Handgrip Strength is an Independent Predictor of Functional Outcome in Hip-Fracture Women

Abstract

The objective of this study was to investigate the contribution of handgrip strength in predicting the functional outcome after hip fracture in women.We prospectively investigated white women (N = 193 of 207) who were consecutively admitted to a rehabilitation hospital after a hip fracture. We measured handgrip strength with a Jamar dynamometer (Lafayette Instrument Co, Lafayette, IN), on admission to rehabilitation. Ability to function in activities of daily living was assessed by the Barthel index both on discharge from rehabilitation and at a 6-month follow-up.We found significant correlations between handgrip strength measured before rehabilitation and Barthel index scores assessed both on discharge from rehabilitation (ρ = 0.52, P < 0.001) and after 6 months (ρ = 0.49, P < 0.001). Significant associations between handgrip strength and Barthel index scores persisted after adjustment for age, comorbidities, pressure ulcers, medications in use, concomitant infections, body mass index, hip-fracture type, and Barthel index scores assessed both preinjury and on admission to rehabilitation (P = 0.001). Further adjustments for both Barthel index scores and Timed Up-and-Go test assessed at rehabilitation ending did not erase the significant association between handgrip strength and the Barthel index scores at the 6-month evaluation (P = 0.007). To define successful rehabilitation, we categorized the Barthel index scores as either high (85 or higher) or low (<85). The adjusted odds ratio for 1 SD increase in grip strength was 1.73 (95% confidence interval [CI] 1.05–2.84, P = 0.032) for having a high Barthel index score at the end of inpatient rehabilitation and 2.24 (95% CI 1.06–5.18) for having a high Barthel index score at the 6-month follow-up.Handgrip strength assessed before rehabilitation independently predicted the functional outcome both after inpatient rehabilitation and at a 6-month follow-up in hip-fracture women.

Relations between quantitative ultrasound assessment of calcaneus and grip and key pinch power in Japanese mountain village residents

“…Several reports have described the relation between BMD and osteoporosis and grip strength. [13][14][15][16][17][18] Recognizing bone health using a simple method such as grip strength assessment is important. Few reports in the relevant literature have described an association between grip and key pinch strength and osteoporosis and the QUS of calcaneus.…”

Comparative Analysis on the Effects of Sarcopenia following Primary Total Knee Arthroplasty: A Retrospective Matched-Control Analysis

“…4,8,21 Considering the nature of orthopaedic surgery, and importance of muscle strength in surgical outcomes, these implications may likely be magnified in orthopaedic patients. [22][23][24][25][26] Therefore, the purpose of our study was to utilize a nationwide administrative claims database and investigate the effects of sarcopenia following primary TKA. Specifically, we evaluated whether sarcopenia patients have higher rates of (1) in-hospital lengths of stay (LOS); (2) medical complications; (3) implant-related complications; (4) fall risk; (5) lower extremity fracture risk; and (6) costs of care.…”

Preinjury Factors that Influence the Outcome of Patients with Hip Fracture

“…The BI is recognized as a good indicator of activity in aged patients [22]. A BI score <60 at admission is associated with surgical delay and in-hospital mortality [16]; several studies report a cut-off value of 85 for functional recovery [23,24]. Thus, accurate evaluation of the preinjury BI may help to predict functional recovery post-surgery.…”