Comparisons Between Frail and Non-Frail Hospitalized Patients in Muscle Strength and Range of Motion After Hip Fracture Surgery: A Single-Blind Experimental Study
Source abstract
Abstract
Frailty has emerged as a critical determinant of clinical outcomes in elderly patients, shaping postoperative recovery in crucial orthopedic events, such as hip fractures. The purpose of the present study is to examine the impact of frailty syndrome on muscle strength and joint range of motion in the non-fractured lower extremity and upper extremities of hospitalized older adults following hip fracture surgery. The sample consisted of 60 elderly patients recovering from either intracapsular or extracapsular hip fractures. Participants were categorized into either a frail or non-frail group, determined by the Clinical Frailty Scale. The outcome measures of muscle strength and range of motion of the upper and lower extremities were assessed by valid instruments, including a hand-held dynamometer, the Medical Research Council scale, and a digital goniometer. Statistical comparisons between groups were conducted using the independent samples t-test and the Mann–Whitney U test. The results showed that the non-frail group demonstrated greater active range of motion in the shoulder bilaterally (right: t = −2.85, left: U = 628.00, p < 0.05), elbow flexion bilaterally (right: U = 589.50, left: U = 592.50, p < 0.05), hip flexion (U = 679.50, p < 0.01), knee extension (t = −3.07, p < 0.05), and ankle dorsiflexion (t = −2.36, p < 0.05). Regarding the muscle strength, the non-frail group showed significantly higher grip strength bilaterally (right: U = 754.50, left: U = 713.50, p < 0.001), as well as greater strength in hip flexion (U = 641.00, p < 0.01) and ankle dorsiflexion (U = 619.50, p < 0.01). Frailty may negatively influence the muscle strength and joint mobility in non-fractured extremities, thereby hindering postoperative physical recovery in older adults with hip fractures. Further research involving a larger and more homogeneous sample may predict falls in elderly patients after hip or knee surgery using the Clinical Frailty Scale.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Frailty in Older Adults · Nutrition and Health in Aging · Hip and Femur Fractures
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Physiotherapy, School of Health Sciences, University of Peloponnese, 23100 Sparta, Greece
Physiotherapy Clinic, Asklepeion Voulas, 16673 Athens, Greece
Orthopaedic and Trauma Department, “Evaggelismos” General Hospital, 10676 Athens, Greece
Laboratory of Basic Sciences, Department of Physiotherapy, School of Health Sciences, University of Peloponnese, 23100 Sparta, Greece
Laboratory of Biomechanics, Department of Physiotherapy, School of Health Sciences, University of Peloponnese, 23100 Sparta, Greece
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