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  • Title: Reliability and validity of the five-repetition sit-to-stand test for children with cerebral palsy.
    Author: Wang TH, Liao HF, Peng YC.
    Journal: Clin Rehabil; 2012 Jul; 26(7):664-71. PubMed ID: 22080526.
    Abstract:
    UNLABELLED: OBJECTIVE To investigate the psychometric properties of the five-repetition sit-to-stand test, a functional strength test, in children with spastic diplegia. DESIGN: Methodology study. SETTINGS: Hospital, laboratory or home. PARTICIPANTS: In total, 108 children with spastic diplegia and 62 with typical development aged from five to 12 years were tested. For test-retest reliability, 22 children with spastic diplegia were tested twice within one week. INTERVENTIONS: Not applicable. MAIN MEASURES: The five-repetition sit-to-stand test measures time needed to complete five consecutive sit-to-stand cycles as quickly as possible. The higher the rate of five-repetition sit-to-stand (repetitions per second), the more strength a person has. RESULTS: The intraclass correlation coefficients of intra-session reliability and test-retest reliability were 0.95 and 0.99 respectively. The minimal detectable difference was 0.06 rep/sec. The convergent validity of the five-repetition sit-to-stand test was supported by significant correlation with one-repetition maximum of the loaded sit-to-stand test, isometric muscle strength, scores of Gross Motor Function Measure, and gait function (r or rho = 0.40-0.78). For known group validity, children with typical development and children classified as Gross Motor Function Classification System level I performed higher rates of five-repetition sit-to-stand than children classified as level II, and children classified as level II performed higher rates than level III. CONCLUSION: The five-repetition sit-to-stand test was a reliable and valid test to measure functional muscle strength in children with spastic diplegia in clinics.
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