Clinical effectiveness of grip strength in predicting ambulation of elderly inpatients

MR Beseler,1 C Rubio,1 E Duarte,1 D Hervás,2 MC Guevara,1 M Giner-Pascual,1 E Viosca1 1Physical Medicine and Rehabilitation, La Fe Hospital, Valencia, Spain; 2Statistical Unit, La Fe Hospital, Valencia, Spain Background: Assessing the clinical effectiveness of measuring grip strength as...

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Autores principales:	Beseler MR, Rubio C, Duarte E, Hervás D, Guevara MC, Giner-Pascual M, Viosca E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Gait Elderly Hand Grip Physical Therapy Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/9a1db1328adf4215a5dc02d93904a9be
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spelling	oai:doaj.org-article:9a1db1328adf4215a5dc02d93904a9be2021-12-02T06:12:56ZClinical effectiveness of grip strength in predicting ambulation of elderly inpatients1178-1998https://doaj.org/article/9a1db1328adf4215a5dc02d93904a9be2014-11-01T00:00:00Zhttps://www.dovepress.com/clinical-effectiveness-of-grip-strength-in-predicting-ambulation-of-el-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998MR Beseler,1 C Rubio,1 E Duarte,1 D Hervás,2 MC Guevara,1 M Giner-Pascual,1 E Viosca1 1Physical Medicine and Rehabilitation, La Fe Hospital, Valencia, Spain; 2Statistical Unit, La Fe Hospital, Valencia, Spain Background: Assessing the clinical effectiveness of measuring grip strength as a prognostic tool in recovering ambulation in bed-confined frail elderly patients. Methods: A prospective study was carried out with 50 elderly inpatients (mean age: 81.6 years old). Manual muscle test was used for checking strength of hip flexor muscles, hip abductor muscles and knee extensor muscles. Grip strength was assessed by hydraulic dynamometer. Walking ability was assessed by functional ambulation categories and Functional Classification of Sagunto Hospital Ambulation. Existence of cognitive impairment (Short Portable Mental Status of Pfeiffer) and comorbidity (abbreviated Charlson index) were considered to be confounding variables. Statistical analysis: Simple comparisons and mixed models of multiple ordinal regression. Results: The sample presented generalized weakness in scapular (mean 4.22) and pelvic (mean 3.82) muscle. Mean hand grip values were similar: 11.98 kg right hand; 11.70 kg left hand. The patients had lost walking ability. After treatment, there was a statistically significant for scapular waist strength (P=0.001), pelvic waist strength (P=0.005) and walking ability (P=0.001). A statistically significant relationship in the regression analysis was found between the grip (right and left hands) and walking ability post-treatment (P=0.009; odds ratio 1.14 and P=0.0014 odds ratio 1.113 for each walking scale). The confounding variables showed no statistical significance in the results.Conclusion: Grip strength is associated with walking ability in hospitalized frail elderly. Grip strength assessment by hydraulic dynamometry is useful in patients with poor collaboration. Walking ability training in frail elderly inpatients is useful. Keywords: gait, elderly, hand grip, physical therapyBeseler MRRubio CDuarte EHervás DGuevara MCGiner-Pascual MViosca EDove Medical PressarticleGaitElderlyHand GripPhysical TherapyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 1873-1877 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gait Elderly Hand Grip Physical Therapy Geriatrics RC952-954.6
spellingShingle	Gait Elderly Hand Grip Physical Therapy Geriatrics RC952-954.6 Beseler MR Rubio C Duarte E Hervás D Guevara MC Giner-Pascual M Viosca E Clinical effectiveness of grip strength in predicting ambulation of elderly inpatients
description	MR Beseler,1 C Rubio,1 E Duarte,1 D Hervás,2 MC Guevara,1 M Giner-Pascual,1 E Viosca1 1Physical Medicine and Rehabilitation, La Fe Hospital, Valencia, Spain; 2Statistical Unit, La Fe Hospital, Valencia, Spain Background: Assessing the clinical effectiveness of measuring grip strength as a prognostic tool in recovering ambulation in bed-confined frail elderly patients. Methods: A prospective study was carried out with 50 elderly inpatients (mean age: 81.6 years old). Manual muscle test was used for checking strength of hip flexor muscles, hip abductor muscles and knee extensor muscles. Grip strength was assessed by hydraulic dynamometer. Walking ability was assessed by functional ambulation categories and Functional Classification of Sagunto Hospital Ambulation. Existence of cognitive impairment (Short Portable Mental Status of Pfeiffer) and comorbidity (abbreviated Charlson index) were considered to be confounding variables. Statistical analysis: Simple comparisons and mixed models of multiple ordinal regression. Results: The sample presented generalized weakness in scapular (mean 4.22) and pelvic (mean 3.82) muscle. Mean hand grip values were similar: 11.98 kg right hand; 11.70 kg left hand. The patients had lost walking ability. After treatment, there was a statistically significant for scapular waist strength (P=0.001), pelvic waist strength (P=0.005) and walking ability (P=0.001). A statistically significant relationship in the regression analysis was found between the grip (right and left hands) and walking ability post-treatment (P=0.009; odds ratio 1.14 and P=0.0014 odds ratio 1.113 for each walking scale). The confounding variables showed no statistical significance in the results.Conclusion: Grip strength is associated with walking ability in hospitalized frail elderly. Grip strength assessment by hydraulic dynamometry is useful in patients with poor collaboration. Walking ability training in frail elderly inpatients is useful. Keywords: gait, elderly, hand grip, physical therapy
format	article
author	Beseler MR Rubio C Duarte E Hervás D Guevara MC Giner-Pascual M Viosca E
author_facet	Beseler MR Rubio C Duarte E Hervás D Guevara MC Giner-Pascual M Viosca E
author_sort	Beseler MR
title	Clinical effectiveness of grip strength in predicting ambulation of elderly inpatients
title_short	Clinical effectiveness of grip strength in predicting ambulation of elderly inpatients
title_full	Clinical effectiveness of grip strength in predicting ambulation of elderly inpatients
title_fullStr	Clinical effectiveness of grip strength in predicting ambulation of elderly inpatients
title_full_unstemmed	Clinical effectiveness of grip strength in predicting ambulation of elderly inpatients
title_sort	clinical effectiveness of grip strength in predicting ambulation of elderly inpatients
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/9a1db1328adf4215a5dc02d93904a9be
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Clinical effectiveness of grip strength in predicting ambulation of elderly inpatients

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