Hand Grip Power Research Articles

Psychometric Properties of Jebsen Taylor Hand Function Test in an Italian Population with Parkinson's Disease.

Assessment of upper limb function is critical in the rehabilitation process of people with Parkinson's Disease (PD), and universally validated outcome measures are needed to allow comparisons across the practice. Moreover, the study of psychometric properties of the same tool on different clinical populations guarantees the possibility of reliably evaluating the same rehabilitation treatment in people with different clinical conditions. The aim of this research was to evaluate the psychometric characteristics of the Italian adaptation of the Jebsen Taylor Hand Function Test (JTHFT) in individuals with PD. The reliability and validity of the test were assessed in accordance with international standards. Internal consistency was measured using Cronbach's alpha, and test-retest reliability was determined via the intraclass correlation coefficient (ICC). The construct validity and cross-cultural validity of the test were evaluated using Pearson's correlation coefficient with three assessment tools on upper limb function, independence, and quality of life, with hand grip power measured by a dynamometer and an Italian pangram. Finally, responsiveness after a one month of rehabilitation treatment was measured using the Wilcoxon rank test. Fifty-two Italian people with PD were recruited. Cronbach's alpha values ranged from 0.556 (non-dominant hand) to 0.668 (dominant hand); ICC values ranged from 0.754 to 0.988. Construct validity showed that several statistically significant correlations were detected. Wilcoxon's test showed that the assessment tool can detect a change in this population after treatment. The JTHFT is a reliable, valid, and respondent tool to evaluate the upper limb and hand functionalities in PD patients. It should be added to the toolkit for measuring upper limb performance in this population, adding value to clinical evaluation and ensuring comparable results for different clinical populations and different countries.

A Fullerton Functional Fitness Test-based exercise intervention for older adults yields quick physical and psychological benefits

ObjectivesFunctional fitness is essential for healthy living in older adults. Specially targeted fitness programs might be the most beneficial. This intervention study aimed to assess the efficacy of a specific 16-week exercise program in improving functions as measured by the Fullerton Functional Fitness Test (FFFT), also known as the Senior Test, in older adults. ParticipantsThirty-eight participants (66 % women, Mage = 80.15, SD = 7.21) were randomized into an exercise group (n = 24) and a waiting list control group (n = 14). The exercise group trained three times a week for 1 h. MethodsObjective tests (FFFT and handgrip power) and subjective psychological measures (life satisfaction, resilience, happiness, perceived stress, and well-being) were obtained at baseline, after eight weeks, and after 16 weeks. The data were analyzed using mixed-effect regression models. ResultsThe results yielded statistically significant group-by-time interactions in all models, indicating improvements in physical and psychological measures over time in the treatment group compared to the control group. Significant differences between the groups in the estimated marginal means (with adjusted 95 % confidence intervals) emerged after 16 weeks in happiness (−3.5 [-6.5, −0.4]), resilience (−5.5 [-9.9, −1.2]), perceived stress (2.2 [0.2, 4.2]), well-being (−5.8 [-7.9, −3.6]), upper limb strength (−5.7 [-9.0, −2.4]), upper body flexibility (−8.7 [-16.4, −1.0]), and agility and balance (4.6 [1.2, 8.1]). Except for happiness and resilience, these differences surfaced already after eight weeks. ConclusionThe here-employed 16-week exercise program, targeting the test elements of the FFFT, efficiently induced physical and mental improvements in older adults.

Effects of protein-enriched nutritional support on skeletal muscle mass and rehabilitative outcomes in brain tumor patients: a randomized controlled trial

