PMID- 36914524
OWN - NLM
STAT- MEDLINE
DCOM- 20230411
LR  - 20231130
IS  - 1836-9561 (Electronic)
IS  - 1836-9561 (Linking)
VI  - 69
IP  - 2
DP  - 2023 Apr
TI  - In adults with advanced lung disease, the 1-minute sit-to-stand test 
      underestimates exertional desaturation compared with the 6-minute walk test: an 
      observational study.
PG  - 108-113
LID - S1836-9553(23)00002-4 [pii]
LID - 10.1016/j.jphys.2023.02.001 [doi]
AB  - QUESTION: In adults with advanced lung disease, do the 6-minute walk test (6MWT) 
      and 1-minute sit-to-stand test (1minSTS) elicit similar cardiorespiratory 
      responses? Can the 6-minute walk distance (6MWD) be estimated from the 1minSTS 
      result? DESIGN: Prospective observational study using data collected during 
      routine clinical practice. PARTICIPANTS: Eighty adults (43 males) with advanced 
      lung disease, a mean age of 64 years (SD 10) and a mean forced expiratory volume 
      in 1 second of 1.65 L (SD 0.77). OUTCOME MEASURES: Participants completed a 6MWT 
      and a 1minSTS. During both tests, oxygen saturation (SpO(2)), pulse rate, 
      dyspnoea and leg fatigue (Borg 0 to 10) were recorded. RESULTS: Compared with the 
      6MWT, the 1minSTS resulted in higher nadir SpO(2) (MD 4%, 95% CI 3 to 5), lower 
      end-test pulse rate (MD -4 beats/minute, 95% CI -6 to -1), similar dyspnoea (MD 
      -0.3, 95% CI -0.6 to 0.1) and greater leg fatigue (MD 1.1, 95% CI 0.6 to 1.6). 
      Among the participants who demonstrated severe desaturation (SpO(2) nadir < 85%) 
      on the 6MWT (n = 18), five and ten participants were classified as moderate 
      (nadir 85 to 89%) or mild desaturators (nadir >/= 90%), respectively, on the 
      1minSTS. The relationship between the 6MWD and 1minSTS was: 6MWD (m) = 247 + (7 x 
      number of transitions achieved during the 1minSTS) with poor predictive ability 
      (r(2) = 0.44). CONCLUSION: The 1minSTS elicited less desaturation than the 6MWT 
      and classified a smaller proportion of people as 'severe desaturators' on 
      exertion. It is therefore inappropriate to use the nadir SpO(2) recorded during a 
      1minSTS to make decisions about whether strategies are needed to prevent severe 
      transient exertional desaturation during walking-based exercise. Further, the 
      extent to which performance on the 1minSTS can estimate a person's 6MWD is poor. 
      For these reasons, the 1minSTS is unlikely to be helpful when prescribing 
      walking-based exercise.
CI  - Copyright (c) 2023 Australian Physiotherapy Association. Published by Elsevier B.V. 
      All rights reserved.
FAU - Watson, Kathryn
AU  - Watson K
AD  - Physiotherapy Department, Fiona Stanley Hospital, Perth, Australia. Electronic 
      address: Kathryn.Watson@health.wa.gov.au.
FAU - Winship, Peta
AU  - Winship P
AD  - Physiotherapy Department, Fiona Stanley Hospital, Perth, Australia; National 
      School of Health Sciences and Physiotherapy, Notre Dame University, Perth, 
      Australia.
FAU - Cavalheri, Vinicius
AU  - Cavalheri V
AD  - Physiotherapy Department, Fiona Stanley Hospital, Perth, Australia; Allied 
      Health, Metropolitan Health Service, Perth, Australia; Curtin School of Allied 
      Health and enAble Institute, Curtin University, Perth, Australia.
FAU - Vicary, Caitlin
AU  - Vicary C
AD  - Physiotherapy Department, Fiona Stanley Hospital, Perth, Australia.
FAU - Stray, Stephanie
AU  - Stray S
AD  - Physiotherapy Department, Fiona Stanley Hospital, Perth, Australia.
FAU - Bear, Natasha
AU  - Bear N
AD  - Institute for Health Research, Notre Dame University, Perth, Australia.
FAU - Hill, Kylie
AU  - Hill K
AD  - Curtin School of Allied Health and enAble Institute, Curtin University, Perth, 
      Australia.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20230311
PL  - Netherlands
TA  - J Physiother
JT  - Journal of physiotherapy
JID - 101528691
SB  - IM
CIN - J Physiother. 2023 Jul;69(3):203. PMID: 37271693
MH  - Male
MH  - Humans
MH  - Adult
MH  - Middle Aged
MH  - Walk Test
MH  - *Exercise Test/methods
MH  - *Pulmonary Disease, Chronic Obstructive
MH  - Dyspnea
MH  - Walking/physiology
MH  - Fatigue
MH  - Exercise Tolerance
OTO - NOTNLM
OT  - 1-min STS Lung disease
OT  - Exercise testing 6MWT
OT  - Physical therapy
EDAT- 2023/03/14 06:00
MHDA- 2023/04/11 06:41
CRDT- 2023/03/13 23:01
PHST- 2022/11/16 00:00 [received]
PHST- 2023/01/12 00:00 [revised]
PHST- 2023/02/09 00:00 [accepted]
PHST- 2023/04/11 06:41 [medline]
PHST- 2023/03/14 06:00 [pubmed]
PHST- 2023/03/13 23:01 [entrez]
AID - S1836-9553(23)00002-4 [pii]
AID - 10.1016/j.jphys.2023.02.001 [doi]
PST - ppublish
SO  - J Physiother. 2023 Apr;69(2):108-113. doi: 10.1016/j.jphys.2023.02.001. Epub 2023 
      Mar 11.