远程管理短体适能电池、1 分钟坐站测试和住院后 COVID-19 患者的切斯特步测试：与面对面评估建立内部可靠性和一致性。

Remote administration of the short physical performance battery, the 1-minute sit to stand, and the Chester step test in post-COVID-19 patients after hospitalization: establishing inter-reliability and agreement with the face-to-face assessment.

机构信息

Clinical Exercise Physiology & Rehabilitation Research Laboratory, Physiotherapy Department, School of Health Sciences, University of Thessaly, Volos, Greece.

First Department of Critical Care Medicine and Pulmonary Services, Evangelismos Hospital, Athens, Greece.

出版信息

Disabil Rehabil. 2024 Nov;46(22):5334-5344. doi: 10.1080/09638288.2023.2297928. Epub 2023 Dec 29.

DOI:10.1080/09638288.2023.2297928

PMID:38156771

Abstract

PURPOSE

To assess the inter-reliability of the Short Physical Performance Battery (SPPB), the 1-min Sit to Stand test (1-MSTS), and the Chester Step Test (CST) via remote assessment in post-COVID-19 patients after hospitalization.

METHODS

Twenty-five post-COVID-19 patients randomly performed the functional tests via remote assessment using a software platform at home and via face-to-face assessment at the rehabilitation center 24-72 h apart. One day before the remote assessment, all participants had a 1-h guidance session regarding the platform use, safety instructions, and home equipment preparation.

RESULTS

Participants completed all tests for both assessment procedures without experience of adverse events. The mean age was 53 (SD = 10) years old, and the median days of hospitalization were 23 (IQR = 10-33). The inter-reliability was moderate for the total score in the SPPB: Cohen's kappa = 0.545 (95% CI: 0.234 to 0.838), excellent for the number of repetitions in the 1-MSTS: ICC = 0.977 (95% CI: 0.948 to 0.990) and good for the total number of steps in the CST: ICC = 0.871 (95% CI: 0.698 to 0.944).

CONCLUSION

Remote functional assessments for SPPB, 1-MSTS, and CST indicated moderate to excellent inter-reliability in post-COVID-19 patients after hospitalization.

摘要

目的

通过远程评估，在 COVID-19 后住院患者中评估短体适能电池（SPPB）、1 分钟坐站测试（1-MSTS）和切斯特步测试（CST）的内部可靠性。

方法

25 名 COVID-19 后住院患者随机通过远程评估在家中使用软件平台以及在康复中心面对面评估相隔 24-72 小时进行功能测试。在远程评估前一天，所有参与者都有 1 小时的平台使用、安全说明和家庭设备准备指导课程。

结果

所有参与者都在两次评估过程中完成了所有测试，没有经历不良事件。参与者的平均年龄为 53 岁（标准差=10），中位住院天数为 23 天（IQR=10-33）。SPPB 总得分的内部可靠性为中度：Cohen's kappa=0.545（95%置信区间：0.234 至 0.838），1-MSTS 重复次数的内部可靠性极好：ICC=0.977（95%置信区间：0.948 至 0.990），CST 总步数的内部可靠性良好：ICC=0.871（95%置信区间：0.698 至 0.944）。