Patients with brain tumors require extensive and prolonged rehabilitation efforts as they suffer from lesion-induced motor weakness as well as treatment-related side effects, often leading to a significant decline in function. Protein supplements have shown positive effects on promoting muscle strength and physical performance in various tumor etiologies. However, reports on their effects specifically in brain tumor patients remain scarce. This study aims to investigate the feasibility and efficacy of protein supplements in enhancing rehabilitative outcomes via muscle strengthening and functional gain in brain tumor patients with neurological demise. Sixty brain tumor patients were randomly assigned to either a protein supplement or a control group, receiving either protein supplements or a placebo for 6 weeks, in conjunction with conventional rehabilitation therapy. Assessments before and after the intervention included laboratory tests, anthropometric measures using bioimpedance analysis, and functional assessments, which included the MMSE, the modified Barthel Index, the Beck Depression Inventory, the Brief Fatigue Inventory, the Timed Up and Go test, the 6-min walk test, the isokinetic quadriceps muscle strength test, and the handgrip power. After the intervention, the levels of serum hemoglobin, protein, albumin, and C-reactive protein were improved in both groups, however, the change was significant only in the protein group. The muscle strength was enhanced in both groups, however, the significant increase in pinch grasp power was only noted in the protein group (P < 0.05). The distance on 6MWT was also significantly extended at follow-up in the protein group (P < 0.01). In the subgroup analysis according to nutritional status, the moderate malnutrition group showed greater augmentation of muscle mass than those with adequate nutrition (P < 0.05). Interestingly, the amelioration of malnutrition was observed only the in protein group. This study using protein supplements to promote the rehabilitative potential of brain tumor patients revealed a significant effect on improving hemodynamic nutritional indices, muscle power reimbursement, and functional improvement, especially in malnourished patients. The safety and feasibility of protein supplements in brain tumor patients were affirmative in this study. Further studies with more patients may help confirm the secondary functional gain resulting from increased muscle power.Trial registration: This study was retrospectively registered in the Clinical Research Information Service, CRIS no. KCT0009113 on Jan 12, 2024.

The association between cognition and gait disturbance in central nervous system demyelinating disorder with mild disability

IntroductionGait disturbance in central nervous system (CNS) demyelinating disorders, including multiple sclerosis (MS) and neuromyelitis optica (NMO) is one of the most troublesome problems that has a direct impact on the quality of life. However, the associations between gait disturbance and other clinical variables of these two diseases have not been fully elucidated.ObjectiveThis study aimed to evaluate gait disturbance using a computerized gait analysis system and its association with various clinical variables in patients with MS and NMO.MethodsA total of 33 patients (14 with MS and 19 with NMO) with minor disabilities, who were able to walk independently and had passed their acute phase, were enrolled in the study. Gait analysis were performed using a computer-based instrumented walkway system. (Walk-way MG-1000, Anima, Japan) Clinical variables, such as disease duration, medication, body mass index (BMI), hand grip power, and muscle mass were recorded. The Montreal Cognitive Assessment (MOCA), Beck Depression Inventory score-II (BDI), and fatigue scale were measured using the Functional Assessment of Chronic Illness Therapy-fatigue scale (FACIT-fatigue) scale. A trained neurologist scored the Expanded Disability Status Scale (EDSS).ResultsGait speed was the single parameter that showed a significant positive correlation with MOCA (p < 0.001). The stance phase time was the single parameter that showed a significant negative correlation with EDSS (p < 0.001). Hand grip strength showed a significant positive correlation with skeletal muscle mass as assessed by bioimpedance analysis (p < 0.05). The FACIT-fatigue scale score showed a significant negative correlation with the BDI (p < 0.001).ConclusionIn our patients with MS/NMO with mild disability, cognitive impairment was significantly correlated with gait speed, and the degree of disability was significantly correlated with stance phase time. Our findings may imply that early detection of a decrease in gait speed and an increase in stance phase time can predict the progression of cognitive impairment in patients with MS/NMO with mild disability.

Results of the Use of Bioabsorbable Magnesium Screws for Surgical Treatment of Mason Type II Radial Head Fractures.

In Mason classification type II radial head fractures, compared to plate fixation, fixation with cannulated headless screws and absorbable pins has been reported to provide more favorable postoperative outcomes, including less postoperative limitation in range of motion. The fact that radial head fractures are less prone to weight-bearing during fracture union further supports the use of absorbable screws as a suitable alternative treatment option in radial head fractures. This study aimed to perform fixation through open reduction using bioabsorbable magnesium screws for Mason type II radial head fractures and to report radiographic and clinical results. Among patients who visited the orthopedic department from April 2017 to August 2021, 22 with surgical indications were selected for participation. Radiographic tests were conducted at 2 weeks, 4 weeks, 8 weeks, 12 weeks, 6 months, and over 1 year after surgery to confirm the degree of bone union, reduction loss, and degree of H2 gas production. The Disabilities of the Arm, Shoulder and Hand (DASH) score, Mayo Elbow Performance Score (MEPS), hand grip power, and range of joint motion were measured at the 6-month follow-up to evaluate the clinical efficacy of the operation. Bone union was confirmed in all 22 cases, and the mean time to union was 10.2 weeks. DASH score was 22.27 on average and no patients complained of significant discomfort after the surgery. The mean MEPS was 91.1. The hand grip power of the affected hand was similar to that of the unaffected hand, being 1.19% weaker on average. These differences reached statistical significance (p = 0.002). The range of elbow joint motion was measured: mean flexion, 146.1°; mean extension, 1.4°; mean pronation, 88.2°; and mean supination, 87.9°. In treating Mason type II radial head fractures, the use of bioabsorbable screws made of magnesium showed satisfactory results in radiographic and clinical evaluations. Magnesium bioabsorbable screws can maintain sufficient stability at the fracture site and have the advantage of avoiding secondary operation for the removal of internal fixation devices.

