Test–Retest Reliability and Minimal Detectable Change in Chester Step Test and 1-Minute Sit-to-Stand Test in Long COVID Patients
The COVID-19 is a multiorgan disease that appeared in December 2019 in the Chinese province of Wuhan. It produces various clinical manifestations, although it mainly affects the respiratory system. Given these potentially detrimental long-term consequences of COVID-19, an appropriate assessment must...
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MDPI AG
2023-07-01
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| Online Access: | https://www.mdpi.com/2076-3417/13/14/8464 |
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| author | Ana Isabel Sevillano-Castaño Renata Peroy-Badal Rodrigo Torres-Castro Ana María Cañuelo-Márquez Manuel Rozalén-Bustín Ángel Modrego-Navarro Luis De Sousa-De Sousa Juan José Ramos-Álvarez José Luis Maté-Muñoz Pablo García-Fernández |
| author_facet | Ana Isabel Sevillano-Castaño Renata Peroy-Badal Rodrigo Torres-Castro Ana María Cañuelo-Márquez Manuel Rozalén-Bustín Ángel Modrego-Navarro Luis De Sousa-De Sousa Juan José Ramos-Álvarez José Luis Maté-Muñoz Pablo García-Fernández |
| author_sort | Ana Isabel Sevillano-Castaño |
| collection | DOAJ |
| description | The COVID-19 is a multiorgan disease that appeared in December 2019 in the Chinese province of Wuhan. It produces various clinical manifestations, although it mainly affects the respiratory system. Given these potentially detrimental long-term consequences of COVID-19, an appropriate assessment must be carried out to plan early rehabilitation interventions. To assess the persistent symptoms it produces, as well as exercise tolerance for a given exertion, stress testing is a feasible and cost-effective option. Therefore, the objective of this study was to provide test-retest reliability for the Chester Step Test and 1 minute Sit to Stand tests and to establish the minimum detectable change in Long-COVID patients. Method: This observational, descriptive, cross-sectional study was conducted following the STROBE guidelines. A total of 42 patients carried out, twice per partici-pant, the Chester Step and 1-Minute Sit-to-Stand (1min-STST) tests on two different days, with a five-day time lag between the initial measurement and the second measurement. Results: The Test-retest reliability for the Chester Step was excellent within session ICC (95% CI) 0.96 (0.93 to 0.98), being even better for the 1-STST, ICC (95% CI) 0.98 (0.96 to 0.99). Establishing a change of at least 16.96 steps (MDC90) or 20.15 steps (MDC95) and 1.89 stands (MDC90) or 2.71 stands (MDC95), respectively. Conclusions: The Chester Step and 1min-STST tests are reproducible and reliable tools to measure exercise tolerance in long COVID patients. The minimum detectable changes observed in the values recorded by the participants can be very useful for the evaluation of the effectiveness of interventions applied to these patients. |
| first_indexed | 2024-03-11T01:20:07Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-11T01:20:07Z |
| publishDate | 2023-07-01 |
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| series | Applied Sciences |
| spelling | doaj.art-ead602871650415a91998e971eb76d522023-11-18T18:13:27ZengMDPI AGApplied Sciences2076-34172023-07-011314846410.3390/app13148464Test–Retest Reliability and Minimal Detectable Change in Chester Step Test and 1-Minute Sit-to-Stand Test in Long COVID PatientsAna Isabel Sevillano-Castaño0Renata Peroy-Badal1Rodrigo Torres-Castro2Ana María Cañuelo-Márquez3Manuel Rozalén-Bustín4Ángel Modrego-Navarro5Luis De Sousa-De Sousa6Juan José Ramos-Álvarez7José Luis Maté-Muñoz8Pablo García-Fernández9Hospital Universitario Infanta Leonor, 28031 Madrid, SpainHospital Universitario Infanta Leonor, 28031 Madrid, SpainDepartment of Physical Therapy, Faculty of Medicine, University of Chile, Santiago 8331150, ChileDepartment of Physical Activity and Sports Science, Faculty of Health Sciences, Alfonso X University, Villanueva de la Cañada, 28691 Madrid, SpainDepartment of Physical Activity and Sports Science, Faculty of Health Sciences, Alfonso X University, Villanueva de la Cañada, 28691 Madrid, SpainDepartment of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Radiology, Rehabilitation and Physiotherapy, School of Sport Medicine, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, SpainThe COVID-19 is a multiorgan disease that appeared in December 2019 in the Chinese province of Wuhan. It produces various clinical manifestations, although it mainly affects the respiratory system. Given these potentially detrimental long-term consequences of COVID-19, an appropriate assessment must be carried out to plan early rehabilitation interventions. To assess the persistent symptoms it produces, as well as exercise tolerance for a given exertion, stress testing is a feasible and cost-effective option. Therefore, the objective of this study was to provide test-retest reliability for the Chester Step Test and 1 minute Sit to Stand tests and to establish the minimum detectable change in Long-COVID patients. Method: This observational, descriptive, cross-sectional study was conducted following the STROBE guidelines. A total of 42 patients carried out, twice per partici-pant, the Chester Step and 1-Minute Sit-to-Stand (1min-STST) tests on two different days, with a five-day time lag between the initial measurement and the second measurement. Results: The Test-retest reliability for the Chester Step was excellent within session ICC (95% CI) 0.96 (0.93 to 0.98), being even better for the 1-STST, ICC (95% CI) 0.98 (0.96 to 0.99). Establishing a change of at least 16.96 steps (MDC90) or 20.15 steps (MDC95) and 1.89 stands (MDC90) or 2.71 stands (MDC95), respectively. Conclusions: The Chester Step and 1min-STST tests are reproducible and reliable tools to measure exercise tolerance in long COVID patients. The minimum detectable changes observed in the values recorded by the participants can be very useful for the evaluation of the effectiveness of interventions applied to these patients.https://www.mdpi.com/2076-3417/13/14/8464submaximal exercise testingCOVID-19exercise capacityrehabilitation |
| spellingShingle | Ana Isabel Sevillano-Castaño Renata Peroy-Badal Rodrigo Torres-Castro Ana María Cañuelo-Márquez Manuel Rozalén-Bustín Ángel Modrego-Navarro Luis De Sousa-De Sousa Juan José Ramos-Álvarez José Luis Maté-Muñoz Pablo García-Fernández Test–Retest Reliability and Minimal Detectable Change in Chester Step Test and 1-Minute Sit-to-Stand Test in Long COVID Patients Applied Sciences submaximal exercise testing COVID-19 exercise capacity rehabilitation |
| title | Test–Retest Reliability and Minimal Detectable Change in Chester Step Test and 1-Minute Sit-to-Stand Test in Long COVID Patients |
| title_full | Test–Retest Reliability and Minimal Detectable Change in Chester Step Test and 1-Minute Sit-to-Stand Test in Long COVID Patients |
| title_fullStr | Test–Retest Reliability and Minimal Detectable Change in Chester Step Test and 1-Minute Sit-to-Stand Test in Long COVID Patients |
| title_full_unstemmed | Test–Retest Reliability and Minimal Detectable Change in Chester Step Test and 1-Minute Sit-to-Stand Test in Long COVID Patients |
| title_short | Test–Retest Reliability and Minimal Detectable Change in Chester Step Test and 1-Minute Sit-to-Stand Test in Long COVID Patients |
| title_sort | test retest reliability and minimal detectable change in chester step test and 1 minute sit to stand test in long covid patients |
| topic | submaximal exercise testing COVID-19 exercise capacity rehabilitation |
| url | https://www.mdpi.com/2076-3417/13/14/8464 |
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