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Unsupervised Functional Capacity Testing at Home: A Systematic Review.

Debbie de Graaf1, Alex J van 't Hul2, Stella M M Thissen3,4

  • 1Donders Institute for Brain, Cognition and Behavior, Department of Neurology, Center of Expertise for Parkinson and Movement Disorders, R914, Radboud University Medical Center, Postbus 9101, 6500 HB, Nijmegen, The Netherlands. Debbie.degraaf@radboudumc.nl.

Sports Medicine - Open
|May 27, 2026
PubMed
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This summary is machine-generated.

Home-based functional capacity tests using wearable technology are feasible for older adults with chronic diseases. The 6-Minute Walk Test (6MWT) with smartphone apps shows promise, but more research is needed on clinimetric properties.

Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Physical functioning is crucial for older adults, impacting disability and mortality.
  • Functional capacity assessment is key but often requires clinical settings.
  • Wearable technology offers potential for home-based functional capacity testing.

Purpose of the Study:

  • To systematically review home-based functional capacity tests for individuals with chronic diseases.
  • To evaluate the clinimetric properties of these tests when using wearable technology.
  • To identify feasible and reliable methods for remote functional capacity assessment.

Main Methods:

  • Systematic literature review of PubMed and CINAHL databases.
  • Inclusion of clinical trials on clinimetric properties of home-based functional capacity tests (unsupervised or remotely supervised).
Keywords:
Chronic diseaseFunctional capacityHome-basedRemoteTelemedicine

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  • Extraction of clinimetric data using COSMIN guidelines by two independent raters.

    • Main Results:

    • 29 articles were included, focusing on the 6-Minute Walk Test (6MWT), Timed-Up-and-Go, 30s Sit-To-Stand, and step tests.
    • The 6MWT, when performed with smartphone applications, demonstrated acceptable validity and reliability.
    • Limited clinimetric data were available for most other tested functional capacity assessments.

    Conclusions:

    • Home-based functional capacity testing is feasible for people with chronic diseases.
    • The 6MWT using smartphone applications shows acceptable clinimetric properties.
    • Further research is necessary to establish widespread application in research and clinical practice.