Nutrition-related parameters of maintenance haemodialysis patients.

Maintaining good health in haemodialysis patients is a challenging task that helps to reduce morbidity and mortality. The prevalence of nutrition-related complications is uncertain in Sri Lankan maintenance haemodialysis population. This study was carried out as a baseline study to identify the common nutrition-related complications in maintenance haemodialysis patients. A single-centre cross-sectional study was carried out on adult patients on maintenance haemodialysis in a tertiary care centre in the central part of Sri Lanka. Simple random sampling was used, and patients' clinical, anthropometric, body composition via bioelectrical impedance analysis (BIA), laboratory parameters and muscle power were assessed. We evaluated 114 patients, 87 (76.3%) were males, and the mean age was 52.6 (±12.3) years. Only 9 (7.9%) patients were underweight in the sample population, 77.2% had normal mid-upper arm circumference (MUAC), 81.6% had high muscle mass percentage in BIA analysis, and all patients had normal mid-arm muscle circumference (MAMC). But in 80.5% of patients hand grip power was lower than the cut off for sarcopenia according to EWGSOP2 recommendations. The prevalence of low serum albumin is 33.3% and 60.5% had anaemia. The majority had normocytic normochromic anaemia with high serum ferritin levels. Vitamin D deficiency or insufficiency was 91.2% and electrolyte abnormalities were very common; 57.9% had hypocalcaemia, 61.4% had hyperphosphatemia and all patients had hyperkalaemia. Muscle mass was preserved in most patients in this population, but the muscle power was significantly low, along with a high prevalence of hypoalbuminaemia, anaemia, vitamin D deficiency or insufficiency, hypocalcaemia, hyperphospatemia and hyperkalaemia.

Force At A Set Voluntary Forearm Muscle Activation Conforms To Muscle Oxygenation At High Intensities

In electrically stimulated muscle, the oxygen conforming response of skeletal muscle is characterized by a down regulation of muscle force for a given electromyography (EMG) when oxygen delivery is reduced, which is rapidly (within 60-sec) reversed when oxygen delivery is restored. Whether this oxygen conforming response exists in voluntary human exercise is unknown. PURPOSE: To test the hypotheses that oxygen conforming 1) occurs during voluntary handgrip exercise 2) is exercise intensity dependent 3) is independent of sex. METHODS: In 6-men and 6-women, handgrip force, forearm EMG, oxyhemoglobin (O2Hb, %) and mean blood velocity (MBV, cm/s) were measured while participants completed 15-min of rhythmic handgrip exercise targeting a forearm EMG equal to that required to achieve 50, 75 and 90% of critical power handgrip force output. At minute 7, 4-min of brachial artery compression was either completed to reduce MBV by ~50% (experimental, EX) or compression was completed next to the brachial artery to simulate compression without affecting MBV (sham, SH). Exercise continued for 4-min after ending compression. RESULTS:Compression: At 4-min, forearm MBV was reduced in all intensities (50%, EX: 11.62 ± 1.44, SH: 24.57 ± 3.07; 75%, EX: 13.64 ± 1.65, SH: 34.35 ± 4.82; 90%, EX:16.71 ± 2.18, SH: 38.63 ± 3.58, all P < 0.05), O2Hb was reduced in 50% (EX: 62.68 ± 5.10, SH: 70.97 ± 4.63, P < 0.05) and 90% (EX: 49.53 ± 3.98, SH: 70.80 ± 2.93, P < 0.05) intensities but not the 75% intensity (EX: 54.95 ± 4.79, SH: 64.37 ± 3.59, P = 0.08). The amount of force produced per EMG (Force/EMG) was reduced in the 75% (EX: 0.90 ± 0.03, SH: 1.01 ± 0.02, P < 0.05) and 90% (EX: 0.86 ± 0.27, SH: 1.01 ± 0.02, P < 0.05) intensities but not the 50% (EX: 0.97 ± 0.03, SH: 1.00 ± 0.02, P > 0.05) intensity. End compression: Forearm MBV and O2Hb was restored within 30-sec for all intensities (90%, EX: 55.98 ± 11.15; SH: 70.72 ± 9.93, P = 0.1289) and force/EMG was restored within 60-sec for 90% (EX: 0.98 ± 0.02; SH: 1.02 ± 0.02, P = 0.279) and 75% (EX: 0.98 ± 0.02; SH: 0.98 ± 0.02, P = 0.929). No sex differences were observed. CONCLUSION: 1) The rapid restoration of force/EMG (within 60-sec) upon restoration of O2Hb is consistent with the existence of an oxygen conforming response in voluntary human exercise that 2) exists only at higher intensities (75% and 90%). 3) This response is independent of sex.

