Reduced Cross-Sectional Area of the Gluteus Medius Muscle is Associated With Decreased Activities of Daily Living in Older Adult Patients With Hip Fractures

Author:

Shiraishi Ryo12ORCID,Sato Keisuke3ORCID,Chijiiwa Nobumasa13,Yoshida Sadao4,Ogawa Takahiro35ORCID

Affiliation:

1. Department of Rehabilitation Therapy, Chuzan Hospital, Matsumoto, Okinawa, Okinawa, Japan

2. Department of Clinical Research and Quality Management, Graduate School of Medicine, University of The Ryukyus, Nishihara-cho, Okinawa, Japan

3. Clinical Education and Research Center, Chuzan Hospital, Matsumoto, Okinawa, Okinawa, Japan

4. Department of Rehabilitation Medicine, Chuzan Hospital, Matsumoto, Okinawa, Okinawa, Japan

5. Department of Rehabilitation Medicine, Aichi Medical University, Nagakute, Aichi, Japan

Abstract

We investigated the association between the cross-sectional area (CSA) of the gluteus medius muscle (GMM) and activities of daily living in patients with hip fractures. This retrospective cohort study comprised 111 patients aged ≥65 years who underwent hip fracture rehabilitation. The CSA of the GMM was measured using computed tomography scans in the early stages of hospitalization. The group with decreased CSA of the GMM had a median GMI ≤17 cm2/m2 for male patients and ≤16 cm2/m2 for female patients. Patients in the group with decreased CSA of the GMM had lower functional independence measure gains than those in the control group. After adjusting for confounders, we found that decreased CSA of the GMM was significantly associated with lower functional independence measure gains (β: −0.432, p < .001). In patients with hip fractures, decreased CSA of the GMM was associated with decreased activities of daily living.

Publisher

Human Kinetics

Subject

Geriatrics and Gerontology,Gerontology,Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

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