Efficacy and possible benefits of using the sit to stand test (5 repetitions or 1 minute) instead of the 6-minute walk test in pulmonary emphysema patients

Aydın Balcı; Suphi Aydın; Sibel Günay; Muhammet Emin Düz; Şule Çilekar; Sinan Saraçlı; Yaşar İnkaya

doi:10.26900/hsq.2752

Authors

Aydın Balcı Afyonkarahisar Health Sciences University / Türkiye 0000-0002-6723-2418
Suphi Aydın Afyonkarahisar Health Sciences University / Türkiye 0000-0003-2102-0484
Sibel Günay Ankara City Hospital / Türkiye 0000-0001-6085-417X
Muhammet Emin Düz Amasya Sabuncuoğlu Training and Research Hospital / Türkiye 0000-0002-1837-6415
Şule Çilekar Afyonkarahisar Health Sciences University / Türkiye 0000-0001-8659-955X
Sinan Saraçlı Balıkesir University / Türkiye 0000-0003-4662-8031
Yaşar İnkaya Afyonkarahisar Health Sciences University / Türkiye 0009-0005-8390-7656

10.26900/hsq.2752

Abstract

To evaluate which test is more tolerable to exhaled nitric oxide (FeNO) measurements with 5 repetitions of sit to stand test (5 RSTS) and 1-minute sit to stand test (1 MSTS) and 6 MWT in chronic obstructive pulmonary disease (COPD) patients with pulmonary emphysema phenotype. This study included 128 participants with pulmonary emphysema phenotype and 67 healthy participants. 6-minute walking test (6 MWT), 1 MSTS, and 5 RSTS tests were applied to the participants, respectively. Severity of dyspnea (with Modified Borg Scale), heart rate, pulse oxygen saturation (SpO₂, by pulse oximetry) during tests. Pulmonary function (with spirometry), quadriceps femoris muscle strength (with manual muscle testing), and FeNO measurements (with Bedfont NObreath) were evaluated. Both STS and 6 MWT outputs were lower in pulmonary emphysema patients than in healthy participants (p<0.05). In 6 MWT test, SPO₂ decrease, pulse increase, FeNO increase was statistically significant in pulmonary emphysema patients. While 1 MSTS was more sensitive in predicting the sick ones, 5 RSTS was more specific in showing the healthy ones. Both STS create less cardiac and respiratory stress compared to 6 MWT, but also less exercise load. STS are performed in a short time in the outpatient setting in patients with pulmonary emphysema, making it easier to distinguish between the patient and the healthy people, and saves work and time.

Keywords:

Pulmonary emphysema exhaled nitric oxide stand test

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References

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Efficacy and possible benefits of using the sit to stand test (5 repetitions or 1 minute) instead of the 6-minute walk test in pulmonary emphysema patients

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Şule Çilekar, Afyonkarahisar Health Sciences University / Türkiye

Sinan Saraçlı, Balıkesir University / Türkiye

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