Predicting handgrip power of young adult population among major ethnic groups of Sabah: a multivariate analysis

BackgroundHandgrip power is an essential indicator of health, vital for grasping or gripping sports, and crucial for providing information related to work capacity. The present study investigated any linear relationship of handgrip power with hand anthropometric variables (hand length, handbreadth, middle finger length, second inter-crease length of the middle finger, and hand span), gender, and ethnicity in young adults of Sabah.MethodsIn this cross-sectional study (from January 2020 to December 2021), the adult Sabahan population (18-25 years) was stratified into four ethnicities (KadazanDusun, Bajau, Malay, and Chinese) and was further stratified as males and females. Then, 46 subjects were randomly selected from each gender, and the ethnic group met the intended sample size. The hand dimensions were measured using a digital calliper, and the handgrip power was measured using a portable dynamometer. The relationship between the response variable and explanatory variables was analyzed at first through simple linear regression and then multiple linear regression. R2, adjusted R2, and standard errors of the estimates were used to compare different models. Statistical analyses were performed using IBM SPSS Statistics 27 and StatCrunch.ResultsThe study found a linear relationship between gender, height, hand length, handbreadth, hand span, middle finger length, and second inter-crease length of both hands with the corresponding hand’s grip power. The highest percentage (68% and 67%) of handgrip variability was demonstrated by the model predicting handgrip power for right-handed subjects, followed by the general models without stratifying based on hand dominance which was able to explain 63% and 64% of the variability of handgrip power. The study proposes the models for predicted right (RHGP) and left handgrip power (LHGP) of 18 to 25 years old adults from major ethnic groups of Sabah RHGP = − 18.972 − 8.704 Gender + 7.043 Right hand breadth and LHGP = − 11.621 − 9.389 Gender + 5.861 Left hand breadth respectively.ConclusionThe predicted handgrip power would be a key to selecting a better player or a better worker or assessing the prognosis of a disease or the wellbeing of a person. The study can be further expanded to all ethnicities and ages of people of Sabah or even Malaysia.

Effects of low‐dose metformin on pre‐frailty among middle‐aged and elderly pre‐diabetic people

AbstractBackgroundPre‐frailty has been identified as a clinically silent mechanism pre‐disposing people to frailty. The goal of this study is to investigate the impact of low‐dose metformin on pre‐diabetic pre‐frail patients (&gt;50 years) on skeletal muscle mass, speed of gait, handgrip power, and health‐related quality of life (HR‐QoL).MethodsWe did a retrospective cohort study of subjects aged 50 years and older who were diagnosed with pre‐frailty (one or two criteria present based on Fried Frailty Index) and pre‐diabetes (HbA1c 5.7% to 6.4%) from May 2018 to April 2020. Subjects taking low‐dose metformin were compared with non‐metformin participants through a review of the medical records. The results were analysed at baseline and 6–12 months post‐prescription with or without metformin. All data were accompanied by a 95% confidence interval.ResultsOne hundred and thirteen pre‐diabetic and pre‐frail subjects were recruited to metformin [the mean metformin administration was 750 (140) mg/day] (n = 58) or control group (n = 55). The average age was 66.3 (6.8) years old, with 52.2% of the population being female. The baseline demographic, nutritional, physical, and mental status data did not differ between groups. In comparison with the control group, an 8.9 (1.8) month low‐dose metformin intervention resulted in a higher skeletal muscle mass index of 1.26 (1.66) kg/m2 (P = 0.029), a faster gait speed of 0.15 (0.22) m/s (P = 0.011), and a greater handgrip strength of 2.1 (2.9) kg (P = 0.037). However, there was no difference in myostatin serum levels or HR‐QoL between groups.ConclusionsLow‐dose metformin was statistically and clinically meaningful to improve the original skeletal muscle mass index, gait speed, and grip strength as part of the sarcopenia dimension, but the Euro Quality of Life‐5 Dimensions index and myostatin serum levels did not change significantly.

