Lower grip strength and dynamic body balance in women with distal radial fractures

  • K. FujitaEmail author
  • H. Kaburagi
  • A. Nimura
  • T. Miyamoto
  • Y. Wakabayashi
  • Y. Seki
  • H. Aoyama
  • H. Shimura
  • R. Kato
  • A. Okawa
Original Article



In this case-control study, we concluded that women with distal radial fractures who were surgically treated showed lower grip strength and dynamic body balancing than those of controls. These results suggest that measurements of grip strength and dynamic body balance may be useful screening tools to assess future fracture risk.


Patients with distal radial fractures (DRFs) are at risk of future fragility fractures. However, their physical characteristics and tendencies for falls remain unclear. We aimed to compare the physical characteristics of women with and without distal radial fractures.


We included 128 women with a DRF as their first fragility fracture (fracture group) who underwent surgical treatment. Concurrently, 128 age- and sex-matched participants without a history of fragility fractures were selected as controls (control group). The participants underwent assessments of grip strength and the body balancing ability test. Measurements were taken twice in the fracture group, at 2 weeks and 6 months postoperatively, and once in the control group. The body balancing ability test included the Functional Reach Test, Timed Up and Go test (TUG), 2-Step test (2ST), and Timed Uni-pedal Stance test. The participants also completed questionnaires about their health.


There were no significant differences (p > 0.05) in patient characteristics between the groups. The fracture group showed lower grip strength across all age groups. In the DRF group, prolonged TUG time was observed at 2 weeks postoperatively in all age groups and at 6 months in participants aged 55–74 years; the 2ST score was significantly lower in participants aged between 65 and 74 years.


Women with DRF demonstrated lower grip strength and dynamic body balancing ability. Lower grip strength and dynamic body balancing ability were identified as significant risk factors in women with DRF, suggesting that these may be useful screening tools to assess fracture risk.


Distal radial fracture Fall tendency Grip strength TUG 



We would thank Dr. Y.N. and Dr. Y.M. for collecting data.


This research was funded by ZENKYOREN.

Compliance with ethical standards

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was approved by the institutional review board of Tokyo Medical and Dental University (M2000-1887).

Informed consent

Written informed consent was provided by all participants.

Conflicts of interest


Supplementary material

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Supplementary Figure 1 (DOCX 115 kb)
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Supplementary Table 1 (DOCX 15 kb)
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Supplementary Table 2 (DOCX 15 kb)
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Supplementary Table 3 (DOCX 14 kb)
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Supplementary Table 4 (DOCX 14 kb)


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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2019

Authors and Affiliations

  1. 1.Department of Orthopaedic and Spinal Surgery, Graduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
  2. 2.Department of Functional Joint Anatomy, Graduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
  3. 3.Department of Orthopedic SurgeryYokohama City Minato Red Cross HospitalKanagawaJapan
  4. 4.Department of Orthopedic SurgerySuwa Central HospitalNaganoJapan
  5. 5.Department of Orthopedic SurgeryJA Toride Medical CenterIbarakiJapan
  6. 6.Department of Orthopedic SurgeryTokyo Bay Urayasu Ichikawa Medical CenterChibaJapan
  7. 7.JA Kyosai Research InstituteTokyoJapan

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