Background <p>The Supine-to-Stand Test (SST) evaluates trunk control, muscle strength, balance, and movement coordination.</p> Aims <p>This study investigated the reliability and validity of the SST in patients with Parkinson’s disease (pwPD).</p> Methods <p>Forty-one pwPD participated in this cross-sectional study. Ankle plantar and dorsiflexor strength was measured with a digital dynamometer. Manual dexterity, balance, and functional mobility were assessed using the 9-Hole Peg Test (9HPT), Berg Balance Scale (BBS), and Timed Up and Go Test (TUG). To examine the convergent validity of the Supine-to-Stand Test (SST). Receiver operating characteristic (ROC) curve analysis was performed, and the optimal cut-off value was determined based on the best combination of sensitivity and specificity. Fear of falling was evaluated with the Activity-specific Balance Confidence (ABC) scale. Motor severity was assessed via the Unified Parkinson’s Disease Rating Scale Part III (UPDRS-III), and quality of life with the Parkinson’s Disease Quality of Life Scale (PDQ-39). Test-retest reliability was determined using the intraclass correlation coefficient (ICC).</p> Results <p>SST test-retest reliability was excellent (ICC = 0.976, 95% CI: 0.955–0.976, <i>p</i> &lt; 0.001). Ankle dorsiflexor strength was moderately positively correlated with SST time bilaterally (dominant <i>r</i> = 0.381, <i>p</i> = 0.014; non-dominant <i>r</i> = 0.341, <i>p</i> = 0.029). Age, disease duration, plantar strength, hand functions, rigidity, and quality of life showed no significant relation with SST (<i>p</i> &gt; 0.05). A moderate negative correlation existed between BBS and SST (<i>r</i>=-0.341, <i>p</i> = 0.029), while TUG and SST (<i>r</i> = 0.351, <i>p</i> = 0.024) and ABC and SST (<i>r</i> = 0.384, <i>p</i> = 0.013) were moderately positively associated.</p> Conclusion <p>SST is a reliable and valid tool for assessing functional performance in pwPD.</p>

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Reliability and validity of the supine-to-stand test in patients with Parkinson’s disease

  • Tuba Maden,
  • Hakan Polat,
  • Fatih Demi̇r

摘要

Background

The Supine-to-Stand Test (SST) evaluates trunk control, muscle strength, balance, and movement coordination.

Aims

This study investigated the reliability and validity of the SST in patients with Parkinson’s disease (pwPD).

Methods

Forty-one pwPD participated in this cross-sectional study. Ankle plantar and dorsiflexor strength was measured with a digital dynamometer. Manual dexterity, balance, and functional mobility were assessed using the 9-Hole Peg Test (9HPT), Berg Balance Scale (BBS), and Timed Up and Go Test (TUG). To examine the convergent validity of the Supine-to-Stand Test (SST). Receiver operating characteristic (ROC) curve analysis was performed, and the optimal cut-off value was determined based on the best combination of sensitivity and specificity. Fear of falling was evaluated with the Activity-specific Balance Confidence (ABC) scale. Motor severity was assessed via the Unified Parkinson’s Disease Rating Scale Part III (UPDRS-III), and quality of life with the Parkinson’s Disease Quality of Life Scale (PDQ-39). Test-retest reliability was determined using the intraclass correlation coefficient (ICC).

Results

SST test-retest reliability was excellent (ICC = 0.976, 95% CI: 0.955–0.976, p < 0.001). Ankle dorsiflexor strength was moderately positively correlated with SST time bilaterally (dominant r = 0.381, p = 0.014; non-dominant r = 0.341, p = 0.029). Age, disease duration, plantar strength, hand functions, rigidity, and quality of life showed no significant relation with SST (p > 0.05). A moderate negative correlation existed between BBS and SST (r=-0.341, p = 0.029), while TUG and SST (r = 0.351, p = 0.024) and ABC and SST (r = 0.384, p = 0.013) were moderately positively associated.

Conclusion

SST is a reliable and valid tool for assessing functional performance in pwPD.