자극치료 인형을 이용한 운동프로그램이 치매환자의 인지, 악력 및 우울증에 미치는 효과

This study aimed to identify the effect of an exercise program using stimulation therapy doll on the cognition, hand grip power, and depression in patients with dementia. seven subjects with dementia volunteered to participate in this study. All subjects underwent the exercise program using stimulation therapy doll for averaging 30 minutes daily for eight weeks (total of 40 sessions). Assessment tools were made with mini mental status examination- Korean version (MMSE-K), hand grip power (HGP) and Beck depression inventory (BDI) before and after the 8-week intervention period. HGP and the BDI score showed significant improvement after the exercise program (p<0.05). This study suggest that an exercise program using stimulation therapy doll may be favorable for enhancing hand grip power and depression of patients with dementia.

Correlations of Anthropometric Measurement and Handgrip Strength between Collegiate Cricket Fast and Spin Bowlers

Background: More dimensions in anthropometric variables and dominance of the hand aid in bowler’ssuccess and is easier for coaches/teams to pick and hire on the basis of fast and spin bowlers. Little isknown to date on the relationship between anthropometric measures and handgrip power in collegiatebowlers. Present study is an attempt to quantify the handgrip power of collegiate male cricketers, andto explore its correlations with some selected anthropometric variables.Methods: Forty fast and 37 spin bowlers, aged between 20-25 years (mean age= 22.7±1.2 years) wereselected from match practice group of different colleges in Rahata taluka, Maharashtra. Body heightand mass were measured to calculate body mass index. Handgrip strength was measured with standarddynamometer. Statistical analysis was carried out for each variable and independent t-test was used toanalyze differences between the two groups. Pearson’s correlation coefficient test was done to obtainrelationship between handgrip strength and selected anthropomorphic variables. The significance wasset at 0.05.Conclusion: Anthropometric variables were directly related to handgrip strength among bowlers inthis study. Forearm lengths of spinners were longer than fast bowlers. Handgrip strength was more indominant hand and spinners had more handgrip strength than fast bowlers. These parameters will helpin future for talent identification in handgrip-related sports and/or clinical settings.

GLIM criteria for the evaluation of nutrition in palliative care patients, a comparison of MNA-SF and NRS-2002

Introduction: A major cause of mortality and morbidity, malnutrition also increases the duration of hospital stay and costs. Therefore, the early diagnosis and detection of those patients at risk is important. Many malnutrition screening tests are available for the detection of those patients. The validity and reliability of the commonly used tests, Nutritional Risk Screening (NRS)-2002 and Mini Nutritional Assessment (MNA) have been proven in the diagnosis of malnutrition in hospitalized patients. A new malnutrition diagnostic criterion called the Global Leadership Initiative on Malnutrition (GLIM) was created by an initiative of the same name as these criteria in 2018. The aim of the present study is to evaluate the differences and superiority of MNA, NRS-2002 screening tests and GLIM criteria in patients hospitalized in palliative care with a diagnosis of malnutrition.&#x0D; &#x0D; Material and method: 148 patients who were hospitalized in palliative care due to clinical malnutrition were included in the study. MNA, NRS-2002 and GLIM screening tests filled out by dieticians for each patient within the first 48 hours of hospitalization. Within the framework of GLIM criteria, patients were recorded for weight loss from phenotypic criteria based on information obtained from their relatives (more than five percent in the last six months or ten percent or more over the last six months). Hand dynamometer and calf circumference measurements were made to show muscle loss. Hand grip power was measured three times in both hands using a Jamar Digital Hand Dynamometer and the highest value was recorded. Hand grip power cut-off value was accepted as

Assessment of hand function in women with lymphadenopathy after radical mastectomy.

