Physical function assessment of older adults with lower body fractures at 3 months post-discharge from hospital

Nurul ‘Izzah Ibrahim, Mohd Sharkawi Ahmad, Mohamed S. Zulfarina, Sharifah Nurul Aqilah Sayed Mohd Zaris, Zainal Abidin Nor Azlin, Isa Naina Mohamed, Norazlina Mohamed, Sabarul Afian Mokhtar, Ahmad Nazrun Shuid

Research output: Contribution to journalArticle

Abstract

Background and purpose: Physical function assessment can be performed to assess functional mobility among older adults, especially after a traumatic incident such as lower body fracture (LBF). The objective of this study was to evaluate physical function of older patients with LBF after 3 months of discharge from the hospital. Patients and methods: A total of 89 patients were followed up at the discharge phase. Four independent variables were tested: age, sex, type of fracture, and use of a walking aid before fracture. Mobility and strength were assessed with the Timed Up and Go (TUG) test and handgrip strength (HGS) test, respectively. Results: The majority of the patients were ≥65 years old (64%), female (61.8%), of Chinese ethnicity (50.6%), and had a hip fracture (51.7%). The mean time for TUG test was 26.11 seconds, while mean HGS was 19.02 kg. We found significant differences in TUG test scores with respect to all independent variables tested: age (P=0.026), sex (P=0.011), fracture type (P<0.001), and use of a walking aid before fracture (P=0.004). Significant differences were also detected in HGS test scores with respect to all independent variables tested: age (P<0.001), sex (P<0.001), fracture type (P<0.001), and use of a walking aid before fracture (P=0.035). Conclusion: Increasing age, female sex, having a hip fracture, and use of a walking aid before fracture predicted reduction in the physical function and strength among older adults with LBF.

Original languageEnglish
Pages (from-to)201-210
Number of pages10
JournalTherapeutics and Clinical Risk Management
Volume15
DOIs
Publication statusPublished - 1 Jan 2019

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Walking
Hip Fractures
Fracture Fixation
incident
ethnicity

Keywords

  • Handgrip strength test
  • Lower body fracture
  • Rehabilitation
  • Timed up and go test

ASJC Scopus subject areas

  • Safety Research
  • Pharmacology, Toxicology and Pharmaceutics(all)
  • Pharmacology (medical)
  • Chemical Health and Safety

Cite this

Physical function assessment of older adults with lower body fractures at 3 months post-discharge from hospital. / Ibrahim, Nurul ‘Izzah; Ahmad, Mohd Sharkawi; Zulfarina, Mohamed S.; Zaris, Sharifah Nurul Aqilah Sayed Mohd; Azlin, Zainal Abidin Nor; Naina Mohamed, Isa; Mohamed, Norazlina; Mokhtar, Sabarul Afian; Shuid, Ahmad Nazrun.

In: Therapeutics and Clinical Risk Management, Vol. 15, 01.01.2019, p. 201-210.

Research output: Contribution to journalArticle

Ibrahim, Nurul ‘Izzah ; Ahmad, Mohd Sharkawi ; Zulfarina, Mohamed S. ; Zaris, Sharifah Nurul Aqilah Sayed Mohd ; Azlin, Zainal Abidin Nor ; Naina Mohamed, Isa ; Mohamed, Norazlina ; Mokhtar, Sabarul Afian ; Shuid, Ahmad Nazrun. / Physical function assessment of older adults with lower body fractures at 3 months post-discharge from hospital. In: Therapeutics and Clinical Risk Management. 2019 ; Vol. 15. pp. 201-210.
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abstract = "Background and purpose: Physical function assessment can be performed to assess functional mobility among older adults, especially after a traumatic incident such as lower body fracture (LBF). The objective of this study was to evaluate physical function of older patients with LBF after 3 months of discharge from the hospital. Patients and methods: A total of 89 patients were followed up at the discharge phase. Four independent variables were tested: age, sex, type of fracture, and use of a walking aid before fracture. Mobility and strength were assessed with the Timed Up and Go (TUG) test and handgrip strength (HGS) test, respectively. Results: The majority of the patients were ≥65 years old (64{\%}), female (61.8{\%}), of Chinese ethnicity (50.6{\%}), and had a hip fracture (51.7{\%}). The mean time for TUG test was 26.11 seconds, while mean HGS was 19.02 kg. We found significant differences in TUG test scores with respect to all independent variables tested: age (P=0.026), sex (P=0.011), fracture type (P<0.001), and use of a walking aid before fracture (P=0.004). Significant differences were also detected in HGS test scores with respect to all independent variables tested: age (P<0.001), sex (P<0.001), fracture type (P<0.001), and use of a walking aid before fracture (P=0.035). Conclusion: Increasing age, female sex, having a hip fracture, and use of a walking aid before fracture predicted reduction in the physical function and strength among older adults with LBF.",
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AU - Ibrahim, Nurul ‘Izzah

