Investigation of Factors Affecting the Ability for Gait Using a Cane and Walking Speed in Patients with Hip Fractures: Factors Determining the Ability for Gait Using a Cane are Different from those Determining Walking Speed

Purpose: The purpose of this study was to clarify factors affecting the ability for gait using a cane and walking speed in patients with hip fractures. Methods: The subjects were 104 patients with unilateral hip fractures. These included 61 patients who were able to independently walk using a cane a...

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Veröffentlicht in:Journal of the Japanese Physical Therapy Association 2015, Vol.18(1), pp.43-43
Hauptverfasser: KAWABATA, Yuji, SUMIKAWA, Yasuhiro, HAYASHI, Mami, TAKECHI, Satoshi, GOTO, Keita, FUJIMORI, Satomi, KOHARA, Narumi
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container_end_page 43
container_issue 1
container_start_page 43
container_title Journal of the Japanese Physical Therapy Association
container_volume 18
creator KAWABATA, Yuji
SUMIKAWA, Yasuhiro
HAYASHI, Mami
TAKECHI, Satoshi
GOTO, Keita
FUJIMORI, Satomi
KOHARA, Narumi
description Purpose: The purpose of this study was to clarify factors affecting the ability for gait using a cane and walking speed in patients with hip fractures. Methods: The subjects were 104 patients with unilateral hip fractures. These included 61 patients who were able to independently walk using a cane and 43 patients who were unable to walk without any assistance. We investigated age, gender, standing height, fracture type, postoperative day, fractured and non-fractured isometric hip abductor strength, fractured and non-fractured isometric knee extensor strength, pain, leg length discrepancy, and 10-m walking speed. Results: A multiple logistic regression analysis and a multiple regression analysis revealed that fractured isometric hip abductor strength and pain were significantly related to the ability for gait using a cane (corrected discriminate rate, 74.0% ). In addition, fractured isometric knee extensor strength and age were significantly related to 10-m walking speed (coefficient of determination, 0.48). Conclusion: The results suggest that factors determining the ability for gait using a cane are different from those determining 10-m walking speed. Improving fractured hip abductor strength and pain relief were important for the ability for gait using a cane. Our results suggest that improvement of fractured knee extensor strength is important for increasing 10-m walking speed.
doi_str_mv 10.1298/jjpta.Vol18_024
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Methods: The subjects were 104 patients with unilateral hip fractures. These included 61 patients who were able to independently walk using a cane and 43 patients who were unable to walk without any assistance. We investigated age, gender, standing height, fracture type, postoperative day, fractured and non-fractured isometric hip abductor strength, fractured and non-fractured isometric knee extensor strength, pain, leg length discrepancy, and 10-m walking speed. Results: A multiple logistic regression analysis and a multiple regression analysis revealed that fractured isometric hip abductor strength and pain were significantly related to the ability for gait using a cane (corrected discriminate rate, 74.0% ). In addition, fractured isometric knee extensor strength and age were significantly related to 10-m walking speed (coefficient of determination, 0.48). Conclusion: The results suggest that factors determining the ability for gait using a cane are different from those determining 10-m walking speed. Improving fractured hip abductor strength and pain relief were important for the ability for gait using a cane. Our results suggest that improvement of fractured knee extensor strength is important for increasing 10-m walking speed.</description><identifier>ISSN: 1344-1272</identifier><identifier>EISSN: 2188-8361</identifier><identifier>DOI: 10.1298/jjpta.Vol18_024</identifier><language>eng</language><publisher>JAPANESE PHYSICAL THERAPY ASSOCIATION</publisher><ispartof>Journal of the Japanese Physical Therapy Association, 2015, Vol.18(1), pp.43-43</ispartof><rights>2015 by the Japanese Physical Therapy Association</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,1879,4012,27912,27913,27914</link.rule.ids></links><search><creatorcontrib>KAWABATA, Yuji</creatorcontrib><creatorcontrib>SUMIKAWA, Yasuhiro</creatorcontrib><creatorcontrib>HAYASHI, Mami</creatorcontrib><creatorcontrib>TAKECHI, Satoshi</creatorcontrib><creatorcontrib>GOTO, Keita</creatorcontrib><creatorcontrib>FUJIMORI, Satomi</creatorcontrib><creatorcontrib>KOHARA, Narumi</creatorcontrib><title>Investigation of Factors Affecting the Ability for Gait Using a Cane and Walking Speed in Patients with Hip Fractures: Factors Determining the Ability for Gait Using a Cane are Different from those Determining Walking Speed</title><title>Journal of the Japanese Physical Therapy Association</title><addtitle>Journal of the Japanese Physical Therapy Association</addtitle><description>Purpose: The purpose of this study was to clarify factors affecting the ability for gait using a cane and walking speed in patients with hip fractures. Methods: The subjects were 104 patients with unilateral hip fractures. These included 61 patients who were able to independently walk using a cane and 43 patients who were unable to walk without any assistance. We investigated age, gender, standing height, fracture type, postoperative day, fractured and non-fractured isometric hip abductor strength, fractured and non-fractured isometric knee extensor strength, pain, leg length discrepancy, and 10-m walking speed. Results: A multiple logistic regression analysis and a multiple regression analysis revealed that fractured isometric hip abductor strength and pain were significantly related to the ability for gait using a cane (corrected discriminate rate, 74.0% ). In addition, fractured isometric knee extensor strength and age were significantly related to 10-m walking speed (coefficient of determination, 0.48). Conclusion: The results suggest that factors determining the ability for gait using a cane are different from those determining 10-m walking speed. Improving fractured hip abductor strength and pain relief were important for the ability for gait using a cane. 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title Investigation of Factors Affecting the Ability for Gait Using a Cane and Walking Speed in Patients with Hip Fractures: Factors Determining the Ability for Gait Using a Cane are Different from those Determining Walking Speed
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