Influence of Hand Grip Strength on Surgical Outcomes After Surgery for Adult Spinal Deformity.
Journal
Spine
ISSN: 1528-1159
Titre abrégé: Spine (Phila Pa 1976)
Pays: United States
ID NLM: 7610646
Informations de publication
Date de publication:
15 Nov 2020
15 Nov 2020
Historique:
pubmed:
7
8
2020
medline:
27
1
2021
entrez:
7
8
2020
Statut:
ppublish
Résumé
A prospective observational study. This study was done to examine the influence of hand grip strength (HGS) on surgical outcomes of adult spinal deformity (ASD) patients. No study has investigated the relation between hand grip strength and treatment outcome of adult spinal deformity correction surgery. A total of 78 consecutive patients who underwent adult spinal deformity correction surgery were included in this study. Patients were assigned to either the high HGS (≥ 26 kg for men and ≥ 18 kg for women, n = 26) or the low HGS (< 26 kg for men and < 18 kg for women, n = 52) based on their preoperative measurements. The Oswestry disability index (ODI), EQ-5D, and visual analog scale (VAS) for back pain were assessed preoperatively, and 3 months, 6 months, and 12 months postoperatively. The primary outcome measure was ODI scores 12 months after surgery. The secondary outcome measures included the overall ODI scores, EQ-5D, and VAS for back pain, assessed at each time point during the 12-months follow-up. The ODI score at 12 months after surgery was significantly lower in the high HGS group than the low HGS group (P < 0.001), which was best predicted by a multivariate regression model including age, gender, BMI, HGS, and preoperative ODI scores. The overall ODI score, EQ-5D, and VAS for back pain had better outcomes in the high HGS group across each follow-up assessment (P < 0.001 for all follow-ups), while they improved significantly with time after surgery in both groups. Patients with higher preoperative HGS displayed better surgical outcomes, in terms of disability and health-related quality of life at 12 months after reconstructive spinal surgery for ASD. 2.
Sections du résumé
STUDY DESIGN
METHODS
A prospective observational study.
OBJECTIVE
OBJECTIVE
This study was done to examine the influence of hand grip strength (HGS) on surgical outcomes of adult spinal deformity (ASD) patients.
SUMMARY OF BACKGROUND DATA
BACKGROUND
No study has investigated the relation between hand grip strength and treatment outcome of adult spinal deformity correction surgery.
METHODS
METHODS
A total of 78 consecutive patients who underwent adult spinal deformity correction surgery were included in this study. Patients were assigned to either the high HGS (≥ 26 kg for men and ≥ 18 kg for women, n = 26) or the low HGS (< 26 kg for men and < 18 kg for women, n = 52) based on their preoperative measurements. The Oswestry disability index (ODI), EQ-5D, and visual analog scale (VAS) for back pain were assessed preoperatively, and 3 months, 6 months, and 12 months postoperatively. The primary outcome measure was ODI scores 12 months after surgery. The secondary outcome measures included the overall ODI scores, EQ-5D, and VAS for back pain, assessed at each time point during the 12-months follow-up.
RESULTS
RESULTS
The ODI score at 12 months after surgery was significantly lower in the high HGS group than the low HGS group (P < 0.001), which was best predicted by a multivariate regression model including age, gender, BMI, HGS, and preoperative ODI scores. The overall ODI score, EQ-5D, and VAS for back pain had better outcomes in the high HGS group across each follow-up assessment (P < 0.001 for all follow-ups), while they improved significantly with time after surgery in both groups.
CONCLUSIONS
CONCLUSIONS
Patients with higher preoperative HGS displayed better surgical outcomes, in terms of disability and health-related quality of life at 12 months after reconstructive spinal surgery for ASD.
LEVEL OF EVIDENCE
METHODS
2.
Identifiants
pubmed: 32756282
doi: 10.1097/BRS.0000000000003636
pii: 00007632-202011150-00010
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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