Test-retest reliability and validity of the timed up and go test and 30-second sit to stand test in patients with pulmonary hypertension

Buse Ozcan Kahraman; Ismail Ozsoy; Bahri Akdeniz; Ebru Ozpelit; Can Sevinc; Serap Acar; Sema Savci

doi:10.1016/j.ijcard.2020.01.028

Test-retest reliability and validity of the timed up and go test and 30-second sit to stand test in patients with pulmonary hypertension

Int J Cardiol. 2020 Apr 1:304:159-163. doi: 10.1016/j.ijcard.2020.01.028. Epub 2020 Jan 15.

Authors

Buse Ozcan Kahraman¹, Ismail Ozsoy², Bahri Akdeniz³, Ebru Ozpelit³, Can Sevinc⁴, Serap Acar⁵, Sema Savci⁵

Affiliations

¹ School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey. Electronic address: buse.ozcan@deu.edu.tr.
² School of Physical Therapy and Rehabilitation, Kirsehir Ahi Evran University, Kirsehir, Turkey.
³ Department of Cardiology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.
⁴ Department of Chest Disease, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.
⁵ School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey.

PMID: 31980271
DOI: 10.1016/j.ijcard.2020.01.028

Abstract

Background: Timed up and go (TUG) and sit to stand (STS) tests that required less space and easier to be performed in respiratory and cardiac diseases for assessing functionality. Aim was to test the reliability of TUG and 30-second STS (30STS) tests and determine the validity of TUG and 30STS tests in patients with Pulmonary Hypertension (PH).

Methods: Thirty-eight patients with diagnosed PH were included. We collected TUG, 30STS, quadriceps muscle strength, physical activity level, and 6MWT. Intra-class correlation coefficient (ICC) was used to determine test-retest reliability and correlations with quadriceps muscle strength, physical activity level and 6MWT for validity of the TUG and 30STS tests.

Results: The TUG and 30STS tests were associated with age, functional class, muscle strength, physical activity and functional exercise capacity in patients with PAH (p < 0.05). 6MWT was associated with age, functional class, muscle strength, physical activity and functional exercise capacity (p < 0.05). ICC (95%) for TUG test and 30STS were 0.96 (0.93-0.98) and 0.95 (0.90-0.97), respectively.

Conclusions: The TUG and 30STS tests were reliable and valid tests for measuring physical performance in PH. This study supports using the TUG and 30STS tests as practical assessment tools in patients with PH.

Keywords: Cardiovascular diseases; Exercise tolerance; Muscle strength.

MeSH terms

Exercise Test
Humans
Hypertension, Pulmonary* / diagnosis
Hypertension, Pulmonary* / epidemiology
Muscle Strength
Postural Balance*
Reproducibility of Results
Time and Motion Studies