Correlation Between Mechanography and Clinical Parameters at Six Months After Hip Fracture Surgery
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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.
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.
참고문헌 (22)
- Dae Gu Lee, "Prognostic Factors Predicting Early Recovery of Pre-fracture Functional Mobility in Elderly Patients With Hip Fracture", Annals of Rehabilitation Medicine, 38(6), pp.827~835 (2014), 대한재활의학회
- Santos GM, "Predictive values at risk of falling in physically active and no active elderly with Berg Balance Scale", Rev Bras Fisioter, 15, pp.95~101 (2011)
- Radosavljevic N, "Estimation of functional recovery in patients after hip fracture by Berg Balance Scale regarding the sex, age and comorbidity of participants", Geriatr Gerontol Int, 13, pp.365~371 (2013)
- Winter DA, "Assessment of balance control in humans", Med Prog Technol, 16, pp.31~51 (1990)
- Li Z, "Reliability and validity of center of pressure measures for balance assessment in older adults", J Phys Ther Sci, 28, pp.1364~1367 (2016)
- Gray VL, "Reliability of center of pressure measures within and between sessions in individuals post-stroke and healthy controls", Gait Posture, 40, pp.198~203 (2014)
- Terra MB, "Center of pressure-based balance evaluation in individuals with Parkinson’s disease: a reliability study", Physiother Theory Pract, pp.1~8 (2018)
- Fried LP, "Frailty in older adults : evidence for a phenotype", J Gerontol A Biol Sci Med Sci, 56, pp.M146~56 (2001)
- Morley JE, "A simple frailty questionnaire(FRAIL)predicts outcomes in middle aged African Americans", J Nutr Health Aging, 16, pp.601~608 (2012)
- 정희원, "The Korean version of the FRAIL scale: clinical feasibility and validity of assessing the frailty status of Korean elderly", The Korean Journal of Internal Medicine, 31(3), pp.594~600 (2016), 대한내과학회
- Baker D, "The load that maximizes the average mechanical power output during jump squats in power-trained athletes", J Strength Cond Res, 15, pp.92~97 (2001)
- Smith WN, "Simple equations to predict concentric lower-body muscle power in older adults using the 30-second chair-rise test : a pilot study", Clin Interv Aging, 5, pp.173~180 (2010)
- Koval KJ, "Ambulatory ability after hip fracture: a prospective study in geriatric patients", Clin Orthop Relat Res, (310), pp.150~159 (1995)
- Ban B, "A comparison of the ceiling effect between Berg Balance Scale and Mini-BESTest in a group of balance trained community-dwelling older adults", Physiother Q, 25, pp.3~9 (2017)
- Ganz SB, "Functional recovery after hip fracture in the subacute setting", HSS J, 3, pp.50~57 (2007)
- Chong TW, "Integrated care pathway for hip fractures in a subacute rehabilitation setting", Ann Acad Med Singapore, 42, pp.579~584 (2013)
- Seunghwi Jo, "Comparison of Balance, Proprioception and Skeletal Muscle Mass in Total Hip Replacement Patients With and Without Fracture: A Pilot Study", Annals of Rehabilitation Medicine, 40(6), pp.1064~1070 (2016), 대한재활의학회
- Rasch A, "Muscle strength, gait, and balance in 20 patients with hip osteoarthritis followed for 2 years after THA", Acta Orthop, 81, pp.183~188 (2010)
- Judd DL, "Muscle strength and functional recovery during the first year after THA", Clin Orthop Relat Res, 472, pp.654~664 (2014)
- Palmieri RM, "Center-of-pressure parameters used in the assessment of postural control", J Sport Rehabil, 11, pp.51~66 (2002)
- Thompson LA, "Balance performance as observed by center-of-pressure parameter characteristics in male soccer athletes and non-athletes", Sports (Basel), pp.5~ (2017)
- Ambrose AF, "Risk factors for falls among older adults : a review of the literature", Maturitas, 75, pp.51~61 (2013)