Resumen
Este estudio evaluó la fiabilidad de la prueba de sentarse y levantarse cinco veces (FTSST) realizada de forma remota y síncrona por pacientes con esclerosis múltiple recidivante-remitente.
Se evaluó la fiabilidad intra e inter evaluador mediante el análisis del tiempo de ejecución registrado en dos llamadas de video diferentes y en dos evaluadores diferentes.
Los resultados mostraron una excelente fiabilidad intra e inter evaluador, con valores de ICC cercanos a 1 y valores de SEM y MDC bajos.
En consecuencia, la FTSST realizada de forma remota y síncrona por pacientes con esclerosis múltiple es confiable y puede utilizarse para la evaluación y seguimiento de la fuerza muscular en las extremidades inferiores.
Fiabilidad de la prueba FTSST en esclerosis múltiple y beneficios de la evaluación remota
La prueba FTSST ha demostrado ser confiable en pacientes con esclerosis múltiple, siendo de gran interés para los fisioterapeutas. Además, la evaluación remota de la fuerza muscular es beneficiosa para las clínicas de fisioterapia, permitiendo un seguimiento efectivo y seguro de los pacientes en tratamientos.
Abstract original
Reliability of the five times sit to stand test performed remotely by multiple sclerosis patients
Introduction: Multiple Sclerosis, known main cause of non-traumatic neurological disability in adults, leads to changes in muscle strength, especially in the lower limbs. Assessing muscle strength in these patients is thus essential and can be achieved by the Five Times Sit to Stand Test (FTSST), commonly performed in person. Due to the COVID-19 pandemic and social distancing measured adopted, Brazilian physiotherapists turned to remote monitoring and assessment, supported by Resolution n° 516/2020, which required proving the reliability of tests. Given this scenario, this study sought to evaluate the intra- and inter-rater reliability of the Five Times Sit to Stand Test performed remotely and synchronously by multiple sclerosis patients.
Methods: A sample of 33 individuals with relapsing-remitting Multiple Sclerosis (18 women and 15 men, mean age 43.7 ± 13.4 years) were remotely and synchronously by video call. Inter-rater reliability was evaluated by analyzing FTSST execution time, in seconds, timed by two different raters on the same video call. In turn, intra-rater reliability was assessed by analyzing the execution time recorded in two different video calls made by the same rater, within a 24-28-h interval. Descriptive and inferential data analysis were performed using SPSS 20.0 software. Means and standard deviation were calculated for descriptive statistic. Intraclass correlation coefficient (ICC), with a 0.05 significance level, standard error of measurement (SEM) and minimal detectable change (MDC) were calculated for inferential analysis.
Results: Data analysis showed excellent ICC values and low SEM and MDC values regarding inter-rater reliability (ICC: 0.993 (0.986-0.996); p-value: <0.001; SEM: 0.6 s; MDC: 1.6 s) and intra-rater reliability (ICC: 0.962 (0.925-0.981); p-value: <0.001; SEM: 1.4 s; MDC: 3.8 s).
Conclusion: Based on these values, FTSST performed remotely and synchronously by relapsing-remitting Multiple Sclerosis patients is reliable and can be used both by different raters, for assessment, or by the same rater, in pre- and post-test situations.
| Autores | Felipe Colmeneiro Dos Santos Cláudia Tarragô Candotti Luciano Palmeiro Rodrigues |
| revista | Mult Scler Relat Disord |
| DOI | 10.1016/j.msard.2023.104654 |