Reliability and Validity of the Supine-to-Stand Test in Patients with Multiple Sclerosis.

Background: The Supine-to-Stand Test (SST) evaluates muscle strength, flexibility, and dynamic balance. It may serve as a global measure of functional movement ability in patients with Multiple Sclerosis (pwMS). Objective: To investigate the validity and reliability of the SST in pwMS. Methods: Thir...

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Publicado en:NeuroRehabilitation Vol. 58; no. 1; pp. 93 - 103
Autores principales: Polat, Hakan, Maden, Tuba, Cengiz, Emine Kiliçparlar, Firat, Yasemin Ekmekyapar
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
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      pub: Sage Publications Inc.
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        atl: Reliability and Validity of the Supine-to-Stand Test in Patients with Multiple Sclerosis.
      aug:
        au:
          Polat, Hakan
          Maden, Tuba
          Cengiz, Emine Kiliçparlar
          Firat, Yasemin Ekmekyapar
        affil: Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, SANKO University, Gaziantep, Turkey
      sug:
        subj:
          Multiple Sclerosis Rehabilitation
          Persons with Disabilities Psychosocial Factors
          Reliability
          Instrument Validation
          Muscle Strength Evaluation
          Balance, Postural Evaluation
          Supine Position
          Standing
          Functional Assessment
          Clinical Assessment Tools
          Human
          Female
          Male
          Adult
          Middle Age
          Cross Sectional Studies
          Nonexperimental Studies
          Validation Studies
          Dynamometry
          Exercise Test
          Reproducibility of Results
          Scales
          Questionnaires
          Pliability
          Range of Motion
          Quality of Life
          Test-Retest Reliability
          Intraclass Correlation Coefficient
          Confidence Intervals
          Correlational Studies
          Evaluation Research
          Walking
          Motor Skills Evaluation
          Data Analysis Software
          Pearson's Correlation Coefficient
          Spearman's Rank Correlation Coefficient
          Power Analysis
          Descriptive Statistics
          Task Performance and Analysis
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: The Supine-to-Stand Test (SST) evaluates muscle strength, flexibility, and dynamic balance. It may serve as a global measure of functional movement ability in patients with Multiple Sclerosis (pwMS). Objective: To investigate the validity and reliability of the SST in pwMS. Methods: Thirty-four pwMS (mean EDSS score: 4.80 ± 1.13) participated in this cross-sectional observational study. Ankle plantar and dorsiflexor muscle strength was measured using a digital hand dynamometer. Manual dexterity, balance, endurance, and functional mobility were assessed using the 9-Hole Peg Test (9HPT), the Berg Balance Scale (BBS), the Six-Minute Walk Test (6MWT), and the Timed Up and Go test (TUG), respectively. The Activity-specific Balance Confidence (ABC) scale was used to identify fear of falling. Quality of life was evaluated using the Multiple Sclerosis Quality of Life-54 (MSQOL-54). Test-retest reliability was determined using the intraclass correlation coefficient (ICC). Results: The SST demonstrated excellent test-retest reliability (ICC = 0.984, 95% CI 0.801–0.995). SST performance was moderately correlated with BBS (r = -0.547, p = 0.001), TUG (r = 0.619, p < 0.001), and 6MWT (r = -0.642, p < 0.001). A moderate correlation was found between plantar flexor strength on the dominant side and SST (r = 0.349, p = 0.043), whereas no significant correlation was observed for the non-dominant side or dorsiflexor strength bilaterally (p > 0.05). SST was not correlated with 9HPT bilaterally or MSQOL-54 (p > 0.05). Conclusions: The SST is a reliable and valid tool for assessing functional movement ability in pwMS. Its significant correlations with established balance and mobility measures suggest that it may contribute to clinical decision-making, particularly in evaluating fall risk and predicting walking independence in patients with moderate disability (EDSS scores 4–6).
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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