Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Oct;31(10):1509-1516.
doi: 10.1007/s40520-019-01200-y. Epub 2019 Apr 16.

The association between hand grip strength and rehabilitation outcome in post-acute hip fractured patients

Avital Hershkovitz  1   2 , Beloosesky Yichayaou  3   4 , Ayelet Ronen  5 , Gal Maydan  5 , Natalia Kornyukov  5 , Arie Burstin  5 , Shai Brill  5   4
Affiliations

The association between hand grip strength and rehabilitation outcome in post-acute hip fractured patients

Avital Hershkovitz et al. Aging Clin Exp Res. 2019 Oct.

Abstract

Purpose: Various factors have been shown to affect the rehabilitation outcome of hip fractured patients. Considering the decrease in muscle mass with aging and its impact on mobility, we hypothesized that a relationship exists between hand grip strength and rehabilitation outcome.

Methods: We retrospectively studied 373 post-hip fracture patients, admitted for rehabilitation. Muscle strength was measured by hand grip dynamometer.

Main outcome measures: functional independence measure motor functional independence measure, motor functional independence measure effectiveness and length of stay). A favorable functional gain was defined as a motor Functional Independence Measure effectiveness score > 0.5. The Spearman correlation assessed the associations between hand grip strength and outcome measures. A multiple linear regression model tested whether hand grip strength was an independent predictor of discharge motor Functional Independence Measure scores and length of stay RESULTS: Significant correlations were found between hand grip strength and functional outcomes. A significant independent association was found between hand grip strength and discharge motor Functional Independence Measure score after adjustment for confounding demographic and clinical variables. High hand grip strength on admission was significantly associated with a greater chance of achieving a favorable functional gain (OR 1.064, 95% CI, 1.01-1.13; p = 0.032). Hand grip strength was not found to be associated with length of stay.

Conclusion: Hand grip strength is independently associated with rehabilitation outcome in post-acute frail hip fractured patients. Initial screening for hand grip strength on admission may help identify patients who require an intensive resistance exercise program.

Keywords: Frail; Hand grip strength; Hip fracture; Older people; Rehabilitation outcomes.

PubMed Disclaimer

References

    1. Haleem S, Lutchman L, Mayahi R et al (2008) Mortality following hip fracture: trends and geographical variations over the last 40 years. Injury 39:1157–1163 - DOI
    1. National Institute for Clinical Effectiveness: Clinical Guideline 124 - Hip Fracture. https://www.nice.org.uk/guidance/cg124/resources/hip-fracture-management... ). Accessed 11 Jul 2017
    1. Zuckerman JD (1996) Hip fracture. N Engl J Med 6:1519–1525 - DOI
    1. Beloosesky Y, Weiss A, Manasian M et al (2010) Handgrip strength of the elderly after hip fracture repair correlates with functional outcome. Disabil Rehabil 32:367–373 - DOI
    1. Di Monaco M, Castiglioni C, De Toma E et al (2014) Handgrip strength but not appendicular lean mass is an independent predictor of functional outcome in hip-fracture women: a short-term prospective study. Arch Phys Med Rehabil 95:1719–1724 - DOI

LinkOut - more resources