The one repetition maximum test and the sit-to-stand test in the assessment of a specific pulmonary rehabilitation program on peripheral muscle strength in COPD patients

Zanini, Andrea; Aiello, Marina; Cherubino, Francesca; Zampogna, Elisabetta; Azzola, Andrea; Chetta, Alfredo; Spanevello, Antonio

doi:10.2147/copd.s91176

Cited by 105 publications

(107 citation statements)

References 31 publications

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“…Compared with previous studies in COPD, 12,28 our subjects had relatively preserved lower-limb strength, and much lower inter-individual variability was found for STS performance and quadriceps strength, thereby potentially weakening the association between these parameters. Moreover, previous studies did not use a reference method to evaluate limb muscle strength (eg, manual force testing 28 or one-repetition maximum 12 ), potentially leading to inaccuracies affecting the relationship with STS performance. Overall, the moderate association between the STS test and quadriceps force in our study supports their convergent validity.…”

Section: Discussioncontrasting

confidence: 79%

“…5 Based on significant associations with quadriceps strength, 12,28 the STS test has been proposed as a simple measure of lower-limb strength. We expressed STS repetitions as a product of body weight because this factor clearly influences STS performance.…”

Section: Discussionmentioning

confidence: 99%

“…11 The 1-min sit-to-stand (STS) test is a rapid and simple test that is increasingly used in respiratory diseases such as COPD. [12][13][14] The STS movement is frequently performed in daily living and is thought to be a measure of lower-limb strength. The STS test has been recently demonstrated to be reliable and sensitive to intervention in a small sample of adults with CF.…”

Section: Introductionmentioning

confidence: 99%

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The 1-Minute Sit-to-Stand Test in Adults With Cystic Fibrosis: Correlations With Cardiopulmonary Exercise Test, 6-Minute Walk Test, and Quadriceps Strength

Gruet¹,

Peyré‐Tartaruga²,

Mély³

et al. 2016

Respir Care

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BACKGROUND: Exercise testing is part of the regular assessment of patients with cystic fibrosis (CF). We aimed to evaluate (1) the convergent validity of the 1-min sit-to-stand (STS) test in CF by investigating its relationships with peak oxygen uptake (peak V O 2 ), quadriceps strength, and quality of life and (2) to compare these associations with those of the 6-min walk test (6MWT). METHODS: Twenty-five adults with CF (FEV 1 ‫؍‬ 59 ؎ 24%) performed the STS test, the 6MWT, quadriceps strength assessment, and cardiopulmonary exercise test (CPET). Physical activity level, quality of life, and self-esteem were assessed by questionnaires. RESULTS: STS repetitions, 6-min walk distance, quadriceps strength, and peak V O 2 were, respectively, 71 ؎ 12, 90 ؎ 10, 93 ؎ 29, and 62 ؎ 16% of predicted. The STS test had moderate associations with peak V O 2 (r ‫؍‬ 0.56, P ‫؍‬ .004), quadriceps strength (r ‫؍‬ 0.52, P ‫؍‬ .008), and some questionnaire items (eg, perceived physical strength, r ‫؍‬ 0.67, P < .001) only when repetitions were expressed as a product of body weight. Overall, these associations were weaker than those obtained from 6-min walk distance ؋ weight. Oxygen desaturation during the STS test was strongly associated with oxygen desaturation during CPET (r ‫؍‬ 0.80, P < .001). Peak heart rate was lower during the STS test as compared with CPET (P < .001) and the 6MWT (P ‫؍‬ .009). CONCLUSIONS: The STS test cannot be used as a replacement for CPET to accurately assess peak exercise capacity in CF. The STS test may have utility in detecting patients with CF who may exhibit a high level of oxygen desaturation during heavy exercise. Further studies should identify the factors contributing to STS performance to confirm the potential interest of STS repetitions ؋ body weight outcome as a useful submaximal exercise parameter in CF.

