BackgroundSubjects with neurological disease (ND) usually show impaired performance
during sit-to-stand and stand-to-sit tasks, with a consequent reduction in
their mobility levels. Objective To determine the measurement properties and feasibility previously
investigated for clinical tests that evaluate sit-to-stand and stand-to-sit
in subjects with ND.Method A systematic literature review following the PRISMA (Preferred Reporting
Items for Systematic reviews and Meta-Analyses) protocol was performed.
Systematic literature searches of databases (MEDLINE/SCIELO/LILACS/PEDro)
were performed to identify relevant studies. In all studies, the following
inclusion criteria were assessed: investigation of any measurement property
or the feasibility of clinical tests that evaluate sit-to-stand and
stand-to-sit tasks in subjects with ND published in any language through
December 2012. The COSMIN checklist was used to evaluate the methodological
quality of the included studies. Results Eleven studies were included. The measurement properties/feasibility were
most commonly investigated for the five-repetition sit-to-stand test, which
showed good test-retest reliability (Intraclass Correlation
Coefficient:ICC=0.94-0.99) for subjects with stroke, cerebral palsy and
dementia. The ICC values were higher for this test than for the number of
repetitions in the 30-s test. The five-repetition sit-to-stand test also
showed good inter/intra-rater reliabilities (ICC=0.97-0.99) for stroke and
inter-rater reliability (ICC=0.99) for subjects with Parkinson disease and
incomplete spinal cord injury. For this test, the criterion-related validity
for subjects with stroke, cerebral palsy and incomplete spinal cord injury
was, in general, moderate (correlation=0.40-0.77), and the feasibility and
safety were good for subjects with Alzheimer's disease. Conclusions The five-repetition sit-to-stand test was used more often in subjects with
ND, and most of the measurement properties were investigated and showed
adequate results.
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