BackgroundBreast cancer related upper limb lymphedema (BCRL) is a common complication in post-mastectomy patients. It is known to cause upper limb disability, which subsequently may affect the grip strength and hand function. There is little evidence on the objective assessment of functional activities particularly hand function in women with BCRL. Therefore, this study objectively assesses the handgrip strength and hand functions in women with BCRL.MethodA cross-sectional study design was conducted on a sample of women with (n = 31) and without (n = 31) BCRL. The Handgrip strength and hand functions were measured using a dynamometer and Jebsen-Taylor hand function test, respectively.ResultsThe results showed a significantly reduced handgrip strength in women with BCRL as compared to age-matched healthy adult women for both right and left hands (p < 0.05). Similarly, hand functions were significantly impaired in women with BCRL as compared to healthy adult women (p < 0.05). Reduction in handgrip strength and hand function in women with BCRL were clinically meaningful as indicated by moderate to large effect sizes (Cohen’s d = 0.61 to 0.99 and 0.54 to 3.02, respectively) in all outcomes except power handgrip strength in left hand (Cohen’s d = 0.38).ConclusionThe results of this study indicate a significant reduction of hand grip strength and hand function in women with BCRL. Our findings suggest that objective measures of grip strength and function be included in the assessment of women with BCRL to better guide clinical decision making and patient care, which may include management of impairment associated with hand strength and function. Future studies that evaluate hand grip strength and function in a larger sample which includes a more diverse age group of women with BCRL are warranted to confirm the current findings.

THE ASSOCIATION BETWEEN ARTERIAL STIFFNESS MARKERS AND THE SEVERITY OF CORONARY ARTERY DISEASE AS ASSESSED BY SYNTAX II SCORE IN HYPERTENSIVE PATIENTS WITH INSULIN RESISTANCE

Objective: The Endothelial dysfunction and the arterial stiffness are the signs of cardiovascular diseases especially in the hypertensive patients with insulin resistance. The endothelial dysfunction were assessed by the brachial flow mediated dilatation. The arterial stiffness markers which are expected to be early increased in hypertensive patients with insulin resistance were assessed for detection of coronary artery disease. The aim of this study: to detect the association between arterial stiffness markers and the presence of coronary artery disease and the assessment of CAD severity by syntax II score in hypertensive patients with insulin resistance. Design and method: A total of 120 hypertensive patients who underwent coronary angiography in catheterization unit from January 2019 to October 2020 by using the (homesostatic model assessment of insulin resistance) were divided into (Group A) sixty patients with insulin resistance and CAD (Group B) sixty patients without insulin resistance and no CAD. The brachial flow mediated dilatation was measured. The Mobil O Graph blood pressure device was used to measure the PWV and Aix at rest and three min after isometric handgrip exercise at 40% of the maximal handgrip power. The inter-arm systolic blood pressure difference from both arms was calculated. The severity of the coronary artery diseases were assessed by the syntax II risk score. Results: In our study the predictive value of FMD for the detection of CAD in group A with a cutoff value &gt;0.448 (P &lt; 0.0001), (sensitivity of 88.9% and specificity of 91.8%). After isometric exercise handgrip for 3 min, the Aix was increased significantly in patients with CAD (before 16.7% vs. 3 min after 23.6%, P = 0.001). PWV was increased significantly in patients with CAD (before 11.5 vs. 3 min after 12.2 m/s,P = 0.001). The Inter Arm Blood Pressure Difference more than 10mmHg were associated with a high syntax II risk score compared to the patients with values less than 10 mmHg (p &lt; 0.001). Conclusions: FMD and after isometric handgrip exercise (PWV and Aix), are independent predictors for CAD. The Inter Arm Blood Pressure Difference more than 10mmHg was associated with a higher syntax II risk score.

End-stage knee osteoarthritis with and without sarcopenia and the effect of knee arthroplasty \u2013 a prospective cohort study

BackgroundSarcopenia often accompanies osteoarthritis (OA), which is managed by total knee arthroplasty (TKA) in the late stage. Recent studies have suggested a higher risk of post-operative complications after TKA in sarcopenic OA subjects, but whether TKA can benefit them similar to non-sarcopenic subjects remains unexplored. This study aimed to examine the dynamic, mutual impact of sarcopenia and TKA in a one-year post-operative period.MethodsThis prospective cohort study was conducted between 2015 to 2018 at our hospital. Patients with end-stage OA of the knee waiting for TKA were recruited into the study. Primary outcome measures were change in muscle strength, mass and function. Secondary outcome measures were quality of life (QOL) measurements for pain, psychological and physical health.ResultsFifty-eight patients were recruited, of which 79.3% were female and 32.8% already had sarcopenia at baseline. The average age of sarcopenic subjects and non-sarcopenic subjects was comparable (67.89 ± 7.07 vs. 67.92 ± 6.85; p = 0.99), but sarcopenic subjects had a lower body mass index (BMI) (25.64 ± 2.64 vs. 28.57 ± 4.04; p = 0.01). There was a statistically significant improvement in walking speed (10.24 ± 5.35 vs. 7.69 ± 2.68, p < 0.01) and muscle strength in both sarcopenic and non-sarcopenic patients after TKA. This was accompanied by an improvement trend in muscle mass in all subjects. There was no change in handgrip power before and after TKA and subsequent follow-up (19.31 ± 5.92 vs. 18.98 ± 6.37 vs. 19.36 ± 7.66; p = 0.97). QOL measured before, after and at follow-up with WOMAC (total: 42.27 ± 15.98 vs. 20.65 ± 15.24 vs. 16.65 ± 18.13) and SF12v2 (PCS: 33.06 ± 8.55 vs. 38.96 ± 8.01 vs. 40.67 ± 7.93) revealed progressive significant improvement (both comparisons p ≤ 0.01). Further analysis with the IPAQ also found increased engagement of high-intensity activities.ConclusionsThis study showed that sarcopenia among patients with end-stage OA of the knee is not uncommon, but both sarcopenic and non-sarcopenic OA patients achieved significant clinical and functional improvement after TKA. Further studies with a larger sample size and different ethnicities could help ascertain a beneficial role of TKA in sarcopenic OA subjects.Trial registrationRegistry: ClinicalTrials.gov, Registration number: NCT03579329. Date of registration: 6 July 2018. Retrospectively registered.

