Lower grip strength and dynamic body balance in women with distal radial fractures
Lower grip strength and dynamic body balance in women with distal radial fractures
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DOI：
10.1007/s00198-018-04816-4
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发表时间：
2019-05-01
影响因子：
4
通讯作者：
Okawa, A.
中科院分区：
文献类型：
--
作者：
Fujita, K.;Kaburagi, H.;Okawa, A.
总结在这项病例对照研究中，我们得出的结论是，接受手术治疗的桡骨远端骨折的女性比对照组表现出较低的握力和动态身体平衡。这些结果表明，握力和动态身体平衡的测量可能是评估未来骨折风险的有用筛查工具。简介患有远端桡骨骨折（DRF）的患者面临未来脆性骨折的风险。然而，他们的身体特征和跌倒倾向仍不清楚。我们的目的是比较患有和不患有远端桡骨骨折的女性的身体特征。方法我们纳入了 128 名患有 DRF 的女性作为首次脆性骨折（骨折组），并接受了手术治疗。同时，选择 128 名年龄和性别匹配且无脆性骨折病史的参与者作为对照（对照组）。参与者接受了握力评估和身体平衡能力测试。骨折组在术后 2 周和 6 个月进行两次测量，对照组进行一次测量。身体平衡能力测试包括功能伸展测试、计时起立测试（TUG）、两步测试（2ST）和计时单踏板站立测试。参与者还完成了有关其健康状况的调查问卷。结果各组之间的患者特征没有显着差异（p>0.05）。所有年龄段的骨折组均表现出较低的握力。在DRF组中，所有年龄组的术后2周以及55-74岁参与者的术后6个月均观察到TUG时间延长；年龄在 65 岁至 74 岁之间的参与者的 2ST 分数显着较低。 结论 患有 DRF 的女性表现出较低的握力和动态身体平衡能力。较低的握力和动态身体平衡能力被认为是患有 DRF 的女性的重要危险因素，表明这些可能是评估骨折风险的有用筛查工具。
The SummaryIn this case-control study, we concluded that women with distal radial fractures who were surgically treated showed lower grip strength and dynamic body balancing than those of controls. These results suggest that measurements of grip strength and dynamic body balance may be useful screening tools to assess future fracture risk.IntroductionPatients with distal radial fractures (DRFs) are at risk of future fragility fractures. However, their physical characteristics and tendencies for falls remain unclear. We aimed to compare the physical characteristics of women with and without distal radial fractures.MethodsWe included 128 women with a DRF as their first fragility fracture (fracture group) who underwent surgical treatment. Concurrently, 128 age- and sex-matched participants without a history of fragility fractures were selected as controls (control group). The participants underwent assessments of grip strength and the body balancing ability test. Measurements were taken twice in the fracture group, at 2weeks and 6months postoperatively, and once in the control group. The body balancing ability test included the Functional Reach Test, Timed Up and Go test (TUG), 2-Step test (2ST), and Timed Uni-pedal Stance test. The participants also completed questionnaires about their health.ResultsThere were no significant differences (p>0.05) in patient characteristics between the groups. The fracture group showed lower grip strength across all age groups. In the DRF group, prolonged TUG time was observed at 2weeks postoperatively in all age groups and at 6months in participants aged 55-74years; the 2ST score was significantly lower in participants aged between 65 and 74years.ConclusionsWomen with DRF demonstrated lower grip strength and dynamic body balancing ability. Lower grip strength and dynamic body balancing ability were identified as significant risk factors in women with DRF, suggesting that these may be useful screening tools to assess fracture risk.