Clinical trial NCT06072261: The Effect of Handgrip Strength on Functional Level
Official title: The Effect of Handgrip Strength on Functional Level in Elderly People Having Lower Extremity Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Rehabilitation
Keywords: Elderly
Functional Level
Handgrip Strenght
Kinesio Tape
Lead sponsor: Suleyman Demirel University
Sponsor class: OTHER
First posted: 2023-10-10
Enrollment: 100
Sex: ALL
Minimum age (years): 65
Maximum age (years): 80
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: In this study, it was aimed to examine the effects of kinesio tape applied to the forearm extensor muscles on the functional level of patients undergoing lower extremity surgery with walker ambulation.

Patients who were evaluated before being included in the post-surgical rehabilitation program (before kinesio tape application) and before discharge will be included in the study group. For the control group data, patients who underwent lower extremity surgery at the same institution for similar periods, but were included in the standard rehabilitation program, but did not apply kinesio tape, will be included. Standard rehabilitation practice includes in-bed transfer training, gait training, practice of daily living activities, and therapeutic exercise practices .

Before the standard rehabilitation program, kinesio taping was applied to both upper extremities in the form of a "Y" tape from the medial epicondyle to the wrist flexors, with 15-20% tension, to the patients hospitalized in the orthopedic service after lower extremity surgery. The tape should remain on the patient's arm throughout the hospital stay

Detailed description: In the literature, as predictors of poor functional recovery after lower extremity fracture and prosthetic surgery; old age, low functional level before fracture, cognitive impairment, comorbidities, living alone, and long hospital stay have been shown. Although the lower extremity has a higher relationship than the upper extremity in activities such as walking and physical function, the grip strength, which is closely related to the lower extremity strength, is an easily measurable, reliable, and applicable method for assessing whole body strength.In addition, handgrip strength is used as an important criterion in determining the functional level of elderly individuals. Although there are many studies in the literature that grip strength is a determinant of functional level, no study has been encountered showing the effects of kinesio taping application on the functional level of improving grip strength in elderly individuals who have undergone lower extremity surgery and provided with walker assisted ambulation.

Eligibility criteria: Inclusion Criteria:

* Patients over 65 years of age of both sexes, patients who were followed up postoperatively in the Department of Orthopedics of Süleyman Demirel University, patients whose mobilization was provided with a walker, and patients whose general condition was oriented and cooperative, were included in the study

Exclusion Criteria:

* Patients with uncontrollable lung or cardiac problems, patients with psychiatric disease (dementia...) that may affect the answers given, patients who used any drugs and alcohol that could affect cognitive functions were excluded from the study.

Primary outcomes:
measure: Handgrip strenght
timeFrame: 3-5 days (Change from Baseline Handgrip strenght at discharged)
measure: Pain assessment
timeFrame: 3-5 days (Change from Baseline Handgrip strenght at discharged)
measure: Functional Independence Measurement-FIM
timeFrame: 3-5 days (Change from Baseline Handgrip strenght at discharged)
measure: Iowa Level of Assistance Scale (ILAS) and Walking Speed Scale (IWSS)
timeFrame: 3-5 days (Change from Baseline Handgrip strenght at discharged)
Secondary outcomes:
Other outcomes:
Locations:
city: Merkez
country: Turkey
facility: Menekşe ŞAFAK
state: Isparta
Study officials:
affiliation: Suleyman Demirel University
name: Zeliha BAŞKURT, Prof. Dr.
role: PRINCIPAL_INVESTIGATOR
affiliation: Suleyman Demirel University
name: Ferdi BAŞKURT, Prof. Dr.
role: STUDY_CHAIR
affiliation: Suleyman Demirel University
name: Tuba İNCE PARPUCU, Assist. Prof.
role: STUDY_CHAIR
References: