The Non-Paced 3-Minute Sit-to-Stand Test: Feasibility and Clinical Relevance for Pulmonary Rehabilitation Assessment

Pulmonary rehabilitation (PR) improves health-related quality-of-life (HRQoL) in individuals with chronic obstructive pulmonary disease (COPD), notably by increasing exercise tolerance. Easy-to-implement sit-to-stand tests can facilitate the assessment of exercise tolerance in routine practice. This...

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Main Authors: Rachel Ernst, Benoit Bouteleux, Marie Malhouitre, Léo Grassion, Maéva Zysman, Pauline Henrot, Mathieu Delorme
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/16/2312
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author Rachel Ernst
Benoit Bouteleux
Marie Malhouitre
Léo Grassion
Maéva Zysman
Pauline Henrot
Mathieu Delorme
author_facet Rachel Ernst
Benoit Bouteleux
Marie Malhouitre
Léo Grassion
Maéva Zysman
Pauline Henrot
Mathieu Delorme
author_sort Rachel Ernst
collection DOAJ
description Pulmonary rehabilitation (PR) improves health-related quality-of-life (HRQoL) in individuals with chronic obstructive pulmonary disease (COPD), notably by increasing exercise tolerance. Easy-to-implement sit-to-stand tests can facilitate the assessment of exercise tolerance in routine practice. This retrospective study conducted in a real-life setting was designed to describe the non-paced 3-min sit-to-stand test (3-STST) and to evaluate its relationship with HRQoL (VQ11 questionnaire) to identify the determinants of 3-STST performance and to analyze the evolution of 3-STST performance and HRQoL over the course of a community-based PR program. Seventy-one COPD patients (age 69 ± 10 years old; 51% with GOLD spirometric stages III–IV) were included. Mean ± SD 3-STST performance at the initial PR assessment was 43 ± 15 repetitions. This performance was significantly associated with HRQoL and other indicators of clinical severity (lung function, dyspnea, and functional capacities). During the multivariate analysis, younger age, exertional dyspnea with mMRC ≤ 1, and better HRQoL were significantly associated with better 3-STST performance. From the initial to second PR assessment, changes in 3-STST performance were significantly associated with changes in HRQoL. This study provides evidence that the non-paced 3-STST is feasible and might be clinically relevant in the assessment of patients with COPD referred for community-based PR. This test deserves to be prospectively validated.
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spelling doaj.art-91d943b47af247e1acac02af68b45d582023-11-19T01:19:09ZengMDPI AGHealthcare2227-90322023-08-011116231210.3390/healthcare11162312The Non-Paced 3-Minute Sit-to-Stand Test: Feasibility and Clinical Relevance for Pulmonary Rehabilitation AssessmentRachel Ernst0Benoit Bouteleux1Marie Malhouitre2Léo Grassion3Maéva Zysman4Pauline Henrot5Mathieu Delorme6Resp’Air, 33400 Talence, FranceResp’Air, 33400 Talence, FranceResp’Air, 33400 Talence, FranceDépartement de Pneumologie, Hôpital du Haut-Lévêque, CHU de Bordeaux, 33604 Pessac, FranceDépartement de Pneumologie, Hôpital du Haut-Lévêque, CHU de Bordeaux, 33604 Pessac, FranceCentre de Recherche Cardio-Thoracique de Bordeaux, Université de Bordeaux, INSERM U1045, CIC1401, 33604 Pessac, FranceResp’Air, 33400 Talence, FrancePulmonary rehabilitation (PR) improves health-related quality-of-life (HRQoL) in individuals with chronic obstructive pulmonary disease (COPD), notably by increasing exercise tolerance. Easy-to-implement sit-to-stand tests can facilitate the assessment of exercise tolerance in routine practice. This retrospective study conducted in a real-life setting was designed to describe the non-paced 3-min sit-to-stand test (3-STST) and to evaluate its relationship with HRQoL (VQ11 questionnaire) to identify the determinants of 3-STST performance and to analyze the evolution of 3-STST performance and HRQoL over the course of a community-based PR program. Seventy-one COPD patients (age 69 ± 10 years old; 51% with GOLD spirometric stages III–IV) were included. Mean ± SD 3-STST performance at the initial PR assessment was 43 ± 15 repetitions. This performance was significantly associated with HRQoL and other indicators of clinical severity (lung function, dyspnea, and functional capacities). During the multivariate analysis, younger age, exertional dyspnea with mMRC ≤ 1, and better HRQoL were significantly associated with better 3-STST performance. From the initial to second PR assessment, changes in 3-STST performance were significantly associated with changes in HRQoL. This study provides evidence that the non-paced 3-STST is feasible and might be clinically relevant in the assessment of patients with COPD referred for community-based PR. This test deserves to be prospectively validated.https://www.mdpi.com/2227-9032/11/16/2312sit-to-stand testhealth-related quality-of-lifechronic obstructive pulmonary diseaseexercise trainingpulmonary rehabilitation
spellingShingle Rachel Ernst
Benoit Bouteleux
Marie Malhouitre
Léo Grassion
Maéva Zysman
Pauline Henrot
Mathieu Delorme
The Non-Paced 3-Minute Sit-to-Stand Test: Feasibility and Clinical Relevance for Pulmonary Rehabilitation Assessment
Healthcare
sit-to-stand test
health-related quality-of-life
chronic obstructive pulmonary disease
exercise training
pulmonary rehabilitation
title The Non-Paced 3-Minute Sit-to-Stand Test: Feasibility and Clinical Relevance for Pulmonary Rehabilitation Assessment
title_full The Non-Paced 3-Minute Sit-to-Stand Test: Feasibility and Clinical Relevance for Pulmonary Rehabilitation Assessment
title_fullStr The Non-Paced 3-Minute Sit-to-Stand Test: Feasibility and Clinical Relevance for Pulmonary Rehabilitation Assessment
title_full_unstemmed The Non-Paced 3-Minute Sit-to-Stand Test: Feasibility and Clinical Relevance for Pulmonary Rehabilitation Assessment
title_short The Non-Paced 3-Minute Sit-to-Stand Test: Feasibility and Clinical Relevance for Pulmonary Rehabilitation Assessment
title_sort non paced 3 minute sit to stand test feasibility and clinical relevance for pulmonary rehabilitation assessment
topic sit-to-stand test
health-related quality-of-life
chronic obstructive pulmonary disease
exercise training
pulmonary rehabilitation
url https://www.mdpi.com/2227-9032/11/16/2312
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