Longitudinal Changes of Handgrip, Knee Extensor Muscle Strength, and the Disability of the Arm, Shoulder and Hand Score in Cardiac Patients During Phase II Cardiac Rehabilitation

Abstract

Handgrip strength (HS) and knee extensor muscle strength (KEMS) showed a negative correlation with the Disabilities of the Arm, Shoulder, and Hand (DASH) score at one month following cardiac surgery. We performed a longitudinal study to examine changes in HS/KEMS and DASH score during phase II cardiac rehabilitation (CR) in patients after cardiac surgery. We measured and assessed HS, KEMS, and DASH score in 41 consecutive patients at one and three months following cardiac surgery and examined the relation between these factors at three months following cardiac surgery. Wilcoxon signed-rank test and Spearman correlation coefficients were used to analyze the results. Finally, 26 patients (63.2 years, 73.1% male) were analyzed. There were significant differences from one month to three months following cardiac surgery in HS (26.78 ± 8.26 to 31.35 ± 9.41 kgf, p < 0.001), KEMS (1.53 ± 0.42 to 1.72 ± 0.46 Nm/kg, p = 0.001), and DASH score (14.76 ± 12.58 to 7.62 ± 9.29, p < 0.001). DASH score correlated negatively with HS (r = −0.41, p = 0.01) but not with KEMS (r = −0.32, p = 0.09) after three months of phase II CR. Although HS, KEMS, and DASH scores changed significantly from one to three months following cardiac surgery during phase II CR, only HS correlated negatively with DASH score at three months following cardiac surgery.

A cross-sectional study to assess an association between upper extremity function and functional walking capacity in chronic stroke survivors

“…Additionally, we found a correlation between the paretic HGS, the DASH and the SIS (hand function domain) in our study population, which can be explained by the fact the handgrip strength reflects ADL 34 as well as the general muscle fitness 27,28 of a stroke patient during performance of the test. Similarly, in another study handgrip strength was negatively correlated to the DASH in cardiac patients 35 .…”

Changes in Physical and Psychological States with Respect to the Gender of Outpatients Receiving Rehabilitation at Geriatric Health Services Facilities during the COVID-19 State of Emergency

“…Outpatients attended rehabilitation at the geriatric health services facility once, twice, or three times per week for 20 min/session during the state of emergency [ 11 ]. Each session comprised a warm-up period, upper and lower limb and body stretches, resistance training, aerobic exercise, and cooldown period [ 11 ]. Exercise intensity was such that heart rate was maintained at a perceived exertion rating of 11–13 on the Borg scale as reported previously [ 7 , 11 ].…”

“…Each session comprised a warm-up period, upper and lower limb and body stretches, resistance training, aerobic exercise, and cooldown period [ 11 ]. Exercise intensity was such that heart rate was maintained at a perceived exertion rating of 11–13 on the Borg scale as reported previously [ 7 , 11 ]. Data on the characteristics of the participants were from their medical records; age, sex, body mass index (BMI), long-term care insurance level, living alone, diagnosis, and medications were evaluated.…”

“…Gait speed [ 11 ], timed up and go test [ 12 ], handgrip strength [ 11 , 13 ], and maximum phonation time [ 14 ] were assessed as indices of physical status, as in our previous study [ 7 ].…”

Did the Physical and Psychological States of Outpatients Receiving Rehabilitation at a Geriatric Health Services Facility Decline during the State of Emergency Caused by the COVID-19 Pandemic?

“…In the first session, outpatients performed a series of upper and lower limb and body stretches before and after the exercise. Exercise intensity was performed to maintain heart rate at a rating of perceived exertion of 11–13 on the Borg scale as based on a previous method [ 6 ].…”