Videoconference-Based Physical Performance Tests: Reliability and Feasibility Study

Int J Environ Res Public Health. 2022 Jun 9;19(12):7109. doi: 10.3390/ijerph19127109.

Abstract

Validated tools to evaluate physical performance remotely with real-time supervision are lacking. We assessed test−retest and inter-rater reliability, as well as the feasibility of carrying out the five-repetition sit-to-stand (5RSTS), kneeling push-up (KPU) and Shirado−Ito trunk flexor endurance (SIF) tests by 1:1 real-time videoconference. We also evaluated the correlation of these tests with measures of self-reported physical fitness, physical activity, health state and pain. A total of 96 healthy adults participated in the study (18−65 years). Relative and absolute reliabilities were assessed with the intraclass correlation coefficient (ICC) and standard error of measurement (SEM), respectively. Feasibility outcomes included testing duration, participant acceptability (1−5 Likert scale) and presence of adverse events. Self-reported measures were obtained with validated online questionnaires, and correlations were analyzed with Pearson’s partial correlation coefficients controlling for age. ICCs were excellent (>0.9), and SEMs were generally low (2.43−16.21%). The mean duration of all tests was <5 min, mean acceptability was ≥4.5, and adverse events were few. The KPU showed statistically significant correlations with various self-reported measures (p < 0.05). In conclusion, the 5RSTS, KPU and SIF were reliable and feasible when conducted by 1:1 real-time videoconference. This study provides a tool that could be logistically and economically advantageous.

Keywords: fitness test; intraclass correlation coefficient; standard error of measurement; tele-assessment; tele-health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Feasibility Studies
  • Humans
  • Physical Fitness*
  • Physical Functional Performance*
  • Reproducibility of Results
  • Videoconferencing

Grants and funding

A.E. is a recipient of a predoctoral grant from the Basque Government (Eusko Jaurlaritza), grant number PRE_2020_2_0163. The Ageing On Research Group is supported by the University of the Basque Country (UPV/EHU), aid number GIU20/06.