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

IF 2.4 Q1 REHABILITATION
Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-01-01 Epub Date: 2023-03-01 DOI:10.46292/sci22-00021
Sugalya Amatachaya, Lalita Khuna, Pipatana Amatachaya, Arpassanan Wiyanad
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引用次数: 0

Abstract

Background: The uncertain health care situations, such as that created by the COVID-19 pandemic, has limited hospital access and facilitated a paradigm shift in health care toward an increased demand for standard home visits and community-based rehabilitation services, including by ambulatory individuals with spinal cord injury (SCI).

Objectives: This 6-month prospective study explored the validity and reliability of a single-time sit-to-stand (STSTS) test when used by primary health care (PHC) providers, including a village health volunteer, caregiver, individual with SCI, and health professional.

Methods: Eighty-two participants were assessed for the STSTS using four arm placement conditions (arms on a walking device, arms on knees, arms free by the sides, and arms crossed over the chest) and standard measures, with prospective fall data follow-up over 6 months. Thirty participants involved in the reliability study were also assessed and reassessed for the ability to complete the STSTS conditions by PHC providers.

Results: Outcomes of the STSTS test, except the condition with arms on a walking device, could significantly discriminate lower extremity muscle strength (LEMS) and mobility of the participants (rpb = -0.58 to 0.69) with moderate concurrent validity. Outcomes of the tests without using the arms also showed moderate to almost-perfect reliability (kappa = 0.754-1.000) when assessed by PHC raters.

Conclusion: The findings suggest the use of an STSTS with arms free by the sides as a standard practical measure by PHC providers to reflect LEMS and mobility of ambulatory individuals with SCI in various clinical, community, and home-based settings.

初级医疗保健提供者在脊髓损伤患者中使用单次坐立测试的情况。
背景:COVID-19大流行病等不确定的医疗状况限制了医院的就诊机会,促进了医疗模式的转变,对标准家访和社区康复服务的需求增加,其中包括脊髓损伤(SCI)患者:这项为期 6 个月的前瞻性研究探讨了单次坐立测试(STSTS)在初级卫生保健(PHC)提供者(包括乡村卫生志愿者、护理人员、SCI 患者和卫生专业人员)使用时的有效性和可靠性:对 82 名参与者进行了 STSTS 评估,采用了四种手臂摆放条件(手臂放在行走装置上、手臂放在膝盖上、手臂放在身体两侧、手臂交叉放在胸前)和标准测量方法,并对 6 个月内的跌倒数据进行了前瞻性跟踪。参与可靠性研究的 30 名参与者还接受了初级保健服务提供者对其完成 STSTS 条件能力的评估和重新评估:结果:STSTS测试的结果,除了双臂放在行走装置上的条件外,都能显著区分参与者的下肢肌力(LEMS)和活动能力(rpb = -0.58至0.69),具有中等并发效度。在不使用双臂的情况下,由初级保健中心评分员评估的测试结果也显示出中等至几乎完美的可靠性(kappa = 0.754-1.000):研究结果表明,公共卫生服务提供者可以将两臂靠两侧活动的STSTS作为一种标准的实用测量方法,以反映在各种临床、社区和家庭环境中行走自如的SCI患者的LEMS和活动能力。
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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