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Section: Discussioncontrasting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The 1-Minute Sit-to-Stand Test in Adults With Cystic Fibrosis: Correlations With Cardiopulmonary Exercise Test, 6-Minute Walk Test, and Quadriceps Strength

Gruet¹,

Peyré‐Tartaruga²,

Mély³

et al. 2016

Respir Care

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“…Exercise capacity was assessed with the 30-second sit-to-stand (STS) test, a field exercise test, which has been accepted as an indicator of functional status for elderly people. It is able to identify peripheral muscle weakness in patients with COPD (19). Participants were asked to stand up and sit down landing firmly, as fast as possible, without using the arms during 30seconds.…”

Section: Methodsmentioning

confidence: 99%

Effects of an Exercise Intervention in Frail Older Patients with Chronic Obstructive Pulmonary Disease Hospitalized due to an Exacerbation: A Randomized Controlled Trial

Torres‐Sánchez

Valenza

Cabrera‐Martos

et al. 2016

COPD: Journal of Chronic Obstructive Pulmonary Disease

107

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The objective of this study was to determine whether an exercise intervention using a pedal exerciser is able to reduce disability in frail older patients with chronic obstructive pulmonary disease (COPD) during hospitalization due to an acute exacerbation. This study was a randomized, single-blind clinical trial. Fifty-eight frail older patients admitted to hospital due to an acute exacerbation of COPD (AECOPD) were included in this study. All patients received standard medical and pharmacological care. Patients assigned to the intervention group also received an exercise intervention. The main outcome measures were balance, muscle strength, and exercise capacity. Significant between-group differences were found in muscle strength (p = 0.028) and balance (p = 0.013) after the intervention. All the variables improved significantly (p < 0.05) in the exercise intervention group. In the intervention group, the mean difference in muscle strength between baseline and discharge was 10.47 N. Balance also improved, showing a mean difference of 7.56 seconds on the right leg and 6.57 seconds on the left leg. Exercise capacity improved as well, with a difference of 4.97 stands between baseline and discharge. All the variables showed impairment in the control group. In conclusion, an exercise intervention using a pedal exerciser during the hospital stay of frail elderly patients with an AECOPD improves muscle strength, balance, and exercise capacity.

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“…Some studies have shown improvements in physical function with endurance training but not strength training (16–18), with strength training but not endurance training (19,20),whereas others have shown improvements with both (21,22). Discordant results are also noted when examining improvements in health related quality of life, and the quality of evidence from studies supporting one type of training over the other is often poor (23).…”

Section: Introductionmentioning

confidence: 99%

Comparison of Effects of Endurance and Strength Training Programs in Patients with COPD

Berry

Sheilds

Adair

2018

COPD: Journal of Chronic Obstructive Pulmonary Disease

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Comparisons between endurance and strength training in chronic obstructive pulmonary disease (COPD) patients have produced equivocal findings when examining physical function and health related quality of life (HRQL). One reason for these differences may be due to individual patient responses to the different training modalities. PURPOSE: To compare changes in physical function and HRQL in a group of COPD patients completing both an endurance and strength training program. METHODS: Eleven mildly diseased patients completed a 3 month endurance training program and, approximately 5 years later, completed a 3 month strength training program. Changes in 6 minute walk distance (6MW), time to rise from a chair 5 times (CRT) and the total score and subscores from the SF-36 and Chronic Respiratory Disease Questionnaire (CRQ) were examined. RESULTS: The forced expiratory volume as a percent of predicted remained relatively constant over the 5 years (61.1 ± 5.9 vs 60.0 ± 10.3). Endurance and strength training increased 6MW by 48.2 ± 11.2 (p = 0.008) and 39.8 ± 9.8 (p = 0.001) meters, respectively. Endurance and strength training decreased CRT by 4.8 ± 0.7 (p = 0.001) and 1.3 ± 1.2 (p = 0.056) sec, respectively. Endurance training resulted in greater improvements in HRQL as compared to strength training. CONCLUSION: These results show that walk distance improves as a result of participating in either an endurance or a strength training program. However, an endurance training program leads to greater improvements in both general and disease specific measures of HRQL.

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The one repetition maximum test and the sit-to-stand test in the assessment of a specific pulmonary rehabilitation program on peripheral muscle strength in COPD patients

Cited by 105 publications

References 31 publications

The 1-Minute Sit-to-Stand Test in Adults With Cystic Fibrosis: Correlations With Cardiopulmonary Exercise Test, 6-Minute Walk Test, and Quadriceps Strength

The 1-Minute Sit-to-Stand Test in Adults With Cystic Fibrosis: Correlations With Cardiopulmonary Exercise Test, 6-Minute Walk Test, and Quadriceps Strength

Effects of an Exercise Intervention in Frail Older Patients with Chronic Obstructive Pulmonary Disease Hospitalized due to an Exacerbation: A Randomized Controlled Trial

Comparison of Effects of Endurance and Strength Training Programs in Patients with COPD

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