Correlation Between Mechanography and Clinical Parameters at Six Months After Hip Fracture Surgery
10.5535/arm.2019.43.6.642
- Author:
Tae Jun MIN
1
;
Junmo CHO
;
Yong Chan HA
;
Jae Young LIM
;
Si Hyun KANG
;
Don Kyu KIM
;
Kyung Mook SEO
;
Jaewon BEOM
Author Information
1. Department of Physical Medicine and Rehabilitation, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. powe5@cau.ac.kr
- Publication Type:Original Article
- Keywords:
Hip fractures;
Postural balance;
Dependent ambulation;
Muscle strength
- MeSH:
Dependent Ambulation;
Fatigue;
Follow-Up Studies;
Foot;
Hand;
Hand Strength;
Hip Fractures;
Hip;
Hospitals, University;
Humans;
Lower Extremity;
Muscle Strength;
Postural Balance;
Walking
- From:Annals of Rehabilitation Medicine
2019;43(6):642-649
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To investigate the correlation between mechanography and clinical parameters in older people at 3 and 6 months after hip fracture surgery.METHODS: A longitudinal follow-up study was conducted in university hospitals with 38 patients at 3 months and 29 patients at 6 months after hip fracture surgery. Subjects 65 years and older completed measurements on the Berg Balance Scale (BBS), Functional Ambulation Category (FAC), walking ability by Koval, Korean version of the fatigue, resistance, ambulation, illnesses, and loss of weight (K-FRAIL) scale, and hand grip strength. The Romberg test with center of foot pressure (COP), chair rise test (CRT), and maximal power (W/kg) were conducted using the Leonardo Mechanograph.RESULTS: COP area and pathway length were correlated with BBS at 3 and 6 months. Change in BBS was correlated with change in COP area, but not with change in COP length. COP area and pathway length were correlated with K-FRAIL at 3 months after hip fracture surgery. The same COP variables showed correlations with FAC and walking ability by Koval at 6 months after surgery. Maximal power during CRT had correlation with chair rise time but not with other clinical parameters.CONCLUSION: The study revealed correlations between mechanography and clinical parameters in older people at 3 and 6 months after hip fracture surgery. Both the clinical assessment and objective test with mechanography may be required for the quantitative and sensitive measurement of postural balance and lower limb muscle power.