Evidence map›Paper›PMID 42201599›Full record

SynthesisSports medicine - open2026

Unsupervised Functional Capacity Testing at Home: A Systematic Review.

Debbie de Graaf, Alex J van 't Hul, Stella M M Thissen, Nienke M de Vries, Bastiaan R Bloem

Abstract readSystematic Review
In one paragraph

Synthesis in Sports medicine - open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Debbie de GraafDonders 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.ORCID http://orcid.org/0009-0002-9508-2004
Alex J van 't HulRadboud Institute for Health Sciences, Department of Respiratory Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.
Stella M M ThissenDonders 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.
Nienke M de VriesDonders 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.
Bastiaan R BloemDonders 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.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical functioning is closely linked to disability and mortality in older people. An important aspect of physical functioning is functional capacity, which can be measured with wearable technology. It is, however, unclear which tests can be completed using wearable technology and what the clinimetric properties of such measurements are. The objective was to systematically review home-based functional capacity tests and their clinimetric properties in people with a chronic disease.

methodsPubMed and CINAHL were used to find relevant articles. Clinical trials studying clinimetric properties including people with any type of cancer, chronic cardiovascular, pulmonary, or neurological disorder or people undergoing elective surgery were included in this review. Additionally, studies using an unsupervised or remotely supervised home-based functional capacity test were included. Information on clinimetric properties was extracted by two independent raters using the COSMIN guidelines. Relevant information was registered.

resultsWe included 29 articles, studying the 6-Minute Walk Test (6MWT) (n = 19), the Timed-Up-and-Go (n = 6), the 30 s Sit-To-Stand test (n = 2) and the step test (n = 2). The 6MWT with a smartphone-based application showed acceptable results for validity and reliability. For most other approaches, there was limited information available on clinimetric properties.

conclusionsThis review shows that at home testing of functional capacity is feasible, although evidence on its clinimetric properties remains limited. The 6MWT has been studied most widely, showing acceptable results when performing the test using smartphone applications in people with chronic diseases. Further research is needed before these tests can be widely applied in both research and clinical care.

Indexed as

Chronic diseaseFunctional capacityHome-basedRemoteTelemedicine

Identifiers

PMID42201599
PMCPMC13216383

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.