Ability of five times sit-to-stand to determine functional limitation in people with knee osteoarthritis
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Abstract
Knee osteoarthritis (KOA), the most common form of arthritis, affects the ability to fully use the lower extremities due to pain, muscle weakness, and deformity. With the ability of the five times sit-to-stand test (FTSST) to reflect functional lower limb strength, the researchers hypothesized that outcomes of the test could detect functional limitation in these individuals. Thus, this study explored the ability of the FTSST to determine functional limitation in individuals with KOA. Ninety-three participants with KOA were cross-sectionally assessed for their health status, KOA information, FTSST, and functional limitation using a standard measure, namely the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. The findings indicated that 64 participants were those with non-functional limitation, and the rest of them (n = 29) were those with functional limitation according to the data of WOMAC. Furthermore, outcomes of the FTSST ≥ 15 seconds could excellently determine those with functional limitation (sensitivity=79%, specificity=71%, and area under the curve=0.838). As being a practical measure of the FTSST, the present findings offer an alternative strategy to detect and monitor individuals with KOA who have functional limitation, as well as indicate treatment effectiveness for these individuals.
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References
Hatfield GL, Morrison A, Wenman M, Hammond CA, Hunt MA. Clinical tests of standing balance in the knee osteoarthritis population: systematic review and meta-analysis. Phys Ther 2016; 96(3): 324-37.
Ramirez S. Activity limitations in osteoarthritis of the knee: influence of inflammatory, neuromuscular, biomechanical and behavioral factors [PhD. Thesis in Research and graduation internal]. Vrije Universiteit Amsterdam; 2014.
Zhang W, Doherty M, Peat G, Bierma-Zeinstra M, Arden N, Bresnihan B, et al. EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. Ann Rheum Dis 2010; 69(3): 483-9.
Kuptniratsaikul V, Tosayanonda O, Nilganuwong S, Thamalikitkul V. The epidemiology of osteoarthritis of the knee in elderly patients living an urban area of Bangkok. J Med Assoc Thai 2002; 85(2): 154-61.
Silverwood V, Blagojevic-Bucknall M, Jinks C, Jordan J, Protheroe J, Jordan K. Current evidence on risk factors for knee osteoarthritis in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage 2015; 23(4): 507-15.
Tsonga T, Michalopoulou M, Malliou P, Godolias G, Kapetanakis S, Gkasdaris G, et al. Analyzing the history of falls in patients with severe knee osteoarthritis. Clin Orthop Surg 2015; 7(4): 449.
Emrani A, Bagheri H, Hadian MR, Jabal-Ameli M, Olyaei GR, Talebian S. Isokinetic strength and functional status in knee osteoarthritis. J Phys Ther Sci 2006; 18(2): 107-14.
Rice DA, McNair PJ. Quadriceps arthrogenic muscle inhibition: neural mechanisms and treatment perspectives. Semin Arthritis Rheum 2010; 40(3): 250-66.
Alnahdi AH, Zeni JA, Snyder-Mackler L. Muscle impairments in patients with knee osteoarthritis. Sports health 2012; 4(4): 284-92.
Park HJ, Ko S, Hong HM, Ok E, Lee JI. Factors related to standing balance in patients with knee osteoarthritis. Ann Rehabil Med 2013; 37(3): 373.
Ateef M, Kulandaivelan S, Tahseen S. Test-retest reliability and correlates of 6-minute walk test in patients with primary osteoarthritis of knees. Indian J Rheumatol 2016; 11(4): 192-6.
Bieleman H, Reneman M, Van Ittersum M, Van der Schans C, Groothoff J, Oosterveld F. Self-reported functional status as predictor of observed functional capacity in subjects with early osteoarthritis of the hip and knee: a diagnostic study in the CHECK cohort. J Occup Rehabil 2009; 19(4): 345.
Söderman P, Malchau H. Validity and reliability of Swedish WOMAC osteoarthritis index: a selfadministered disease-specific questionnaire (WOMAC) versus generic instruments (SF-36 and NHP). Acta Orthop Scand 2000; 71(1): 39-46.
