Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Handgrip Strength but not Appendicular Lean Mass is an Independent Predictor of Functional Outcome in Hip-Fracture Women: A Short-Term Prospective Study (2014) |
Auteurs : | Marco Di Monaco ; Carlotta Castiglioni ; Elena De Toma |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/9, 2014) |
Article en page(s) : | p. 1719-1724 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Absorptiométrie photonique ; Composition corporelle ; Muscles ; Rééducation et réadaptation |
Mots-clés: | Body composition ; Absorptiometry ; Photon ; Hand strength ; Force de préhension manuelle ; Hip fractures ; Fractures de la hanche ; Skeletal ; Muscles squelettiques |
Résumé : |
Objective To investigate the contribution of muscle mass and handgrip strength in predicting the functional outcome after hip fracture in women. Design Observational study. Setting Rehabilitation hospital. Participants White women (N=123 of 149) who were consecutively admitted to a rehabilitation hospital because of their first fracture of the hip. Interventions Not applicable. Main Outcome Measures We measured appendicular lean mass (aLM) by dual-energy x-ray absorptiometry (DXA) 21.1+8.7 (mean + SD) days after hip fracture occurrence in the 123 women. On the same day, we assessed grip strength at the nondominant arm with a dynamometer. At the end of acute inpatient rehabilitation we measured the ability to function in activities of daily living by using the Barthel Index, and lower limb performance by using the Timed Up and Go (TUG) test. Results We found significant correlations between handgrip strength measured before rehabilitation and Barthel Index scores after rehabilitation (ρ=.50; P<.001 barthel index effectiveness p and the tug test conversely we found no significant correlations between alm scores after rehabilitation or associations grip strength all outcome measures persisted adjustment for potential confounders including before age number of medications comorbidities pressure ulcers concomitant infections time fracture occurrence assessment> Conclusions Grip strength, but not DXA-assessed aLM, significantly predicted short-term functional outcome in women after a hip fracture. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931400286X |