Suggested Assessments for Sarcopenia in Patients With Stroke Who Can Walk Independently

Autor: Kyeong Eun Uhm, Ho Joong Jung, Jongmin Lee, Yong Min Lee, Minsun Kim
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Annals of Rehabilitation Medicine, Vol 44, Iss 1, Pp 20-37 (2020)
Annals of Rehabilitation Medicine
ISSN: 2234-0653
2234-0645
Popis: Objective To investigate variables for assessment of stroke-related sarcopenia that are alternative options to the current assessment for sarcopenia, which focuses on age-related sarcopenia and also has limitations in addressing sarcopenia due to weakness resulting from stroke.Methods Forty patients (17 men, 23 women; mean age, 66.9±15.4 years) with first-ever stroke who can walk independently were included. Muscle mass was determined by measuring ultrasonographic muscle thickness of vastus intermedius, rectus femoris, tibialis anterior, medial gastrocnemius, and biceps brachii muscles in addition to using the skeletal muscle index (SMI) with bioelectrical impedance analysis. Muscle strength was assessed with the Medical Research Council (MRC) sum score as well as handgrip (HG) strength. Physical performance was measured by the Berg Balance Scale (BBS) along with 4-meter gait speed (4MGS). Correlations between each assessment in the three categories were analyzed and adjusted by stroke severity, comorbidity, and nutritional status.Results For muscle mass, SMI showed the highest correlation with the tibialis anterior muscle (r=0.783, p
Databáze: OpenAIRE