Validated functional tests in hospitalized and non-hospitalized individuals: systematic review
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Abstract
Objective: To conduct a systematic review of the functional tests validated in different profiles of hospitalized and non-hospitalized individuals and to evaluate the psychometric evidence for reliability and validity. Methods: This is a systematic review. The databases EMBASE, MEDLINE, Lilacs and SciELO were used with the descriptors Functional Tests (Walk Test, Gait Speed Test, Chair Stand Test, Timed Up and Go, Step Test), Validation Studies as Topic and synonyms. Validation studies of functional tests were included in hospitalized or non-hospitalized individuals who used the criteria of validity and/or reliability and related the tests to different variables. These articles could be longitudinal or cross-sectional observational or validation studies that used data from clinical trials. Articles that did not present significant characteristics of the sample and the description of the test were excluded. Results: The search resulted in 36,150 articles, and 89 were included. The studies were organized in tables with information such as author, year, validation criteria, sample, test, associated variables and results. The quality of the articles was assessed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Conclusion: Functional tests are valid and reliable for assessing hospitalized and non-hospitalized individuals and are associated with muscle strength, ability to walk, postural control, activities of daily living, risk of falls, hospitalization, and mortality.
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