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5-times sit-to-stand test (5xSST)

Indications: - assessment of age-related functional capacity - evaluation of falls in the elderly - assessment of whether Navajo patient can safely remain in hogan [1] Clinical significance: - tests lower extremity strength & transitional movement - osteoarthritis of the knee may inhibit transitional movement - tests for orthostasis or vestibular disorder - orthostasis should probably be excluded prior to testing [1] - tests balance Procedure: - timed test - with arms wrapped around chest, patient stands & then sits 5 times (use of arm rests not allowed) - in one variant the patient is given 30 seconds, in another 1 minute Interpretation: - > 11.4 seconds to complete suggests risk of falls * 1 minute sit-to-stand superior to 30 seconds in elderly women [4] Notes: - get-up-&-go test & assessing ability to get down & up from the floor more informative

Related

get up & go test (timed up & go, TUG)

General

functional assessment

References

  1. Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016 - Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
  2. Cheng YY, Wei SH, Chen PY et al Can sit-to-stand lower limb muscle power predict fall status? Gait Posture. 2014 Jul;40(3):403-7. Epub 2014 Jun 11. PMID: 24974126
  3. Ardali G, States RA, Brody LT et al. The relationship between performance of sit-to-stand from a chair and getting down and up from the floor in community-dwelling older adults. Physiother Theory Pract. 2020 Aug 6:1-12 PMID: 32757803 https://www.tandfonline.com/doi/abs/10.1080/09593985.2020.1802796
  4. Cruz-Montecinos C, Castro RT, Otto-Yanez M et al Which sit-to-stand test best differentiates functional capacity in older people? Am J Phys Med Rehabil. 2024 Apr 1 PMID: 38630944 https://journals.lww.com/ajpmr/abstract/9900/which_sit_to_stand_test_best_differentiates.459.aspx