Saunders Stephanie, Reid Julie, Mehdipour Ava, D'Amore Cassandra, Kuspinar Ayse, Richardson Julie, Beauchamp Marla
School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Arch Phys Med Rehabil. 2025 Jun;106(6):926-933. doi: 10.1016/j.apmr.2024.11.011. Epub 2024 Nov 28.
To develop and evaluate virtual assessment protocols for the Timed-Up-and-Go usual and fast pace, Chair Rise-5 repetition, and the 1-minute Sit-to-Stand tests and examine their feasibility, reliability, and validity.
This was a prospective cohort study, where participants engaged in up to 2 virtual assessments and data were collected prospectively for 1 year.
Assessments took place in participants' homes in the community. Toolkits were delivered that included the required equipment and internet-enabled tablet.
Participants included a random sample of adults ≥65 years old who could walk 10 m without assistance from another person and communicate in English.
Falls and health care utilization data were collected for 1 year after initial assessments. Descriptive data were used to examine feasibility; intraclass correlation (ICC), and Pearson's/Spearman's correlation and areas under the curve (AUCs) were used to evaluate reliability and validity, respectively.
Sixty participants (mean age 76.6±5.6; 55% female) completed visit 1 and 52 completed visit 2. Technology issues were relatively common, yet no safety incidents occurred. All the virtual mobility tests demonstrated excellent test-retest (ICCs=0.86-0.95) and inter-rater (ICC=0.98-0.99) reliability. The tests had weak-to-moderate correlations with measures of physical function (r=-0.14 to -0.43) and physical activity (r=-0.19 to 0.32). Fifty-seven total falls were recorded by 28 participants (46%) over 1 year. The virtual mobility tests did not have adequate accuracy for predicting falls (AUCs=0.53-0.59), specialist (AUCs=0.48-0.60), family doctor (AUCs=0.48-0.59), or rehabilitation professional visits (AUCs=0.65-0.67), or hospitalizations (AUCs=0.56-0.63).
Results support the feasibility and reliability of virtual administration of the Timed-Up-and-Go usual and fast pace, Chair Rise-5 repitition, and 1-minute Sit-to-Stand tests. Clinicians and researchers can use the included manuals to conduct these tests virtually. Future research should examine the clinical utility of these tests for remote monitoring and mobility assessment.
制定并评估定时起立行走常规速度和快速速度、5次椅子起立以及1分钟坐立试验的虚拟评估方案，并检验其可行性、可靠性和有效性。
这是一项前瞻性队列研究，参与者进行了多达2次虚拟评估，并前瞻性收集了1年的数据。
评估在社区参与者家中进行。提供了工具包，其中包括所需设备和联网平板电脑。
参与者包括年龄≥65岁、能够在无人协助下行走10米且能用英语交流的成年人随机样本。
在初次评估后1年收集跌倒和医疗保健利用数据。描述性数据用于检验可行性；组内相关系数（ICC）以及Pearson/Spearman相关系数和曲线下面积（AUC）分别用于评估可靠性和有效性。
60名参与者（平均年龄76.6±5.6岁；55%为女性）完成了第1次访视，52名完成了第2次访视。技术问题相对常见，但未发生安全事件。所有虚拟移动性测试均显示出极好的重测信度（ICC=0.86 - 0.95）和评分者间信度（ICC=0.98 - 0.99）。这些测试与身体功能指标（r=-0.14至-0.43）和身体活动指标（r=-0.19至0.32）的相关性较弱至中等。28名参与者（46%）在1年内共记录了57次跌倒。虚拟移动性测试在预测跌倒（AUC=0.53 - 0.59）、专科医生就诊（AUC=0.48 - 0.60）、家庭医生就诊（AUC=0.48 - 0.59）、康复专业人员就诊（AUC=0.65 - 0.67）或住院（AUC=0.56 - 0.63）方面没有足够的准确性。
结果支持定时起立行走常规速度和快速速度、5次椅子起立以及1分钟坐立试验虚拟管理的可行性和可靠性。临床医生和研究人员可以使用随附手册进行这些虚拟测试。未来的研究应检验这些测试在远程监测和移动性评估方面的临床效用。
