SICONOLFI STEP TEST

Equipment: 

  • Fitech 25cm Step with a chair alongside to provide stability
  • Timer
  • MP3 Speaker with SD Audio File
  • Pulse Oximeter

Purpose: The Siconolfi Step Test is a submaximal exercise test that can be used to assess cardiorespiratory fitness.

The test comprises of asking the participant to step up on to a portable 25cm step in time to a set beat.

Put a chair alongside the Fitech step so that participants can stabilise themselves if necessary.  Stay near to the participant during the test to provide support in the event that they catch their foot or need assistance.

There are three stages to the test, and the stepping rate increases at each stage.  Each beat represents a step movement (i.e., one foot up, other foot up, one foot down, other foot down, represents one complete step).

Each stage lasts 3 minutes in duration with a 1 minute rest period.  If the participant is unable to maintain the required step rate, the test is stopped.  Heart rate is monitored at set points during the test, and this data must be quickly entered into PharmOutcomes.  The system will alert you if the participant’s heart rate is above 85% of the maximum predicted heart rate and the test should be stopped.

Demonstrate the test to the participant.

  • Before starting the Step test, check and record the participant’s heart rate at rest using the pulse oximeter and enter into PharmOutcomes.
  • To start the test run the Siconolfi Step Test MP3 speaker and as the stage 1 beat begins, start the timer
  • When the stage 1 beat stops, record the participant’s heart rate immediately using the pulse oximeter.  Allow the participant to sit down to recover if needed.

Enter this value into PharmOutcomes.  

If the participant’s heart rate is above 85% of the maximum predicted heart rate, you need to stop the test.

 


  • Re-start the timer as the stage 2 beat begins and instruct the participant to resume stepping
  • When the stage 2 beat stops, record the participant’s heart rate immediately using the pulse oximeter.  Allow the participant to sit down to recover if needed.

Enter this value into PharmOutcomes.

 


IF THE PARTICIPANT IS UNABLE TO KEEP UP WITH THE BEAT AT ANY STAGE:

Encourage them to try and keep up with the beat (twice)

If the participant is still unable to increase their pace, or appears to be struggling ASK HIM TO STOP, then:

  • Measure the participant’s heart rate immediately using the pulse oximeter
  • Record the test level (1, 2 or 3)
  • Record the number of seconds completed at this level

Enter ALL these data into PharmOutcomes.

If the participant has any practical difficulty doing the test (for example, has difficulty maintaining balance or complains of hip/knee problems), please record this in the notes section on PharmOutcomes.