运动能力两分钟阶梯测试,Journal of Geriatric Physical Therapy

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运动能力两分钟阶梯测试
Journal of Geriatric Physical Therapy ( IF 1.5 ) Pub Date : 2019-04-01 , DOI: 10.1519/jpt.0000000000000164
Richard W Bohannon ₁ , Rebecca H Crouch

Affiliation

背景和目的：2 分钟踏步测试 (TMST) 是测量运动能力的众多替代方法之一。TMST 于 1999 年作为高级体能测试的一部分首次推出，其优点是空间有限，只需几分钟时间，并且不需要昂贵的设备。尽管有这些优点，但如果要推荐，该测试必须在临床上是可靠的。因此，我们试图总结解决 TMST 性能和测量特性的文献。方法：通过搜索 3 个电子数据库（PubMed、Scopus 和 Cumulative Index of Nursing and Allied Health）和手动搜索来确定相关文献。包含一篇文章要求它描述了 Rikli 和 Jones 的 TMST 的使用，并且它专注于成年人。以英语以外的语言发表的文章被排除在外。研究被抽象为关于参与者、TMST 描述和发现的信息。结果和讨论：根据纳入和排除标准，30 篇文章被认为是合适的。研究的参与者包括居住在社区的健康老年人和患有各种疾病的成年人。研究描述了进行 TMST 的各种方法。在整整 2 分钟内对一侧的步数进行计数的测试中，人群的平均步数从慢性中风患者的 29.1 到老年骨质疏松女性的 110.8 不等。许多经过审查的研究为 TMST 的有效性提供了支持。只有一项研究涉及可靠性，而没有一项研究关注响应性。提供了规范性数据。结论： TMST 自首次推出以来已被广泛使用，尽管并不总是如最初描述的那样。有相当多的证据证明该测试的有效性，但其可靠性和响应性尚未确定。

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Two-Minute Step Test of Exercise Capacity

Background and Purpose: The 2-minute step test (TMST) is one of many alternatives for measuring exercise capacity. First introduced in 1999 as part of the Senior Fitness Test, the TMST has the advantage of requiring limited space, only a few minutes' time, and no expensive equipment. These advantages notwithstanding, the test must be clinimetrically sound if it is to be recommended. We sought therefore to summarize the literature addressing TMST performance and measurement properties. Methods: Relevant literature was identified by searches of 3 electronic databases (PubMed, Scopus, and Cumulative Index of Nursing and Allied Health) and hand searches. Inclusion of an article required that it described use of the TMST of Rikli and Jones and that it focused on adults. Articles published in a language other than English were excluded. Studies were abstracted for information on participants, TMST description, and findings. Results and Discussion: Thirty articles were deemed appropriate based on inclusion and exclusion criteria. The participants in the studies included community-dwelling healthy older adults and adults with assorted pathologies. Studies described varied methods of conducting the TMST. Among tests in which steps for one side were counted over a full 2 minutes, the mean number of steps among populations ranged from 29.1 for patients with chronic stroke to 110.8 for older osteoporotic women. Numerous reviewed studies provide support for the validity of the TMST. Only one study addressed reliability and none focused on responsiveness. Normative data have been proffered. Conclusions: The TMST has been widely used since first introduced, albeit not always as originally described. There is considerable evidence for the validity of the test, but its reliability and responsiveness are not yet firmly established.

更新日期：2019-04-01

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