CS. Chair Stand
CS. Chair Stand Module of SHARE 2013
Start of CS. Chair Stand
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CS001
The next test measures the strength and endurance in your legs. I would lik e you to fold your arms across your chest and sit so that your feet are on the floor; then standup k eeping your arms folded across your chest. Lik e this...
THE NEXT TEST MEASURES THE STRENGTH AND ENDURANCE IN YOUR LEGS. I WOULD LIK E YOU TO FOLD YOUR ARMS ACROSS YOUR CHEST AND SIT SO THAT YOUR FEET ARE ON THE FLOOR; THEN STANDUP K EEPING YOUR ARMS FOLDED ACROSS YOUR CHEST. LIK E THIS...
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1 Continue
THE NEXT TEST MEASURES THE STRENGTH AND ENDURANCE IN YOUR LEGS. I WOULD LIK E YOU TO FOLD YOUR ARMS ACROSS YOUR CHEST AND SIT SO THAT YOUR FEET ARE ON THE FLOOR; THEN STANDUP K EEPING YOUR ARMS FOLDED ACROSS YOUR CHEST. LIK E THIS...
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1 Continue
If The next test measures the strength and endurance in your legs. I would lik e you to fold your arms across your chest and sit so that your feet are on the floor; then standup k eeping your arms folded across your chest. Lik e this... (CS001) <> EMPTY »
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CS002
Do you think it would be safe for you to try to stand up from a chair without using your arms?
DO YOU THINK IT WOULD BE SAFE FOR YOU TO TRY TO STAND UP FROM A CHAIR WITHOUT USING YOUR ARMS?
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1 Yes
5 No
DO YOU THINK IT WOULD BE SAFE FOR YOU TO TRY TO STAND UP FROM A CHAIR WITHOUT USING YOUR ARMS?
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1 Yes
5 No
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If Do you think it would be safe for you to try to stand up from a chair without using your arms? (CS002) = 1 Yes
5 No
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CS003
IWER:Setup test and follow protocol according to recording book let.
IWER:SETUP TEST AND FOLLOW PROTOCOL ACCORDING TO RECORDING BOOK LET.
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1 Continue
IWER:SETUP TEST AND FOLLOW PROTOCOL ACCORDING TO RECORDING BOOK LET.
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1 Continue
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CS004
IWER:Record single chair stand test results
IWER:RECORD SINGLE CHAIR STAND TEST RESULTS
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1 R stood up without using arms
2 R used arms to stand up
3 Test not completed
IWER:RECORD SINGLE CHAIR STAND TEST RESULTS
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1 R stood up without using arms
2 R used arms to stand up
3 Test not completed
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If IWER:Record single chair stand test results (CS004) = 3 »
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CS005
IWER:Why didn't R complete the single chair stand test?{CodeAll}
IWER:WHY DIDN'T R COMPLETE THE SINGLE CHAIR STAND TEST?{CODEALL}
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1 Tried but unable
2 R could not stand unassisted
3 R felt it would not be safe
4 IWER felt it would not be safe
5 R refused or was not willing to complete the test
6 R did not understand the instructions
97 Other (Specify)
IWER:WHY DIDN'T R COMPLETE THE SINGLE CHAIR STAND TEST?{CODEALL}
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1 Tried but unable
2 R could not stand unassisted
3 R felt it would not be safe
4 IWER felt it would not be safe
5 R refused or was not willing to complete the test
6 R did not understand the instructions
97 Other (Specify)
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If 97 IN CS005 »
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Else
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DUMMY
DUMMY
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Else
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If IWER:Record single chair stand test results (CS004) = 1 R stood up without using arms
2 R used arms to stand up
3 Test not completed
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CS007
Do you think it would be safe for you to try to stand up from a chair five times without using your arms?
DO YOU THINK IT WOULD BE SAFE FOR YOU TO TRY TO STAND UP FROM A CHAIR FIVE TIMES WITHOUT USING YOUR ARMS?
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1 Yes
5 No
DO YOU THINK IT WOULD BE SAFE FOR YOU TO TRY TO STAND UP FROM A CHAIR FIVE TIMES WITHOUT USING YOUR ARMS?
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1 Yes
5 No
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If Do you think it would be safe for you to try to stand up from a chair five times without using your arms? (CS007) = 1 Yes
5 No
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CS008
TimeFive
PLEASE STAND UP STRAIGHT AS QUICKLY AS YOU CAN, WITHOUT STOPPING IN BETWEEN. AFTER STANDING UP EACH TIME, SIT DOWN AND THEN STAND UP AGAIN. KEEP YOUR ARMS FOLDED
ACROSS YOUR CHEST. I’LL BE TIMING YOU WITH A STOPWATCH. WHEN I SAY “READY, STAND” I WILL BEGIN TIMING YOU.
[IWER: RECORD TIME IN SECONDS USED FOR 5 STANDS. TYPE 99 IF R FAILED TO COMPLETE 5 STANDS IN ONE MINUTE]
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0..99
PLEASE STAND UP STRAIGHT AS QUICKLY AS YOU CAN, WITHOUT STOPPING IN BETWEEN. AFTER STANDING UP EACH TIME, SIT DOWN AND THEN STAND UP AGAIN. KEEP YOUR ARMS FOLDED
ACROSS YOUR CHEST. I’LL BE TIMING YOU WITH A STOPWATCH. WHEN I SAY “READY, STAND” I WILL BEGIN TIMING YOU.
[IWER: RECORD TIME IN SECONDS USED FOR 5 STANDS. TYPE 99 IF R FAILED TO COMPLETE 5 STANDS IN ONE MINUTE]
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0..99
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If TimeFive (CS008) = 99 »
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CS009
IWER:Why didn't R complete the five chair stand test?{CodeAll}
IWER:WHY DIDN'T R COMPLETE THE FIVE CHAIR STAND TEST?{CODEALL}
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1 Tried but unable
2 R could not stand unassisted
3 R felt it would not be safe
4 IWER felt it would not be safe
5 R refused or was not willing to complete the test
6 R did not understand the instructions
97 Other (Specify)
IWER:WHY DIDN'T R COMPLETE THE FIVE CHAIR STAND TEST?{CODEALL}
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1 Tried but unable
2 R could not stand unassisted
3 R felt it would not be safe
4 IWER felt it would not be safe
5 R refused or was not willing to complete the test
6 R did not understand the instructions
97 Other (Specify)
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If 97 IN CS009 »
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CS011
IWER:How much effort did R give to this measurement?
IWER:HOW MUCH EFFORT DID R GIVE TO THIS MEASUREMENT?
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1 R gave full effort
2 R was prevented from giving full effort by illness, pain, or other symptoms or discomforts
3 R did not appear to give full effort, but no obvious reason for this
IWER:HOW MUCH EFFORT DID R GIVE TO THIS MEASUREMENT?
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1 R gave full effort
2 R was prevented from giving full effort by illness, pain, or other symptoms or discomforts
3 R did not appear to give full effort, but no obvious reason for this
End of CS. Chair Stand