Turkish Journal of Physical Medicine and Rehabilitation

The relationship between upper extremity functional performance and anthropometric features and the quality criteria of cardiopulmonary resuscitation

Fikret Bildik 1 ,Zafer Günendi 2 ,Mehmet Ali Aslaner 1 ,Gül Bahar Alkaş 1 ,Ayfer Keleş 1 ,İsa Kılıçaslan 1 ,Dikmen Çalışkan 3 ,Ahmet Demircan 1
1 Department of Emergency Medicine, Gazi University Faculty of Medicine, Ankara, Turkey
2 Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey
3 Emergency Service, Antalya Kepez State Hospital, Antalya, Turkey
DOI : 10.5606/tftrd.2022.8464 Objectives: This study aims to examine the effect of upper extremity performance using the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) on cardiopulmonary resuscitation (CPR) quality criteria according to the European Resuscitation Council (ERC) Guidelines for Resuscitation 2015, including chest compression rate, depth, and recoil.

Patients and methods: This simulation-based study included 105 paramedic students (43 males, 62 females; median age: 19 years; range, 18 to 20 years) attending a two-year paramedic program between February 2018 and April 2018. The CKCUEST was used to determine upper extremity performance scores, including the touch number, normalized, and power score of the paramedic students. A TrueCPR® feedback device was used to measure CPR quality criteria throughout the study. The characteristics of the providers, such as height, weight, body mass index (BMI), and fat-free mass were also analyzed.

Results: Adequate compression depth had a positive correlation with body fat-free mass (r=0.397, p<0.001), power score (r=0.326, p=0.001), height (r=0.326, p=0.001), weight (r=0.314, p=0.001), and BMI (r=0.204, p=0.037). Full chest recoil had a negative correlation with the power score (r=-0.249, p=0.010) and height (r=-0.219, p=0.025). None of the variables were significantly different between the groups with and without the correct compression rate. In the receiver operating characteristic curve analysis for power score and correct compression depth as 100%, the area under the curve was 0.845 (p<0.001).

Conclusion: The power score combination of upper extremity functionality and the rescuer`s weight is the main factor affecting chest compression depth. However, this score is negatively correlated with full chest recoil. Keywords : Functional test, high quality cardiopulmonary resuscitation, upper extremity