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. test, 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". test, 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', test, 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. test, 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, Pages 33-42    PDF (458.22 K)
Document Type: Original Article
DOI: 10.21608/ejgg.2023.314679
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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