Banca de DEFESA: NATÁLIA LOPES CARDOSO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : NATÁLIA LOPES CARDOSO
DATE: 25/03/2022
TIME: 08:30
LOCAL: videoconferência
TITLE:

Psychometrics properties of the sit to stand test for patients with Pulmonary Hypertension: a sistematic review

KEY WORDS:

Pulmonary hypertension; sit-to-stand test; psychometric properties

PAGES: 50
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Pulmonary hypertension (PH) is considered a complex clinical syndrome due to increased pulmonary arterial pressure. Patients present with limitations of daily activities, dyspnea related to exercise, muscle dysfunction and functional decline. Currently, the tools for indirect assessment of exercise tolerance are performed by field tests and among them the sit-to-stand test (STS). The STS protocol was used in this population, so different tests with valid and effective measures were established as properties of measurements in the selection of PH. Objective: To determine properties such as properties (validity, reliability, internal reliability and measurement error), hypothesis testing for construct validity and responsiveness) and durability of the different STS protocols in measurements with HP. Methods: This is a systematic review that included studies with patients with PH who were evaluated by the STS test (1 minute (1-STS), 30 seconds (30-STS) or 5 repetitions (5rep-STS)). Searches were performed on PubMed/MEDLINE, EMBASE, SciELO, Cochrane Library, and Web of Science platforms following the PICOT strategy (Population: adults with PH; Intervention: assessment of exercise capacity with the STS; Comparator: control group or values of reference; Outcomes: psychometric properties; Type of studies: randomized or quasirandomized clinical trials and observational studies) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). We used Rayyan software for export, data analysis and study selection. The risk of bias was conducted by the ConsensusBased Standards for the Selection of Health Measurement Instruments (COSMIN) manual and the evidence quality analysis by the modified Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). The protocol was submitted on the PROSPERO platform (CRD42021244271). All evaluation steps were conducted by two independent researchers, in case of disagreement, a third evaluator was consulted. Results: 6,357 articles were identified, of which 1,310 articles were excluded due to duplication. Of the 5,047 remaining articles that went on to analyze titles and abstracts, only 7 went on to full-text analysis and of these only 3 (González-Saiz et al., 2017, Kahraman et al., 2020 and Nakazato et al., 2021) articles were included for analysis, assessment of risk of bias and quality of evidence. Four psychometric properties were evaluated: 2 studies assessed convergent validity, one study assessed cross-group validity, one assessed responsiveness, and one assessed reliability. Of these, 3 psychometric properties obtained moderate quality of evidence, the responsiveness of the 5-STS (7.5 ± 1.4 to 6.0 ± 1.1 (p<0.001)), the convergent validity of the 30-STS (30- STS vs 6MWD r= 0.660 p<0.001) and 1-STST (1- STST vs Accelerometer r= 0.593 p= 0.006). One study showed a low quality of evidence on the validity between groups of 30-STS (30-STS and NYHA Class II 13.68 (3.34) vs 30-STS and NYHA Class III 10.25 (3.49); p= 0.004) and another very low on the reliability of the 30-STS (ICC 0.95 (0.90–0.97). Conclusion: We conclude that there is a scarcity of studies on STS protocols in HP and, given the findings, we can infer that the 30-STS was considered responsive, and that the 30-STS and 1- STS protocols showed valid convergent validity in HP. The validity between groups and reliability showed methodological deficits that made it impossible to be considered reliable. Thus, we suggest that more studies with a larger sample size and with methodological rigor are necessary for the indication and interpretation of the use of STS in the population with PH

BANKING MEMBERS:
Externa à Instituição - ARMELE DE FATIMA DORNELAS DE ANDRADE - UFPE
Externa ao Programa - 2211023 - ILLIA NADINNE DANTAS FLORENTINO LIMA
Externa ao Programa - 2646588 - JOCELINE CASSIA FEREZINI DE SA
Presidente - 5566309 - VANESSA REGIANE RESQUETI FREGONEZI