Grip strength and functional recovery after hip fracture: An observational study in elderly population

Alvarez, María; Bonnardeaux, P. López-Dóriga; Thuissard, Israel; Sanz-Rosa, David; Muñana, Estefanía Arias; Galindo, Rafael; Cerezo, J.F. Gómez

doi:10.1016/j.eurger.2016.05.002

Cited by 10 publications

(33 citation statements)

References 19 publications

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“…The results of our investigation are consistent with data from previous studies confirming the prognostic role of handgrip strength [12–17]. However, it is not easy to compare present results with other studies addressing this subject.…”

Section: Discussionsupporting

confidence: 92%

“…First, handgrip strength was assessed at various time points in different studies. There are only two studies evaluating the prognostic value of handgrip strength measured in the acute setting [16, 17]. Savino et al showed that handgrip strength measured at hospital admission significantly predicted walking recovery 12 months after hip [16].…”

Section: Discussionmentioning

confidence: 99%

“…Savino et al showed that handgrip strength measured at hospital admission significantly predicted walking recovery 12 months after hip [16]. Alvarez MN et al concluded that HGS asessed in the first hours after hospital admission for hip fracture surgery is an indicator of functional recovery after three months [17]. It is well known that muscle mass is maintained during the first 10 days, although it subsequently diminishes [26, 27].…”

Section: Discussionmentioning

confidence: 99%

“…Hand grip strength (HGS) assessment is an objective measure of overall body muscle strength and physical function [7, 8], an important measure for frailty [9], and sarcopenia [10, 11]. Various studies have shown the prognostic value of hand grip strength in patients with hip fracture [12–17]. However, very few have been carried out in the acute phase [16, 17], but there are no studies which have been carried out using the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria [3] to define clinically relevant hand grip weakness.…”

Section: Introductionmentioning

confidence: 99%

“…Various studies have shown the prognostic value of hand grip strength in patients with hip fracture [12–17]. However, very few have been carried out in the acute phase [16, 17], but there are no studies which have been carried out using the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria [3] to define clinically relevant hand grip weakness.…”

Section: Introductionmentioning

confidence: 99%

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Can early assessment of hand grip strength in elderly hip fracture patients predict functional outcome?

Selakovic¹,

Dubljanin-Raspopovic

Marković-Denić

et al. 2019

Preprint

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Decreased muscle strength is not only a risk factor for hip fracture in elderly patients, but plays a role in recovery of physical function. Our aim was to assess the role of grip strength measured early after hip fracture, and classified according to the EWGSOP2 criteria in predicting short- and long-term functional recovery. One hundred ninety-one patients with acute hip fracture consecutively admitted to an orthopaedic hospital have been selected. A multidimensional geriatric assessment evaluating sociodemographic variables, cognitive status, functional status and quality of life prior to fracture, as well as perioperative variables were performed. Follow-ups at 3 and 6 months after surgery were carried out to evaluate functional recovery. Multivariate regression models were used to assess the predictive role of handgrip strength. The mean age of the participants was 80.3 ±6.8 years. Thirty-five percent of our patients with clinically relevant hand grip strength weakness were significantly older, more often female, had a lower BMI, and were of worse physical health. They also had a lower cognitive level, lower Barthel index, and lower EQ5D scores before fracture. Multivariate regression analysis adjusted for age and gender revealed that hand grip weakness was an independent predictor of worse functional outcome at 3 and 6 months after hip fracture for both genders and in all age populations. Our study supports the prognostic role of hand grip strength assessed at hospital admission in patients with hip fracture. Thus, clinicians should be encouraged to include hand grip assessment in their evaluation of hip fracture patients in the acute setting in order to optimize treatment of high-risk individuals.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Can early assessment of hand grip strength in elderly hip fracture patients predict functional outcome?

Selakovic¹,

Dubljanin-Raspopovic

Marković-Denić

et al. 2019

Preprint

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Handgrip strength predicts 1-year functional recovery and mortality in hip fracture patients

et al. 2020

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Handgrip strength effectiveness and optimal measurement timing for predicting functional outcomes of a geriatric hip fracture

Han

Kim

2022

Sci Rep

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Handgrip strength (HGS) now draws attention as one of the predictors of outcomes following geriatric hip fracture; however, its effectiveness and the optimal time to assess HGS remain unknown. Herein, we aimed to determine the usefulness of HGS in predicting the outcomes of geriatric hip fracture and to find the most effective time to measure HGS in both the low muscle strength and normal hip fracture groups. The study was performed prospectively for 79 geriatric hip fracture patients. HGS was measured during the admission period and the one-week postoperative period. Walking ability and quality of life were assessed using Koval scores and the European Quality of Life Five Dimension (EQ-5D) scale at the admission period and postoperatively at 3, 6, and 12 months, respectively. The relationship between pre/postoperative HGS and functional outcomes was assessed, and the functional score between the “low muscle strength” and “normal muscle strength” groups was compared. The association between HGS asymmetry and low strength with functional limitations was determined. For the preoperative HGS, the Koval score showed a significant relationship in the postoperative 6-month (r = −0.295, P = 0.008) and 12-month (r = −0.266, P = 0.019) periods; also, the EQ-5D score showed a significant relationship in the postoperative 6-month and 12-month periods (r = 0.344, P < 0.001, and r = 0.386, P = 0.001, respectively). For the postoperative HGS, the Koval score showed a significant relationship in the 6-month (r = −0.432, P < 0.001) and 12-month (r = −0.344, P = 0.002) postoperative periods. Also, the EQ-5D score showed a significant relationship in the 3-month (r = 0.340, P = 0.010), 6-month (r = 0.476, P < 0.001), and 12-month (r = 0.471, P < 0.001) postoperative periods. The incidence of preoperative and postoperative low HGS was 78.5% and 70.9%, respectively. The “low-strength” group had poor Koval scores and EQ-5D at postoperative month 12 and poor functional outcomes earlier in the follow-up (postoperative 6- and 12-month Koval scores and postoperative 3-, 6-, and 12-month EQ-5D), respectively (P = 0.008 and P = 0.003; P = 0.003, P = 0.001, and P = 0.001). The effect of HGS asymmetry and low strength on functional limitations remained undetermined. Both preoperative and postoperative HGS reflected functional outcomes of patients with hip fracture during the 12-month follow-up. Postoperative HGS had a higher prognostic value than preoperative HGS.

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Grip strength and functional recovery after hip fracture: An observational study in elderly population

Cited by 10 publications

References 19 publications

Can early assessment of hand grip strength in elderly hip fracture patients predict functional outcome?

Can early assessment of hand grip strength in elderly hip fracture patients predict functional outcome?

Handgrip strength predicts 1-year functional recovery and mortality in hip fracture patients

Handgrip strength effectiveness and optimal measurement timing for predicting functional outcomes of a geriatric hip fracture

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