS test, except when performed with arms on a walking device, significantly distinguished lower extremity muscle strength (LEMS) and participant mobility.
  • 2
    Tests conducted without arm assistance demonstrated moderate to almost-perfect reliability when assessed by PHC raters.
  • 3
    The study suggests using the STSTS test with arms free by the sides as a practical measure for PHC providers to assess LEMS and mobility in ambulatory SCI individuals.

Research Summary

This prospective study evaluated the validity and reliability of the single-time sit-to-stand (STSTS) test when administered by primary health care (PHC) providers to ambulatory individuals with spinal cord injury (SCI). The study involved 82 participants who performed the STSTS test under four arm placement conditions, with follow-up for fall data over 6 months. Reliability was assessed in a subset of 30 participants. The findings indicate that the STSTS test, particularly with arms free by the sides, is a reliable and valid measure for PHC providers to assess lower extremity muscle strength and mobility in ambulatory individuals with SCI.

Practical Implications

Home-Based Assessment

The STSTS test can be used by primary health care providers during home visits to monitor the functional abilities of individuals with SCI.

Community Health Monitoring

The STSTS test can be implemented in community settings to screen and track mobility and strength in individuals with SCI.

Clinical Utility

The STSTS test can be integrated into clinical practice as a simple and practical tool to assess and monitor LEMS and mobility in individuals with SCI.

Study Limitations

  • 1
    The STSTS test is a simple measure and may not be sensitive enough to detect subtle changes over time, especially in individuals with chronic SCI.
  • 2
    The study only included participants who could rise from a chair independently, potentially limiting the generalizability of the results to those needing more assistance.
  • 3
    The fall variable was included after initiation of the study, and there were only 60 participants in this variable.

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