Department of Physiotherapy, Izmir University of Economics, Vocational School of Health Services, Sakarya St. No: 156, 35330, Balcova, Izmir, Turkey.
Department of Physical Therapy and Rehabilitation, Health Sciences University İzmir Bozyaka Training and Research Hospital, İzmir, Turkey.
Ir J Med Sci. 2023 Oct;192(5):2173-2178. doi: 10.1007/s11845-022-03238-w. Epub 2022 Dec 2.
The globalization of healthcare systems, and the aim to lower healthcare costs have all contributed to the growth of telehealth technology in recent years. However, before these systems are put into use, their efficacy should be verified. To the best of our knowledge, this is the first study focusing on the evaluation of functional exercise capacity using the 30-s sit-to-stand (30-s STS) test as a tele-assessment method in patients with type 2 diabetes mellitus (T2DM).
The purpose of the study is to investigate the level of agreement between tele-assessment and face-to-face assessment of 30-s STS test in patients with T2DM.
Fifty participants performed two times 30-s STS tests separated by 1 h: a face-to-face and an Internet-connected video call examination (tele-assessment). Two physiotherapists conduct these evaluations; each was blinded to the other. The order of the evaluations was designated at random for each participant and physiotherapist.
There was a good level of agreement between tele-assessment and face-to-face assessment of the 30-s STS test (mean differences = 0.20 ± 0.88, limits of agreement = 1.93 to - 1.53). Excellent interrater reliability was found for scores of the 30-s STS test [ICC = 0.93 (95% CI: 0.88; 0.96)]. In addition, all before and after test parameters show that there was a very good interrater reliability (ρ ≥ 0.75).
This study shows a good level of agreement between tele-assessment and face-to-face assessment of the 30-s STS test. Our study's findings indicate that tele-assessment is a potential application to determine the level of physical capacity remotely in patients with T2DM.
医疗系统的全球化以及降低医疗成本的目标都促成了近年来远程医疗技术的发展。然而，在这些系统投入使用之前，应该验证其疗效。据我们所知，这是第一项专注于使用 30 秒坐立测试（30-s STS）评估 2 型糖尿病患者（T2DM）功能运动能力的研究。
本研究旨在探讨 T2DM 患者 30-s STS 测试的远程评估与面对面评估之间的一致性水平。
50 名参与者在 1 小时内进行两次 30-s STS 测试：面对面和互联网视频通话检查（远程评估）。由两名物理治疗师进行评估；每位治疗师都对另一位治疗师的评估结果进行盲法。为每位参与者和治疗师指定了评估顺序的随机。
30-s STS 测试的远程评估与面对面评估之间存在良好的一致性（平均差异=0.20±0.88，协议范围=1.93 至-1.53）。30-s STS 测试的评分具有极好的组内相关系数（ICC=0.93[95%CI：0.88；0.96]）。此外，所有前后测试参数均表明具有极好的组内相关系数（ρ≥0.75）。
本研究表明，30-s STS 测试的远程评估与面对面评估之间具有良好的一致性。我们的研究结果表明，远程评估可能是一种潜在的应用，可以远程确定 T2DM 患者的身体能力水平。
