The relationship between upper extremity functional performance and anthropometric features and the quality criteria of cardiopulmonary resuscitation

Abstract

Objectives: This study aims to examine the effect of upper extremity performance using the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) on cardiopulmonary resuscitation (CPR) quality criteria according to the European Resuscitation Council (ERC) Guidelines for Resuscitation 2015, including chest compression rate, depth, and recoil. Patients and methods: This simulation-based study included 105 paramedic students (43 males, 62 females; median age: 19 years; range, 18 to 20 years) attending a two-year paramedic program between February 2018 and April 2018. The CKCUEST was used to determine upper extremity performance scores, including the touch number, normalized, and power score of the paramedic students. A TrueCPR® feedback device was used to measure CPR quality criteria throughout the study. The characteristics of the providers, such as height, weight, body mass index (BMI), and fat-free mass were also analyzed. Results: Adequate compression depth had a positive correlation with body fat-free mass (r=0.397, p<0.001), power score (r=0.326, p=0.001), height (r=0.326, p=0.001), weight (r=0.314, p=0.001), and BMI (r=0.204, p=0.037). Full chest recoil had a negative correlation with the power score (r=-0.249, p=0.010) and height (r=-0.219, p=0.025). None of the variables were significantly different between the groups with and without the correct compression rate. In the receiver operating characteristic curve analysis for power score and correct compression depth as 100%, the area under the curve was 0.845 (p<0.001). Conclusion: The power score combination of upper extremity functionality and the rescuer’s weight is the main factor affecting chest compression depth. However, this score is negatively correlated with full chest recoil.

Effect of Kinesio Tape Applied to Supraspinatus Muscle on Shoulder Scaption Strength and Upper Extremity Stability in Healthy Women Aged 20 to 30 Years: A Double Blind Randomized Controlled Trial

“…Power Score: it was calculated by multiplying 68% of the individuals contact score and dividing her weight by 15. The minimal clinically significant difference was accepted as 3.43 units for the contact score, 0.05 units for the normalized score and 18.30 units for the power score (36,37).…”

Effect of the Cervicothoracic Fascia Stretch on Thoracic Mobility in Elderly Women

“…Power Score: it was calculated by multiplying 68% of the individuals contact score and dividing her weight by 15. The minimal clinically significant difference was accepted as 3.43 units for the contact score, 0.05 units for the normalized score and 18.30 units for the power score (36,37).…”