AU - Ahmad, Mohd Sharkawi

AU - Zulfarina, Mohamed S.

AU - Zaris, Sharifah Nurul Aqilah Sayed Mohd

AU - Azlin, Zainal Abidin Nor

AU - Naina Mohamed, Isa

AU - Mohamed, Norazlina

AU - Mokhtar, Sabarul Afian

AU - Shuid, Ahmad Nazrun

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Y1 - 2019/1/1

N2 - Background and purpose: Physical function assessment can be performed to assess functional mobility among older adults, especially after a traumatic incident such as lower body fracture (LBF). The objective of this study was to evaluate physical function of older patients with LBF after 3 months of discharge from the hospital. Patients and methods: A total of 89 patients were followed up at the discharge phase. Four independent variables were tested: age, sex, type of fracture, and use of a walking aid before fracture. Mobility and strength were assessed with the Timed Up and Go (TUG) test and handgrip strength (HGS) test, respectively. Results: The majority of the patients were ≥65 years old (64%), female (61.8%), of Chinese ethnicity (50.6%), and had a hip fracture (51.7%). The mean time for TUG test was 26.11 seconds, while mean HGS was 19.02 kg. We found significant differences in TUG test scores with respect to all independent variables tested: age (P=0.026), sex (P=0.011), fracture type (P<0.001), and use of a walking aid before fracture (P=0.004). Significant differences were also detected in HGS test scores with respect to all independent variables tested: age (P<0.001), sex (P<0.001), fracture type (P<0.001), and use of a walking aid before fracture (P=0.035). Conclusion: Increasing age, female sex, having a hip fracture, and use of a walking aid before fracture predicted reduction in the physical function and strength among older adults with LBF.

AB - Background and purpose: Physical function assessment can be performed to assess functional mobility among older adults, especially after a traumatic incident such as lower body fracture (LBF). The objective of this study was to evaluate physical function of older patients with LBF after 3 months of discharge from the hospital. Patients and methods: A total of 89 patients were followed up at the discharge phase. Four independent variables were tested: age, sex, type of fracture, and use of a walking aid before fracture. Mobility and strength were assessed with the Timed Up and Go (TUG) test and handgrip strength (HGS) test, respectively. Results: The majority of the patients were ≥65 years old (64%), female (61.8%), of Chinese ethnicity (50.6%), and had a hip fracture (51.7%). The mean time for TUG test was 26.11 seconds, while mean HGS was 19.02 kg. We found significant differences in TUG test scores with respect to all independent variables tested: age (P=0.026), sex (P=0.011), fracture type (P<0.001), and use of a walking aid before fracture (P=0.004). Significant differences were also detected in HGS test scores with respect to all independent variables tested: age (P<0.001), sex (P<0.001), fracture type (P<0.001), and use of a walking aid before fracture (P=0.035). Conclusion: Increasing age, female sex, having a hip fracture, and use of a walking aid before fracture predicted reduction in the physical function and strength among older adults with LBF.

KW - Handgrip strength test

KW - Lower body fracture

KW - Rehabilitation

KW - Timed up and go test

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