Comprehensive Respiratory Muscle Training Improves Pulmonary Function and Respiratory Muscle Strength in Acute Stroke Patients.

To evaluate the effects of respiratory muscle training (RMT) on pulmonary function, respiratory complications, and stroke-related disabilities in patients with acute stroke. One hundred twenty-two subjects with stroke admitted to the stroke rehabilitation center of Inje Hospital between August 2016 and May 2018 were recruited. After the initial exclusion, the remaining patients were assigned to the RMT group (36 patients) or the standard rehabilitation (SR) group (28 patients who did not undergo RMT). A total of 44 patients completed the study, with 22 patients in each group. The RMT program consisted of air-stacking exercise, manually assisted coughing, inspiratory and expiratory muscle strengthening, cough exercises, and respiratory reeducation. Pulmonary function and respiratory muscle strength were evaluated before commencement and after 1 mo of RMT. The Functional Ambulation Category score, Korean version of the Modified Barthel Index, Shoulder Abduction and Finger Extension score, and handgrip power were assessed. The incidence of pneumonia was also evaluated. Both pulmonary function and respiratory muscle strength significantly improved in both groups. However, differences (%) in the RMT group was greater for all parameters of pulmonary function and respiratory muscle strength. Respiratory complications at 1 yr were significantly lower in the RMT group (P = .016). Four weeks of comprehensive RMT in patients with acute stroke resulted in significantly greater improvements in both pulmonary function and respiratory muscle strength than SR. Therefore, RMT has the potential to reduce post-stroke respiratory complications.

Comparing the hand grip power and creatine kinase levels of U-17 judo national team athletes before and after a 6-week strength training

Background and Study Aim. The aim of this study is to compare the hand grip power and creatine kinase levels of male and female U-17 National Team Athletes before and after a 6-week strength training.&#x0D; Material and Methods. 15 female and 15 male U-17 athletes, who previously participated in international competitions, participated in our study. Besides the hand grip power and creatine kinase values, age, height, weight, and BMI (body mass index) values of the athletes were measured before and after the training. As the conclusion of the measurements, the mean age of the female participant athletes was determined as 14,93 years, their mean height was 158,3 cm, and the mean age of the male athletes was 15,73 years, while their mean height was 173,1 cm.&#x0D; Results: As the conclusion of the measurements, it was determined that there were statistically significant differences between the right hand grip power and left hand grip power parameters of male and female participant athletes measured before and after the 6-week training. Moreover, it was determined that there were statistically significant differences between the pre-test and post-test measurements of creatine kinase values of both male and female athletes (p&gt; 0,05).&#x0D; Conclusions. As the conclusion, it was determined that the 6-week strength trainings applied to U-17 Judo National Team athletes caused significant changes in their hand grip power and creatine kinase values. The significant results obtained from our study are considered to be originated from the duration, scope, frequency, severity, and content of the training.

Essential Medical Information for Stroke Patients Undergoing Interhospital Transfer: A Delphi Study.

