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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1990 Sep;72(5):291–295.

Postoperative muscle strength.

J McCue 1, D Newham 1
PMCID: PMC2499208  PMID: 2221762

Abstract

This study investigates the role of motivation in voluntary strength measurements during the postoperative period. Thirty patients underwent surgery which was deemed minor, intermediate or major in severity. Before operation and on the 4th postoperative day measurement of grip strength, maximal voluntary and maximal tetanic (stimulated) contraction of adductor pollicis and assessment of mood were recorded. These investigations were also repeated on the 7th postoperative day in those who had major surgery. No patient had postoperative complications. Minor surgery had no influence on any of the values. Those who underwent major surgery showed significant reductions in grip strength, maximal voluntary contraction and mood; however, maximal tetanic contraction was unaffected. The results in the intermediate group were similar to the major group, although mood depression was less marked. Real strength of a hand muscle appears to be unaltered even by major surgery, but voluntary muscle force is decreased by intermediate and major surgery, and correlates with the patient's subjective state of well-being.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adolfsson G. Rehabilitation and convalescence after surgery. Scand J Rehabil Med. 1969;1(1):14–15. [PubMed] [Google Scholar]
  2. Bassey E. J., Bennett T., Birmingham A. T., Fentem P. H., Fitton D., Goldsmith R. Effects of surgical operation and bed rest on cardiovascular responses to exercise in hospital patients. Cardiovasc Res. 1973 Sep;7(5):588–592. doi: 10.1093/cvr/7.5.588. [DOI] [PubMed] [Google Scholar]
  3. Bigland-Ritchie B., Johansson R., Lippold O. C., Woods J. J. Contractile speed and EMG changes during fatigue of sustained maximal voluntary contractions. J Neurophysiol. 1983 Jul;50(1):313–324. doi: 10.1152/jn.1983.50.1.313. [DOI] [PubMed] [Google Scholar]
  4. Brough W., Horne G., Blount A., Irving M. H., Jeejeebhoy K. N. Effects of nutrient intake, surgery, sepsis, and long term administration of steroids on muscle function. Br Med J (Clin Res Ed) 1986 Oct 18;293(6553):983–988. doi: 10.1136/bmj.293.6553.983. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Christensen T., Bendix T., Kehlet H. Fatigue and cardiorespiratory function following abdominal surgery. Br J Surg. 1982 Jul;69(7):417–419. doi: 10.1002/bjs.1800690721. [DOI] [PubMed] [Google Scholar]
  6. Christensen T., Hougård F., Kehlet H. Influence of pre- and intra- operative factors on the occurrence of postoperative fatigue. Br J Surg. 1985 Jan;72(1):63–65. doi: 10.1002/bjs.1800720124. [DOI] [PubMed] [Google Scholar]
  7. Christensen T., Kehlet H. Postoperative fatigue and changes in nutritional status. Br J Surg. 1984 Jun;71(6):473–476. doi: 10.1002/bjs.1800710624. [DOI] [PubMed] [Google Scholar]
  8. Christensen T., Wulff C., Fuglsang-Frederiksen A., Kehlet H. Electrical activity and arm muscle force in postoperative fatigue. Acta Chir Scand. 1985;151(1):1–5. [PubMed] [Google Scholar]
  9. Edwards H., Rose E. A., King T. C. Postoperative deterioration in muscular function. Arch Surg. 1982 Jul;117(7):899–901. doi: 10.1001/archsurg.1982.01380310021005. [DOI] [PubMed] [Google Scholar]
  10. Edwards R. H., Young A., Hosking G. P., Jones D. A. Human skeletal muscle function: description of tests and normal values. Clin Sci Mol Med. 1977 Mar;52(3):283–290. doi: 10.1042/cs0520283. [DOI] [PubMed] [Google Scholar]
  11. Greenleaf J. E., Van Beaumont W., Convertino V. A., Starr J. C. Handgrip and general muscular strength and endurance during prolonged bedrest with isometric and isotonic leg exercise training. Aviat Space Environ Med. 1983 Aug;54(8):696–700. [PubMed] [Google Scholar]
  12. Klidjian A. M., Archer T. J., Foster K. J., Karran S. J. Detection of dangerous malnutrition. JPEN J Parenter Enteral Nutr. 1982 Mar-Apr;6(2):119–121. doi: 10.1177/0148607182006002119. [DOI] [PubMed] [Google Scholar]
  13. Kroemer K. H., Marras W. S. Towards an objective assessment of the "maximal voluntary contraction" component in routine muscle strength measurements. Eur J Appl Physiol Occup Physiol. 1980;45(1):1–9. doi: 10.1007/BF00421195. [DOI] [PubMed] [Google Scholar]
  14. Lopes J., Russell D. M., Whitwell J., Jeejeebhoy K. N. Skeletal muscle function in malnutrition. Am J Clin Nutr. 1982 Oct;36(4):602–610. doi: 10.1093/ajcn/36.4.602. [DOI] [PubMed] [Google Scholar]
  15. MERTON P. A. Voluntary strength and fatigue. J Physiol. 1954 Mar 29;123(3):553–564. doi: 10.1113/jphysiol.1954.sp005070. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Maxwell A. Muscle power after surgery. Lancet. 1980 Feb 23;1(8165):420–421. doi: 10.1016/s0140-6736(80)90966-6. [DOI] [PubMed] [Google Scholar]
  17. Russell D. M., Jeejeebhoy K. N. The assessment of the functional consequences of malnutrition. Curr Concepts Nutr. 1984;13:113–135. [PubMed] [Google Scholar]
  18. Rutherford O. M., Jones D. A., Newham D. J. Clinical and experimental application of the percutaneous twitch superimposition technique for the study of human muscle activation. J Neurol Neurosurg Psychiatry. 1986 Nov;49(11):1288–1291. doi: 10.1136/jnnp.49.11.1288. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Wood C. D. Postoperative exercise capacity following nutritional support with hypotonic glucose. Surg Gynecol Obstet. 1981 Jan;152(1):39–42. [PubMed] [Google Scholar]

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