PMID- 35138036
OWN - NLM
STAT- MEDLINE
DCOM- 20230131
LR  - 20230410
IS  - 1934-1563 (Electronic)
IS  - 1934-1482 (Linking)
VI  - 15
IP  - 1
DP  - 2023 Jan
TI  - Feasibility and safety of the 30-second sit-to-stand test delivered via 
      telehealth: An observational study.
PG  - 31-40
LID - 10.1002/pmrj.12783 [doi]
AB  - INTRODUCTION: Exercise testing is essential to determine the safety and efficacy 
      of prescribing exercise. Limited evidence exists to support remotely supervised 
      exercise testing in oncology literature. OBJECTIVE: To determine the feasibility, 
      safety, and convergent validity of the 30-second sit-to-stand test (30STS) 
      delivered via telehealth in an oncology population. Exploratory analyses informed 
      remote test feasibility according to participant and treatment characteristics. 
      DESIGN: Cross-sectional, observational study. SETTING: Telehealth outpatient 
      clinic, tertiary metropolitan oncology hospital. PARTICIPANTS: Thirty-two 
      consecutive outpatients attending telehealth exercise appointments were screened 
      for inclusion. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: A pre-test 
      safety screening questionnaire included the Australia-modified Karnofsky 
      Performance Status (AKPS) and Clinical Frailty Scale (CFS). Following one 
      practice, one 30STS test was completed using a standardized protocol modified for 
      telehealth assessment. Secondary measures: International Physical Activity 
      Questionnaire-Short Form (IPAQ-SF) and pre/post-test Borg Rating of Perceived 
      Exertion (RPE). RESULTS: Thirty participants were deemed as being safe using the 
      screening questionnaire and completed the remote 30STS. Participants were a 
      median (interquartile range [IQR]) 62.5 (51.8 to 66.5) years old, 59% male, 72% 
      undergoing cancer treatment, 34% with metastatic disease, and 56% met current 
      exercise guidelines. Moderate correlation was found between 30STS and IPAQ-SF 
      (rho = 0.49, p = .006), providing evidence of convergent validity. Correlations 
      between 30STS and AKPS (rho = 0.26, p = .161), and CFS (rho = -0.23, p = .214), 
      were fair. Chair-height standardization was poor (range 43 to 60 cm). The 
      clinician could visualize the participant's whole body in 2 of 30 tests. No 
      significant difference in test performance was found for participants with 
      metastatic disease, higher age, or body mass index. No adverse events occurred. 
      CONCLUSION: With screening, the 30STS, performed by telehealth, is a safe and 
      feasible measure of function and lower limb strength. Telehealth exercise testing 
      presents challenges in standardizing the environment and ensuring participant 
      safety. Minimal space and equipment requirements and moderate convergent validity 
      with physical activity provide good clinical utility in this setting.
CI  - (c) 2022 American Academy of Physical Medicine and Rehabilitation.
FAU - Bowman, Amy
AU  - Bowman A
AUID- ORCID: 0000-0001-8489-4387
AD  - Department of Physiotherapy, Peter Mac Callum Cancer Centre, Melbourne, Victoria, 
      Australia.
FAU - Denehy, Linda
AU  - Denehy L
AUID- ORCID: 0000-0002-2926-8436
AD  - Department of Health Services Research, Peter Mac Callum Cancer Centre, 
      Melbourne, Victoria, Australia.
AD  - Melbourne School of Health Sciences, The University of Melbourne, Melbourne, 
      Victoria, Australia.
FAU - Benjemaa, Aisha
AU  - Benjemaa A
AD  - Department of Physiotherapy, Peter Mac Callum Cancer Centre, Melbourne, Victoria, 
      Australia.
FAU - Crowe, Jess
AU  - Crowe J
AUID- ORCID: 0000-0002-7913-0013
AD  - Department of Physiotherapy, Peter Mac Callum Cancer Centre, Melbourne, Victoria, 
      Australia.
FAU - Bruns, Emma
AU  - Bruns E
AD  - Department of Physiotherapy, Peter Mac Callum Cancer Centre, Melbourne, Victoria, 
      Australia.
FAU - Hall, Travis
AU  - Hall T
AUID- ORCID: 0000-0002-3849-5673
AD  - Department of Physiotherapy, Peter Mac Callum Cancer Centre, Melbourne, Victoria, 
      Australia.
FAU - Traill, Anya
AU  - Traill A
AUID- ORCID: 0000-0002-4778-0062
AD  - Department of Physiotherapy, Peter Mac Callum Cancer Centre, Melbourne, Victoria, 
      Australia.
FAU - Edbrooke, Lara
AU  - Edbrooke L
AUID- ORCID: 0000-0002-4149-5578
AD  - Department of Health Services Research, Peter Mac Callum Cancer Centre, 
      Melbourne, Victoria, Australia.
AD  - Department of Physiotherapy, The University of Melbourne, Melbourne, Victoria, 
      Australia.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20220322
PL  - United States
TA  - PM R
JT  - PM & R : the journal of injury, function, and rehabilitation
JID - 101491319
SB  - IM
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Aged
MH  - Female
MH  - Feasibility Studies
MH  - Cross-Sectional Studies
MH  - *Telemedicine
MH  - Physical Therapy Modalities
MH  - *Neoplasms/diagnosis/therapy
EDAT- 2022/02/10 06:00
MHDA- 2023/02/01 06:00
CRDT- 2022/02/09 08:44
PHST- 2021/12/22 00:00 [revised]
PHST- 2021/10/07 00:00 [received]
PHST- 2022/01/10 00:00 [accepted]
PHST- 2022/02/10 06:00 [pubmed]
PHST- 2023/02/01 06:00 [medline]
PHST- 2022/02/09 08:44 [entrez]
AID - 10.1002/pmrj.12783 [doi]
PST - ppublish
SO  - PM R. 2023 Jan;15(1):31-40. doi: 10.1002/pmrj.12783. Epub 2022 Mar 22.