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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Knee-extension strength, postural control and function are related to fracture type and thigh edema in patients with hip fracture

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  1. A hierarchy in functional muscle roles at the knee is influenced by sex and anterior cruciate ligament deficiency

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  2. Plantarflexor muscle function in healthy and chronic Achilles tendon pain subjects evaluated by the use of EMG and PET imaging

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  3. Dynamic balance during gait in children and adults with Generalized Joint Hypermobility

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  1. Gait Function and Postural Control 4.5 Years After Nonoperative Dynamic Treatment of Acute Achilles Tendon Ruptures

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  2. Interrater reliability of the standardized Timed Up and Go Test when used in hospitalized and community-dwelling older individuals

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  3. Shoulder kinematics and kinetics of team handball throwing: A scoping review

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BACKGROUND: Post-surgery thigh edema, loss of knee-extension strength, and reduced physical performance are common following a hip fracture. It is not known if knee-extension strength and physical performance are related to the edema and fracture type. The aim of this study was to examine the influence of fracture type and post-surgery edema on physical performances in patients with hip fracture. METHODS: Fifteen women and five men admitted from their own home to an acute orthopedic hip fracture unit were examined. Ten had cervical and ten had intertrochanteric fractures. Correlations between fracture type and thigh edema in the fractured limb (% non-fractured) to physical performances of basic mobility, postural control (sway), and isometric knee-extension strength were examined. All measures, except those of basic mobility, were conducted at the time of discharge, 8.5 days post-surgery. FINDINGS: Patients with intertrochanteric fractures had greater edema (111% non-fractured limb) compared with cervical fractures (104% non-fractured, P<0.001). Thigh edema was significantly correlated to lower scores of basic mobility (r=-0.61, P=0.004), reduced postural control (r=0.67, P=0.001), and fractured limb knee-extension strength deficit ([% non-fractured], r=-0.77, P<0.001), explaining between 32% and 59% of the variance (r(2)) in performances. INTERPRETATION: Our results indicate that fracture type and the corresponding thigh edema are important factors influencing physical performances after hip fracture. These findings have important implications for rehabilitation programs and for further research in patients with hip fracture.
Original languageEnglish
JournalClinical biomechanics (Bristol, Avon)
Volume24
Issue number2
Pages (from-to)218-24
Number of pages6
DOIs
Publication statusPublished - 2008

    Research areas

  • Aged, Edema, Female, Hip Fractures, Humans, Knee Joint, Male, Muscle Contraction, Muscle, Skeletal, Posture, Statistics as Topic, Task Performance and Analysis, Thigh

ID: 32550683