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European Spine Journal

Erschienen in:

24.01.2019 | Original Article

Can objective functional impairment in lumbar degenerative disease be reliably assessed at home using the five-repetition sit-to-stand test? A prospective study

verfasst von: Victor E. Staartjes, Femke Beusekamp, Marc L. Schröder

Erschienen in: European Spine Journal | Ausgabe 4/2019

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Abstract

Purpose

Objective functional tests like the five-repetition sit-to-stand test (5R-STS) can supplement an objective dimension to conventional patient-reported outcome measures. The reliability of unsupervised obtainment of 5R-STS performance is currently unknown.

Methods

We included patients with degenerative pathologies of the lumbar spine. Patients performed the 5R-STS during the initial clinical visit (supervised), as well as at home after instruction by a physiotherapist. At home, patients were first timed by a relative (unsupervised) and subsequently produced a video recording of themselves performing the 5R-STS for digital measurement (telesupervised). Two raters independently assessed the recordings.

Results

One hundred and twenty-one patients were recruited, of which 100 were eligible. Eighty-eight reported unsupervised results. Sixty-four returned recordings, of which 61 were ratable. Both unsupervised (r: 0.94, 95% CI 0.91–0.96, p < 0.001) and telesupervised (r: 0.90, 95% CI 0.83–0.94, p < 0.001) measurements demonstrated excellent correlation with clinical test times. Patients did not perform more slowly at home (p > 0.05). The interrater agreement for digital judgement of the telesupervised recording was excellent (ICC: 0.996, 95% CI 0.993–0.998, p < 0.001). We confirmed convergent validity with self-reported disability, back pain, and quality of life (all p < 0.05), but not with leg pain (p = 0.189).

Conclusions

Unsupervised at-home assessment using the 5R-STS is highly reliable. There does not appear to be a specific need for patients to return for a supervised 5R-STS follow-up. Rather, instructions can be provided, and the test performed and rated by a partner or family member at home. This is logistically and economically advantageous for patients, clinicians, and researchers.

Trial registry number

ClinicalTrials.gov Identifier: NCT03321357.

Graphical abstract

These slides can be retrieved under Electronic Supplementary Material.

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Titel: Can objective functional impairment in lumbar degenerative disease be reliably assessed at home using the five-repetition sit-to-stand test? A prospective study
verfasst von: Victor E. Staartjes
Femke Beusekamp
Marc L. Schröder
Publikationsdatum: 24.01.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 4/2019
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-019-05897-3

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Springer Medizin

Can objective functional impairment in lumbar degenerative disease be reliably assessed at home using the five-repetition sit-to-stand test? A prospective study

Abstract

Purpose

Methods

Results

Conclusions

Trial registry number

Graphical abstract

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Trial registry number

Graphical abstract

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