Hand grip strength as a functional predictor after hip fracture surgery in Egyptian older adults
Attia Amer, S., Adel Abd Elgelil, A., El Said, S., Abdelazim Mohamed, H., Naim Adly, N. (2023). Hand grip strength as a functional predictor after hip fracture surgery in Egyptian older adults. EKB Journal Management System, 10(1), 33-42. doi: 10.21608/ejgg.2023.314679
Sanabel Attia Amer; Ahmed Adel Abd Elgelil; Salma El Said; Haytham Abdelazim Mohamed; Nermien Naim Adly. "Hand grip strength as a functional predictor after hip fracture surgery in Egyptian older adults". EKB Journal Management System, 10, 1, 2023, 33-42. doi: 10.21608/ejgg.2023.314679
Attia Amer, S., Adel Abd Elgelil, A., El Said, S., Abdelazim Mohamed, H., Naim Adly, N. (2023). 'Hand grip strength as a functional predictor after hip fracture surgery in Egyptian older adults', EKB Journal Management System, 10(1), pp. 33-42. doi: 10.21608/ejgg.2023.314679
Attia Amer, S., Adel Abd Elgelil, A., El Said, S., Abdelazim Mohamed, H., Naim Adly, N. Hand grip strength as a functional predictor after hip fracture surgery in Egyptian older adults. EKB Journal Management System, 2023; 10(1): 33-42. doi: 10.21608/ejgg.2023.314679

Hand grip strength as a functional predictor after hip fracture surgery in Egyptian older adults

The Egyptian Journal of Geriatrics and Gerontology
Article 4, Volume 10, Issue 1, March 2023, Page 33-42  XML PDF (458.22 K)
Document Type: Original Article
DOI: 10.21608/ejgg.2023.314679
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Authors
Sanabel Attia Amer* 1; Ahmed Adel Abd Elgelil1; Salma El Said1; Haytham Abdelazim Mohamed2; Nermien Naim Adly1
1Geriatrics and Gerontology Department, Faculty of Medicine, Ain Shams University.
2Orthopedic Department, Faculty of Medicine, Ain Shams University.
Abstract
Background: Elderly hip fractures can result in mortality and impairment, which is a serious health concern. Reduced muscle strength exposes the elderly to risk for hip fractures and affects how they regain physical function. Since handgrip strength (HGS) is a measure of overall muscle strength, it may be a valuable parameter to predict functional outcomes after hip fractures.
Objective: To evaluate the impact of HGS measured early after a hip fracture and its role in predicting the 3-month functional outcome by assessing the activity of daily living (ADL) following hip fracture surgery.
Methods: This is a prospective cohort study with a 3-month follow-up after hip fracture surgery involving 40 elderly aged ≥60 years admitted to the orthopaedic department of Ain Shams University Hospital. Demographic characteristics, cognitive state, and ADL of the elderly are considered in a comprehensive geriatric evaluation. Muscle strength was assessed by JMAR Hydraulic Hand Dynamometer early after the hip fracture and the postoperative functional outcome was followed by using ADL.
Results: There is a statistically significant relation between patients’ HGS and ADL before and after surgery, where 95.5% of patients with weak HGS having assisted ADL after 3 months of operation, while those with normal HGS showed 38.9% with independent ADL and 61.1% having assisted ADL.
Conclusion: The current study confirms that HGS evaluated at hospital admission in patients with hip fractures plays a predictive role in the postoperative functional outcome. Therefore, it's necessary to incorporate HGS assessment into the evaluation of hip fracture patients in the acute phase.

Keywords
Hip fracture; Hand grip strength; Activity of daily living
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