RT Journal Article
T1 Responsiveness and Minimal Clinically Important Difference of the Five Times Sit-to-Stand Test in Patients with Stroke.
A1 Agustín, Rodrigo Martín-San
A1 Crisostomo, Mª José
A1 Sánchez-Martínez, Mª Piedad
A1 Medina-Mirapeix, Francesc
K1 5STS
K1 FAC
K1 MCID
K1 gait speed
K1 responsiveness
K1 severity level
K1 stages
K1 stroke
AB This study aimed to analyze the responsiveness of the 5STS test among stroke patients and to estimate the MCIDs (minimal clinically important differences) for different severity levels of community ambulation and stages of recovery. The 5STS and comparator instruments (gait speed and Functional Ambulatory Category (FAC)) were evaluated at baseline. These measures were repeated at 4 (Stage 1) and 8 weeks (Stage 2), together with the Global Rating of Change (GROC). The MCIDs were calculated with two anchor-based methods using the GROC as the external criterion. Responsiveness to change for the 5STS was estimated analyzing the correlation with changes in the two comparator instruments and their capacity to discriminate improvement. For the 5STS test, while the MCIDs of the limited community ambulators were similar in the two stages (around 3 s), those of the household ambulators decreased from 1.9 s to 0.72 s. Spearman's rho coefficients showed an acceptable correlation between changes in 5STS and changes for both the FAC and gait speed changes in both stages of recovery. Our study revealed that the 5STS is responsive to functional changes in patients with stroke and that their degree of severity and stage of recovery influence the MCID values of the 5STS.
YR 2021
FD 2021-02-26
LK https://hdl.handle.net/10668/25064
UL https://hdl.handle.net/10668/25064
LA en
DS RISalud
RD Apr 13, 2025