For improving the efficiency of transferring medical records for stroke patients undergoing interhospital transfer, we evaluated what is the essential medical information for physicians using the Delphi method. We set up an expert panel of 31 physiatrists, who participated in this study. The 32 preliminary items of the transferred medical information were listed by a physiatrist for the first round of the Delphi method, and degree of necessity for these 32 items was evaluated using a 3-point scale ("very necessary," "necessary," and "not necessary"). We considered "very necessary" and "necessary" as "agreed to its necessity." According to the Delphi method, a satisfactory level of consensus can be achieved with the agreement of significant majority (≥80%) in the expert panel. Based on the experts' feedback, some items were added as the preliminary items. After the second round of the Delphi method, the items confirmed to be necessary information during interhospital transfer were motor and sensory evoked potentials, Barthel Index, Mini-Mental State Examination/Global Deterioration Scale, Motor-Free Visual Perception Test, Manual Function Test, Purdue Pegboard Test, hand grip power, monofilament, 2-point discrimination test, Manual Muscle Test, Nottingham Scale, modified Brunnstrom Classification, functional ambulation category, Glasgow Coma Scale, language function test, imaging study, videofluoroscopic swallowing study, rehabilitation goal, previous medical history, comorbidity, and medication information. If the previously mentioned necessary items are presented together at once during interhospital transfer, physicians who receive new stroke patients can evaluate patients' medical information more easily and completely.

Do subjectively and objectively impaired oral health parameters influence geriatric assessment results in hospitalized geriatric patients?

Impaired oral health affects oral health-related quality of life (OHrQoL) in orthogeriatric hospitalized patients, and both might be associated with potential risk factors for functional impairment, based on the comprehensive geriatric assessment (CGA) and related blood laboratory values. As data on this field are scarce, we investigated possible associations between oral health, items of the geriatric oral health assessment instrument (GOHAI), CGA assessment tools, and relevant laboratory values. Explorative cross-sectional pilot study investigating oral and general health, OHrQoL, and functionality based on objective oral health, GOHAI, CGA, and routinely assessed laboratory parameters of orthogeriatric patients. Correlations (Spearman's rho and Pearson's) and regression analysis were performed for the dependent variables functionality, cognition, Mini-Nutritional Assessment, Falls Efficacy Scale (FES), and the 15-item geriatric depression scale (GDS). Among all participants (N = 40), several GOHAI single items (GOHAI 1,4,5,7,10,11) correlated with certain CGA assessment results (fear of falling, Barthel index, handgrip power). Reduced subjective oral health (GOHAI, xerostomia) and objective oral health (oral hygiene index, root caries index, unstimulated salivation rate) correlated with reduced general health and CGA results (polypharmacy, handgrip power, FES, GDS). Anemia was seen in all participants, but no associations between reduced oral health and laboratory blood values were detected. Our results demonstrate the association between impaired subjective and objective oral health, OHrQoL, and physical functional impairment among orthogeriatric patients. Impaired GOHAI item results at the dentist, and the association between GOHAI values and CGA results that implies an association between physical and oral health, should encourage a geriatric check based on CGA, and vice versa. Results encourage interdisciplinary cooperation between geriatricians and dentists, but also indicate the need for further research in this field. DRKS00013230.

Trunk fat mass correlates with balance and physical performance in a community-dwelling elderly population: Results from the Korean Frailty and aging cohort study.

This study aimed to investigate whether trunk fat mass measured using dual-energy X-ray absorptiometry (DEXA) correlates with balance and physical performance.This study utilized 2-year baseline data pertaining to 3014 participants from the database of the Korean frailty and aging cohort study. The trunk lean mass and fat mass were measured by DEXA. Trunk fat mass index (tFMI) was established using the following standard equation: Trunk fat mass (Kg)/height2 (m2). The clinical balance tests were performed using the timed up and go test (TUG), total balance score in short physical performance battery (SPPB). We performed SPPB and evaluated independence of daily living using activities of daily living, instrumental activities of daily living (IADL), sarcopenia screening tool (SARC-F) and both hand grip power. In our study, we tried to check the correlation of tFMI with balance and physical performance and to determine the factors associated with tFMI.The tFMI was positively correlated with mean values of 4 m gait speed, repeat chair stand time in SPPB, TUG, and SARC-F and negatively correlated with hand grip, IADL, total balance test score in SPPB, total SPPB score, and age. The results of the multiple generalized linear model analysis that assessed the factors associated with balance and physical performance indicated that tFMI had a significant correlation with repeat chair stand time in SPPB (seconds) (Beta estimate [B]: 0.252), TUG (seconds) (B: 0.25), 4 m gait speed (seconds) (B: 0.055), and total balance score in SPPB (B: −0.035).Higher tFMI using DEXA was correlated with low physical performance and balance, indicating that trunk fat mass was associated with balance and physical performance in community-dwelling older people.