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

Autor:	Sajiki-Ito M; Department of Rehabilitation Medicine, Nara Medical University, Nara, JPN., Tsukamoto S; Department of Orthopaedic Surgery, Nara Medical University, Nara, JPN., Bai D; Graduate School of Medicine, Health and Science, Kio University, Nara, JPN.; Rehabilitation, Yokohama Sports Medical Center, Kanagawa, JPN., Tokuda M; Department of Rehabilitation, Heisei Memorial Hospital, Nara, JPN., Tamai K; Department of Orthopaedic Surgery, Heisei Memorial Hospital, Nara, JPN., Takeguchi N; Department of Orthopaedic Surgery, Heisei Memorial Hospital, Nara, JPN., Sada M; Department of Orthopaedic Surgery, Heisei Memorial Hospital, Nara, JPN., Tanaka Y; Department of Orthopaedic Surgery, Nara Medical University, Nara, JPN., Kido A; Department of Rehabilitation Medicine, Nara Medical University, Nara, JPN.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jun 24; Vol. 16 (6), pp. e63053. Date of Electronic Publication: 2024 Jun 24 (Print Publication: 2024).
DOI:	10.7759/cureus.63053
Abstrakt:	Background: 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. Methods: 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. Results: 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. Conclusions: Our rehabilitation program increased lower limb skeletal muscle mass in patients with hip fractures. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Heisei Memorial Hospital Ethics Committee issued approval 2019-002. This study was approved by the Heisei Memorial Hospital Ethics Committee (protocol code 2019-002). Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Sajiki-Ito et al.)
Databáze:	MEDLINE
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