Bohannon RW. Test-retest reliability of the five-repetition sit-to-stand test: a systematic review of the literature involving adults. J Strength Cond Res 2011; 25(11): 3205-7.
Millington PJ, Myklebust BM, Shambes GM. Biomechanical analysis of the sit-to-stand motion in elderly persons. Arch Phys Med Rehabil 1992; 73(7): 609-17.
Takacs J, Garland SJ, Carpenter MG, Hunt MA. Validity and reliability of the community balance and mobility scale in individuals with knee osteoarthritis. Phys Ther 2014; 94(6): 866-74.
Master H, Thoma LM, Christiansen MB, Polakowski E, Schmitt LA, White DK. Minimum performance on clinical tests of physical function to predict walking 6,000 steps/day in knee osteoarthritis: an observational study. Arthritis Care Res 2018; 70(7): 1005-11.
Amano T, Suzuki N. Derivation of a clinical prediction rule to determine fall risk in community-dwelling individuals with knee osteoarthritis: a cross-sectional study. Arch Osteoporos 2019; 14(1): 1-6.
Wanaratna K, Muangpaisan W, Kuptniratsaikul V, Chalermsri C, Nuttamonwarakul A. Prevalence and factors associated with frailty and cognitive frailty among community-dwelling elderly with knee osteoarthritis. J Community Health 2019; 44(3): 587-95.
Smith TO, Higson E, Pearson M, Mansfield M. Is there an increased risk of falls and fractures in people with early diagnosed hip and knee osteoarthritis? Data from the Osteoarthritis Initiative. Int J Rheum Dis 2018; 21(6): 1193- 201.
Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Arthritis Rheum 1986; 29(8): 1039-49.
Kapstad H, Hanestad BR, Langeland N, Rustøen T, Stavem K. Cutpoints for mild, moderate and severe pain in patients with osteoarthritis of the hip or knee ready for joint replacement surgery. BMC Musculoskelet Disord 2008; 9(1): 1-9.
Motyl JM, Driban JB, McAdams E, Price LL, McAlindon TE. Test-retest reliability and sensitivity of the 20-meter walk test among patients with knee osteoarthritis. BMC Musculoskelet Disord 2013; 14(1): 1-8.
Nikolic G, Nedeljkovic B, Trajkovic G, Rasic D, Mirkovic Z, Pajovic S, et al. Pain, physical function, radiographic features, and quality of life in knee osteoarthritis agricultural workers living in rural population. Pain Res Manag 2019; 2019(1): 7684762.
Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Redfern MS, Furman JM. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Phys Ther 2005; 85(10): 1034-45.
Intaruk R, Saengsuwan J, Amatachaya S, Gaogasigam C, Thaweewannakij T. The ability of timed-up and go test and five times sit-to-stand test to screen risk of fall in well-functioning elderly. Naresaun Phayao J 2021; 14(1): 54-63.
Lopes DG, Costa D, Cruz EB, Mendonça N, Henriques AR, Branco J, et al. Association of physical activity with physical function and quality of life in people with hip and knee osteoarthritis: longitudinal analysis of a population-based cohort. Arthritis Res Ther 2023; 25(1): 14.
Khired Z, Albeladi F, Abudeyah M, Alluli M, Al Faqih A, Suwaydi A, et al. Knee pain and its influence on quality of life and physical function in Jazan adult population: A cross sectional study. Clin Epidemiol Glob Health 2023; 22: 101346.
Eriksrud O, Bohannon RW. Relationship of knee extension force to independence in sit-to-stand performance in patients receiving acute rehabilitation. Phys Ther 2003; 83(6): 544-51.
Wretenberg P, Aborelius UP. Power and work produced in different leg muscle groups when rising from a chair. Eur J Appl Physiol 1994; 68: 413-7.
Pinheiro PA, Carneiro JA, Coqueiro RS, Pereira R, Fernandes MH. “Chair stand testǂ as simple tool for sarcopenia screening in elderly women. J Nutr Health Aging 2016; 20: 56-9.