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单腿坐-站测试评估年轻人单侧下肢肌力的临床计量学特性。

Clinimetric properties of the one-leg sit-to-stand test in examining unilateral lower limb muscle strength among young adults.

机构信息

Department of Occupational Therapy, Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.

Department of Physical Therapy, Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.

出版信息

Int J Clin Pract. 2020 Sep;74(9):e13556. doi: 10.1111/ijcp.13556. Epub 2020 Jun 18.

DOI:10.1111/ijcp.13556
PMID:32459876
Abstract

BACKGROUND

One-leg sit-to-stand (one-leg STS) test is a new clinical test developed to measure the unilateral lower limb (LE) muscle strength among young adults. This study examined the test-retest reliability and the criterion-concurrent validity of the one-leg STS.

METHODS

Forty young adults (mean age ± SD, 28.07 ± 5.39 years) participated in the study. The one-leg STS test was administered in two separate assessment sessions to examine test-retest reliability. Two-leg STS test was administered and the performance time was measured. The concentric peak strength of hip flexors/extensors, knee flexors/extensors and ankle dorsi-flexors/plantar-flexors were determined using an isokinetic dynamometer. An intraclass correlation coefficient (ICC) was used to examine the test-retest reliability of one-leg STS test. The criterion validity of the one-leg STS test was evaluated against the performance of the two-leg STS test using an independent sample t test. The concurrent validity of the one-leg STS test was evaluated by investigating the relationships between STS performance time and LE muscle strength using Pearson correlation coefficients.

RESULTS

The reliability analysis showed that one-leg STS performance time had excellent test-retest reliability (ICC  = 0.960, P < .001). Also, the one-leg STS performance time was not different between the first and second sessions, t (39) = 0.672, P = .506. The performance time of the one-leg STS test was significantly greater than the two-leg STS test (t (39) = 20.63, P < .001). The performance time of the one-leg STS test significantly correlated with the concentric peak strength of all LE muscles (P < .05).

CONCLUSIONS

The one-leg STS test demonstrated excellent reliability and criterion-concurrent validity against the two-leg STS and the LE muscle strength. The one-leg STS test was simple to administer and could be beneficial for the assessment of unilateral LE muscle strength of young adults in clinical settings.

摘要

背景

单腿坐站(one-leg STS)测试是一种新的临床测试,旨在测量年轻人的单侧下肢(LE)肌肉力量。本研究检验了单腿 STS 的测试-重测信度和效标-同时效度。

方法

40 名年轻人(平均年龄 ± 标准差,28.07 ± 5.39 岁)参与了研究。单腿 STS 测试在两次单独的评估中进行,以检验测试-重测信度。进行双腿 STS 测试并测量运动时间。使用等速测力计确定髋关节屈肌/伸肌、膝关节屈肌/伸肌和踝关节背屈肌/跖屈肌的向心峰力量。使用组内相关系数(ICC)检验单腿 STS 测试的重测信度。使用独立样本 t 检验评估单腿 STS 测试的效标效度。使用 Pearson 相关系数评估单腿 STS 测试的同时效度,调查 STS 运动时间与 LE 肌肉力量之间的关系。

结果

可靠性分析表明,单腿 STS 表现时间具有极好的测试-重测信度(ICC = 0.960,P <.001)。此外,单腿 STS 表现时间在第一次和第二次测试之间没有差异,t(39)= 0.672,P = 0.506。单腿 STS 测试的运动时间明显长于双腿 STS 测试(t(39)= 20.63,P <.001)。单腿 STS 测试的运动时间与所有 LE 肌肉的向心峰力量显著相关(P <.05)。

结论

单腿 STS 测试对双腿 STS 和 LE 肌肉力量表现出极好的可靠性和效标-同时效度。单腿 STS 测试易于实施,可在临床环境中评估年轻人的单侧 LE 肌肉力量。

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