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Pearl · 04 of 05

The five-times sit-to-stand: a one-minute strength check

Time five sit-to-stands in clinic; 15 seconds or more points to weakness and fall risk.

Ask the person to sit in a standard chair without arms, fold their arms across the chest, and stand up fully and sit down five times as fast as they safely can. Time it with a watch.

A time of about 15 seconds or more, or inability to complete it without using the arms, suggests lower-limb weakness and raised fall risk. It needs no equipment, works in any clinic, and gives a number to track after starting an exercise programme.

  • Use a standard armless chair, arms folded across the chest
  • Time five full stands as fast as safely possible
  • Treat about 15 seconds or more, or needing the arms, as abnormal
  • Repeat after an exercise programme to measure change

Why it matters

Turns 'is the patient weak?' into a measurable, repeatable number.

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