Postoperative Rehabilitation Program for Increasing Muscle Mass in Patients With Hip Fracture: A Retrospective Study

Hip fractures are most likely to occur in older people, and after hip surgery muscle mass and the ability to perform activities of daily living often decline. In this study, we conducted inpatient rehabilitation after surgery for hip fracture and measured changes in muscle mass and physical performa...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2024-06, Vol.16 (6), p.e63053
Hauptverfasser: Sajiki-Ito, Marina, Tsukamoto, Shinji, Bai, Daisuke, Tokuda, Mitsunori, Tamai, Katsuya, Takeguchi, Naoki, Sada, Masayuki, Tanaka, Yasuhito, Kido, Akira
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container_title Curēus (Palo Alto, CA)
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creator Sajiki-Ito, Marina
Tsukamoto, Shinji
Bai, Daisuke
Tokuda, Mitsunori
Tamai, Katsuya
Takeguchi, Naoki
Sada, Masayuki
Tanaka, Yasuhito
Kido, Akira
description Hip fractures are most likely to occur in older people, and after hip surgery muscle mass and the ability to perform activities of daily living often decline. In this study, we conducted inpatient rehabilitation after surgery for hip fracture and measured changes in muscle mass and physical performance. We retrospectively analyzed patients aged 65 years or older who underwent surgery (prosthetic replacement or internal fixation) and inpatient rehabilitation for hip fracture at our hospital between August and December 2020. The training included a joint range of motion exercise, muscle-strengthening exercise, gait training, early mobilization training, and neuromuscular electrical stimulation. We measured the following factors after one and six weeks postoperatively: muscle mass, body weight, fat mass, grip strength, bilateral knee extension strength, ability to walk, and ability to perform activities of daily living. Seventeen patients were included. Median age was 84 years (interquartile range, 72-90). Lower limbs skeletal muscle mass increased (median 4.8 kg to 4.9 kg, p = 0.045), while upper limbs skeletal muscle mass and body weight decreased (median 1.2 kg to 1.1 kg, p = 0.0027), (median 46.8 kg to 45.5 kg, p = 0.0039), respectively. Total skeletal muscle mass and fat mass remained unchanged. Grip strength was maintained, and knee extension muscle strength on the healthy and affected sides increased (healthy side median 10.7 kgf to 13.7 kgf, p = 0.019; affected side median 5.5 kgf to 9.5 kgf, p < 0.001). All patients exhibited improved ability to perform activities of daily living; however, 52.9% of patients regained their pre-injury walking ability. Our rehabilitation program increased lower limb skeletal muscle mass in patients with hip fractures.
doi_str_mv 10.7759/cureus.63053
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Lower limbs skeletal muscle mass increased (median 4.8 kg to 4.9 kg, p = 0.045), while upper limbs skeletal muscle mass and body weight decreased (median 1.2 kg to 1.1 kg, p = 0.0027), (median 46.8 kg to 45.5 kg, p = 0.0039), respectively. Total skeletal muscle mass and fat mass remained unchanged. Grip strength was maintained, and knee extension muscle strength on the healthy and affected sides increased (healthy side median 10.7 kgf to 13.7 kgf, p = 0.019; affected side median 5.5 kgf to 9.5 kgf, p &lt; 0.001). All patients exhibited improved ability to perform activities of daily living; however, 52.9% of patients regained their pre-injury walking ability. 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Lower limbs skeletal muscle mass increased (median 4.8 kg to 4.9 kg, p = 0.045), while upper limbs skeletal muscle mass and body weight decreased (median 1.2 kg to 1.1 kg, p = 0.0027), (median 46.8 kg to 45.5 kg, p = 0.0039), respectively. Total skeletal muscle mass and fat mass remained unchanged. Grip strength was maintained, and knee extension muscle strength on the healthy and affected sides increased (healthy side median 10.7 kgf to 13.7 kgf, p = 0.019; affected side median 5.5 kgf to 9.5 kgf, p &lt; 0.001). All patients exhibited improved ability to perform activities of daily living; however, 52.9% of patients regained their pre-injury walking ability. Our rehabilitation program increased lower limb skeletal muscle mass in patients with hip fractures.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>39050356</pmid><doi>10.7759/cureus.63053</doi><oa>free_for_read</oa></addata></record>
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subjects Activities of daily living
Body composition
Electrodes
Fractures
Gait
Geriatrics
Hip joint
Muscle strength
Musculoskeletal system
Neuromuscular electrical stimulation
Older people
Orthopedics
Patients
Physical Medicine & Rehabilitation
Physical therapists
Rehabilitation
Surgery
Walking
title Postoperative Rehabilitation Program for Increasing Muscle Mass in Patients With Hip Fracture: A Retrospective Study
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