Cardoso Natália L, de Sá Joceline F, do Nascimento Larissa F E, Mendes Luciana A, Bruno Selma, Torres-Castro Rodrigo, Blanco Isabel, Fregonezi Guilherme A F, Resqueti Vanessa R
Laboratory of Technological Innovation in Rehabilitation and PneumoCardioVascular Lab/HUOL, Onofre Lopes University Hospital, Brazilian Company of Hospital Services (EBSERH), Universidade Federal do Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil.
Laboratory of Cardiorespiratory and Metabolic Assessment - CORE/HUOL, Onofre Lopes University Hospital, Brazilian Company of Hospital Services (EBSERH), Universidade Federal do Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil.
Braz J Phys Ther. 2025 Jul-Aug;29(4):101223. doi: 10.1016/j.bjpt.2025.101223. Epub 2025 May 9.
Pulmonary hypertension (PH) is defined as an increase in mean pulmonary arterial pressure, often accompanied by indicators such as dyspnea on exertion, exercise intolerance, and systemic muscle dysfunction. Various protocols exist that can indirectly assess these indicators through the sit-to-stand test (STST).
Assess the psychometric properties of different STST protocols in patients with PH.
This study is a systematic review. We searched the PubMed, EMBASE, SciELO, Cochrane Central Register of Controlled Trials (CENTRAL), and Web of Science databases. The risk of bias was assessed using the COSMIN tool and the certainty of evidence using the modified Recommendations, Assessment, Development, and Evaluation (GRADE) classification. Two investigators evaluated independently, and a third evaluator was consulted as needed.
Out of a total of 7933 articles identified, only 5 articles met the criteria for inclusion in the analysis. Four psychometric properties were assessed across the five protocols used. The 1-STST protocol provided high-quality evidence for both convergent validity and responsiveness. The 30-STST protocol showed moderate-quality evidence for convergent validity and responsiveness, while the 5-STST also demonstrated moderate-quality evidence for responsiveness. The between-groups validity and reliability of the 30-STST protocol were considered to be low and very low, respectively.
Despite the limited number of studies, we can infer that the most commonly used protocol is the 1-STST, which has a high degree of convergent validity and responsiveness when compared to other assessment tools.
肺动脉高压（PH）定义为平均肺动脉压升高，常伴有诸如劳力性呼吸困难、运动不耐受和全身肌肉功能障碍等指标。存在多种可通过坐立试验（STST）间接评估这些指标的方案。
评估不同STST方案在PH患者中的心理测量学特性。
本研究为系统评价。我们检索了PubMed、EMBASE、SciELO、Cochrane对照试验中央注册库（CENTRAL）和科学引文索引数据库。使用COSMIN工具评估偏倚风险，使用改良的推荐意见、评估、制定和评价（GRADE）分类法评估证据的确定性。两名研究者独立评估，必要时咨询第三位评估者。
在总共识别出的7933篇文章中，只有5篇文章符合纳入分析的标准。对所使用的五个方案评估了四种心理测量学特性。1-STST方案为收敛效度和反应性提供了高质量证据。30-STST方案显示出收敛效度和反应性的中等质量证据，而5-STST方案也显示出反应性的中等质量证据。30-STST方案的组间效度和信度分别被认为较低和非常低。
尽管研究数量有限，但我们可以推断最常用的方案是1-STST，与其他评估工具相比，它具有高度的收敛效度和反应性。
