Successful rehabilitation after surgical repair of hip fracture has been associated with handgrip strength but not with orthostatic hypotension in patients 65 years of age and above.

IF 2.2 4区医学 Q1 REHABILITATION

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-08-26 DOI:10.1097/PHM.0000000000002618

Abdu El Karim Hilali, David Shacham, Reut Frenkel, Ahmed Abu-Ajaj, Evgeniya Zikrin, Tamar Freud, Yan Press

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引用次数: 0

Abstract

Objective: The identification of factors associated with successful rehabilitation after hip fractures enables more successful planning of the rehabilitation process and discharge from the hospital. Orthostatic hypotension (OH) and handgrip strength (HGS) have been evaluated in previous studies as potential predictors of rehabilitation outcomes, with inconsistent results.

Design: A retrospective study of patients 65 years of age and above who underwent rehabilitation after surgical repair of hip fracture in the Geriatric Department between July 2020 and October 2023. HGS was measured during the first three days of hospitalization using a digital dynamometer. OH was measured a week after admission to the ward by the tilt table test. Successful rehabilitation was defined as a Montebello Rehabilitation Factor Score Revised (MRFS-R) above 50%.

Results: Data were collected for 253 patients. The mean age was 80.5 ± 7.7 and 32.4% were males. The mean HGS was 17.2 ± 6.6 kg. OH was diagnosed in 32.8%. 193 patients (76.3%) reached the goal of MRFS-R ≥ 50 at the end of the rehabilitation. In a logistic regression analysis HGS, cognitive state, and sex were associated with successful rehabilitation.

Conclusions: Measuring HGS, but not OH, can predict successful rehabilitation.

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在 65 岁及以上的患者中，髋部骨折手术修复后的成功康复与手握强度有关，但与正张性低血压无关。

目的：确定与髋部骨折后成功康复相关的因素有助于更成功地规划康复过程和出院。以往的研究已将直立性低血压（OH）和手握力（HGS）作为预测康复结果的潜在因素进行了评估，但结果并不一致：回顾性研究：2020 年 7 月至 2023 年 10 月期间在老年病科接受髋部骨折手术修复后进行康复治疗的 65 岁及以上患者。在住院的前三天使用数字测力计测量 HGS。入院一周后通过倾斜台测试测量OH。康复成功的定义是蒙特贝罗康复因子评分修订版（MRFS-R）超过 50%：共收集了 253 名患者的数据。平均年龄为（80.5 ± 7.7）岁，男性占 32.4%。平均体重为（17.2 ± 6.6）公斤。32.8%的患者被诊断为OH。193 名患者（76.3%）在康复结束时达到了 MRFS-R ≥ 50 的目标。在逻辑回归分析中，HGS、认知状态和性别与成功康复有关：结论：测量 HGS（而非 OH）可预测康复成功与否。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Physical Medicine & Rehabilitation 医学-康复医学

CiteScore

4.60

自引率

6.70%

发文量

423

审稿时长

1 months

期刊介绍： American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).