Relation between the Disability of the Arm, Shoulder and Hand Score and Muscle Strength in Post-Cardiac Surgery Patients
Background: The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire is a valid and reliable patient-reported outcome measure. DASH can be assessed by self-reported upper extremity disability and symptoms. We aimed to examine the relationship between the physiological outcome of muscle s...
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MDPI AG
2017-11-01
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| Series: | Diseases |
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| Online Access: | https://www.mdpi.com/2079-9721/5/4/31 |
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| author | Kazuhiro P. Izawa Yusuke Kasahara Koji Hiraki Yasuyuki Hirano Satoshi Watanabe |
| author_facet | Kazuhiro P. Izawa Yusuke Kasahara Koji Hiraki Yasuyuki Hirano Satoshi Watanabe |
| author_sort | Kazuhiro P. Izawa |
| collection | DOAJ |
| description | Background: The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire is a valid and reliable patient-reported outcome measure. DASH can be assessed by self-reported upper extremity disability and symptoms. We aimed to examine the relationship between the physiological outcome of muscle strength and the DASH score after cardiac surgery. Methods: This cross-sectional study assessed 50 consecutive cardiac patients that were undergoing cardiac surgery. Physiological outcomes of handgrip strength and knee extensor muscle strength and the DASH score were measured at one month after cardiac surgery and were assessed. Results were analyzed using Spearman correlation coefficients. Results: The final analysis comprised 43 patients (men: 32, women: 11; age: 62.1 ± 9.1 years; body mass index: 22.1 ± 4.7 kg/m2; left ventricular ejection fraction: 53.5 ± 13.7%). Respective handgrip strength, knee extensor muscle strength, and DASH score were 27.4 ± 8.3 kgf, 1.6 ± 0.4 Nm/kg, and 13.3 ± 12.3, respectively. The DASH score correlated negatively with handgrip strength (r = −0.38, p = 0.01) and with knee extensor muscle strength (r = −0.32, p = 0.04). Conclusion: Physiological outcomes of both handgrip strength and knee extensor muscle strength correlated negatively with the DASH score. The DASH score appears to be a valuable tool with which to assess cardiac patients with poor physiological outcomes, particularly handgrip strength as a measure of upper extremity function, which is probably easier to follow over time than lower extremity function after patients complete cardiac rehabilitation. |
| first_indexed | 2024-12-11T22:08:36Z |
| format | Article |
| id | doaj.art-b2cb22f059324932866c4f8bfedab3fd |
| institution | Directory Open Access Journal |
| issn | 2079-9721 |
| language | English |
| last_indexed | 2024-12-11T22:08:36Z |
| publishDate | 2017-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diseases |
| spelling | doaj.art-b2cb22f059324932866c4f8bfedab3fd2022-12-22T00:48:52ZengMDPI AGDiseases2079-97212017-11-01543110.3390/diseases5040031diseases5040031Relation between the Disability of the Arm, Shoulder and Hand Score and Muscle Strength in Post-Cardiac Surgery PatientsKazuhiro P. Izawa0Yusuke Kasahara1Koji Hiraki2Yasuyuki Hirano3Satoshi Watanabe4Graduate School of Health Sciences, Kobe University, 7-10-2 Tomogaoka, Suna-ku, Kobe 654-0142, JapanDepartment of Rehabilitation Medicine, St. Marianna University School of Medicine Yokohama-city Seibu Hospital, 1197-1, yasashi-cho, asahi-ku, Yokohama 241-0811, JapanDepartment of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital, 2-16-1 Sugao, Miyamae-ku, Kawasaki 216-8511, JapanDepartment of Physical Therapy, Tokushima Bunri University, 180, Nishihama, Yamashiro-cho, Tokushima 770-8514, JapanDepartment of Rehabilitation Medicine, St. Marianna University School of Medicine Hospital, 2-16-1 Sugao, Miyamae-ku, Kawasaki 216-8511, JapanBackground: The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire is a valid and reliable patient-reported outcome measure. DASH can be assessed by self-reported upper extremity disability and symptoms. We aimed to examine the relationship between the physiological outcome of muscle strength and the DASH score after cardiac surgery. Methods: This cross-sectional study assessed 50 consecutive cardiac patients that were undergoing cardiac surgery. Physiological outcomes of handgrip strength and knee extensor muscle strength and the DASH score were measured at one month after cardiac surgery and were assessed. Results were analyzed using Spearman correlation coefficients. Results: The final analysis comprised 43 patients (men: 32, women: 11; age: 62.1 ± 9.1 years; body mass index: 22.1 ± 4.7 kg/m2; left ventricular ejection fraction: 53.5 ± 13.7%). Respective handgrip strength, knee extensor muscle strength, and DASH score were 27.4 ± 8.3 kgf, 1.6 ± 0.4 Nm/kg, and 13.3 ± 12.3, respectively. The DASH score correlated negatively with handgrip strength (r = −0.38, p = 0.01) and with knee extensor muscle strength (r = −0.32, p = 0.04). Conclusion: Physiological outcomes of both handgrip strength and knee extensor muscle strength correlated negatively with the DASH score. The DASH score appears to be a valuable tool with which to assess cardiac patients with poor physiological outcomes, particularly handgrip strength as a measure of upper extremity function, which is probably easier to follow over time than lower extremity function after patients complete cardiac rehabilitation.https://www.mdpi.com/2079-9721/5/4/31cardiac surgeryrehabilitationhandgrip strengthknee extensor muscle strengthDASH |
| spellingShingle | Kazuhiro P. Izawa Yusuke Kasahara Koji Hiraki Yasuyuki Hirano Satoshi Watanabe Relation between the Disability of the Arm, Shoulder and Hand Score and Muscle Strength in Post-Cardiac Surgery Patients Diseases cardiac surgery rehabilitation handgrip strength knee extensor muscle strength DASH |
| title | Relation between the Disability of the Arm, Shoulder and Hand Score and Muscle Strength in Post-Cardiac Surgery Patients |
| title_full | Relation between the Disability of the Arm, Shoulder and Hand Score and Muscle Strength in Post-Cardiac Surgery Patients |
| title_fullStr | Relation between the Disability of the Arm, Shoulder and Hand Score and Muscle Strength in Post-Cardiac Surgery Patients |
| title_full_unstemmed | Relation between the Disability of the Arm, Shoulder and Hand Score and Muscle Strength in Post-Cardiac Surgery Patients |
| title_short | Relation between the Disability of the Arm, Shoulder and Hand Score and Muscle Strength in Post-Cardiac Surgery Patients |
| title_sort | relation between the disability of the arm shoulder and hand score and muscle strength in post cardiac surgery patients |
| topic | cardiac surgery rehabilitation handgrip strength knee extensor muscle strength DASH |
| url | https://www.mdpi.com/2079-9721/5/4/31 |
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