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Functional performance and grip strength after total hip replacement.

Deann E Kiefer¹, Lynnda J Emery

¹Therapy Alliance, Cincinnati, OH.

Occupational Therapy in Health Care

|August 10, 2013

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Adults undergoing total hip replacement (THR) showed significant functional gains, measured by the Functional Independence Measure (FIM). Post-surgery grip strength was reduced but did not correlate with functional improvements.

Area of Science:

Orthopedics
Rehabilitation Medicine
Geriatric Medicine

Background:

Total hip replacement (THR) is a common procedure for hip dysfunction.
Assessing functional recovery and factors influencing it post-THR is crucial for patient outcomes.
The relationship between grip strength and functional gains after THR remains underexplored.

Purpose of the Study:

To evaluate functional progress in adults after THR using the Functional Independence Measure (FIM).
To investigate measures of effectiveness and efficiency in rehabilitation post-THR.
To explore the correlation between grip strength and functional gains following THR.

Main Methods:

Retrospective chart review of 41 patients undergoing THR.
Comparison of baseline and discharge FIM subscale scores (self-care, mobility, locomotion) using paired t-tests.

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Calculation of effectiveness and efficiency indicators.

Comparison of grip strength to age and gender norms using one-sample t-tests.

Pearson correlation analysis between grip strength and FIM subscale scores.

Main Results:

Patients demonstrated statistically significant improvements in 10 FIM subscales related to self-care, mobility, and locomotion, averaging 2.1 points per subscale.
Grip strength was significantly lower than expected norms in six of 14 subgroups, particularly in female subgroups.
No significant correlations were found between grip strength and any FIM subscale scores.

Conclusions:

Functional performance, as measured by the FIM, improved across all subscales following THR.
Post-THR grip strength was moderately decreased compared to norms.
Reduced grip strength alone does not appear to negatively impact overall functional performance after THR.