Decrease in physical function after fall-related distal forearm fracture in elderly women.

Fractures occur in about every tenth of accidental falls and a distal forearm fracture is one of the commonest fractures. People who have sustained a distal forearm fracture are at risk of sustaining other fractures later in life. The purpose of this study was to describe physical performance regard...

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Publicado en:Advances in Physiotherapy Vol. 5; no. 4; pp. 146 - 155
Autores principales: Nordell E, Jarnlo G, Thorngren K
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2003
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2003
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      pub: Taylor & Francis Ltd
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        10.1080/14038190310016788
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        atl: Decrease in physical function after fall-related distal forearm fracture in elderly women.
      aug:
        au:
          Nordell E
          Jarnlo G
          Thorngren K
        affil: Department of Orthopedics, University Hospital, SE-221 85 Lund, Sweden; eva.nordell@ort.lu.se
      sug:
        subj:
          Radius Fractures Complications
          Accidental Falls Adverse Effects
          Grip Strength
          Activities of Daily Living
          Walking
          Dynamometry
          Bone Density
          Interrater Reliability
          Data Analysis Software
          Multivariate Analysis
          Wilcoxon Signed Rank Test
          Test-Retest Reliability
          Middle Age
          Aged
          Aged, 80 and Over
          Female
          Funding Source
          Human
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
      ab: Fractures occur in about every tenth of accidental falls and a distal forearm fracture is one of the commonest fractures. People who have sustained a distal forearm fracture are at risk of sustaining other fractures later in life. The purpose of this study was to describe physical performance regarding handgrip strength, one leg standing and walking speed over time in women after a fall-related distal forearm fracture. Forty-three women, mean age 68 years (50-84), were followed for a mean period of 13 months. The women were interviewed and bone mass density was measured. Handgrip strength, walking speed and one leg stance were measured. Twenty-three women (53%) had osteopenia or osteoporosis. The handgrip strength of the non-fractured hand declined with 4.2 kg (p<0.001) the first year after the fracture. Comfortable and fast walking speed decreased with 0.09 m/s (p=0.001 and p<0.001, respectively). The fall-related distal forearm fracture led to reduction of physical performance, shown by decline of handgrip strength and walking speed. Our results indicate that physical therapy treatment after a distal forearm fracture also has to focus on physical capacity. This should be further explored for this group of patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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