Relationship between 6-minute walk test and 1-minute sit to stand test in patients with COVID-19: A retrospective analysis

Safa Liyaqatali Honpode 1 *, Reema Shankar Rajam 1, Bhavana Suhas Mhatre 2, Snehal Sunil Sawant 1 Vibhawari Manoj Wagh 1 and Saraswati Iyer 3

1 Post-Graduate Student, Physiotherapy School & Centre, Seth. G.S. Medical College & KEM Hospital, Parel, Mumbai-12, India.
2 Professor, Physiotherapy School & Centre, Seth. G.S. Medical College & KEM Hospital, Parel, Mumbai-12, India.
3 Professor and Head, Physiotherapy School & Centre, Seth. G.S. Medical College & KEM Hospital, Parel, Mumbai-12, India.
 
Research Article
World Journal of Advanced Research and Reviews, 2021, 12(02), 470–477
Article DOI: 10.30574/wjarr.2021.12.2.0619
 
Publication history: 
Received on 15 October 2021; revised on 20 November 2021; accepted on 22 November 2021
 
Abstract: 
Background: Coronavirus disease (COVID-19) is an infectious disease, causing a range of symptoms such as fever, cough, and dyspnea. 6 Minute walk test (6MWT) is recommended to measure functional capacity in COVID-19. 1- Min sit to stand (STS-1) test has been used as its alternative in various respiratory conditions. This retrospective study aims to explore the relationship between the two tests in patients with COVID-19.
Patients and methods: The medical records of COVID-19 patients in a male step down unit, referred for physical therapy between the periods from 5th September, 2020 to 25th September, 2020 were analysed retrospectively. Hemodynamically stable patients who underwent 6MWT and STS-1 prior to discharge, were included in the analysis. SPSS Version 24 was used to find the correlation between 6-min walk distance (6MWD) and number of repetitions in STS-1; and to compare the haemodynamic responses between the two tests.
Results: There was a statistically significant positive correlation between the 6MWD and the STS⁻¹ repetitions (r=0.75, p<0.0001). On comparison of the two tests, the change in heart rate (HR) was significantly greater in the STS⁻¹ (p = 0.027). Whereas, the change in dyspnea (modified Borg’s score) and SpO2 was similar in both the groups and was not statistically significant (p= 0.10, p=0.62; respectively).
Conclusion: There is a significant correlation between the 6MWT and STS⁻¹ test with similar haemodynamic response and can perhaps be used as an alternative to 6MWT in COVID-19.
 
Keywords: 
COVID-19; 6-Minute Walk Test; 1- Minute sit to stand; Correlation
 
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