Journal of the Japanese Physical Therapy Association
Online ISSN : 2188-8361
Print ISSN : 1344-1272
ISSN-L : 1344-1272
Physical Therapy Japan Vol. 41 (2014) Abstracts
Investigation of Factors Affecting the Ability for Gait Using a Cane and Walking Speed in Patients with Hip Fractures: Factors Determining the Ability for Gait Using a Cane are Different from those Determining Walking Speed
Yuji KAWABATAYasuhiro SUMIKAWAMami HAYASHISatoshi TAKECHIKeita GOTOSatomi FUJIMORINarumi KOHARA
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2015 Volume 18 Issue 1 Pages 43

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Abstract

Purpose: The purpose of this study was to clarify factors affecting the ability for gait using a cane and walking speed in patients with hip fractures.
Methods: The subjects were 104 patients with unilateral hip fractures. These included 61 patients who were able to independently walk using a cane and 43 patients who were unable to walk without any assistance. We investigated age, gender, standing height, fracture type, postoperative day, fractured and non-fractured isometric hip abductor strength, fractured and non-fractured isometric knee extensor strength, pain, leg length discrepancy, and 10-m walking speed.
Results: A multiple logistic regression analysis and a multiple regression analysis revealed that fractured isometric hip abductor strength and pain were significantly related to the ability for gait using a cane (corrected discriminate rate, 74.0% ). In addition, fractured isometric knee extensor strength and age were significantly related to 10-m walking speed (coefficient of determination, 0.48).
Conclusion: The results suggest that factors determining the ability for gait using a cane are different from those determining 10-m walking speed. Improving fractured hip abductor strength and pain relief were important for the ability for gait using a cane. Our results suggest that improvement of fractured knee extensor strength is important for increasing 10-m walking speed.

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© 2015 by the Japanese Physical Therapy Association
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