Analysis of affected and non-affected sides of stroke hemiparalysis patients and correlations between rehabilitation therapy assessments using the bioelectrical impedance analysis method

Abstract

[Purpose] The purpose of this study was to demonstrate the use of bioelectrical impedance analysis as an appropriate rehabilitation therapy evaluation tool for stroke hemiplegic patients. [Subjects and Methods] A group of 20 stroke patients diagnosed with stroke hemiplegia who underwent stroke rehabilitation from October to November 2015 participated in this study. Using bioelectrical impedance analysis, stroke hemiparalysis patients were examined, and the affected and non-affected sides were compared. This correlation between impedance measurement values and rehabilitation therapy as an assessment tool was determined. [Results] According to the whole-body bioimpedance measurements, prediction markers, reactances, and phase angles, there were significant differences between the non-affected and affected sides, and bioimpedance had a positive correlation with hand grip power, manual dexterity of hand function, and ability to perform activities of daily living. [Conclusion] There were significant differences between the impedance values of the affected and non-affected sides of hemiplegic stroke patients. These results suggest that bioelectrical impedance analysis can be used as an assessment during the rehabilitation of stroke patients.

Impact of nutritional status, muscle mass and oral status on recovery of full oral intake among stroke patients receiving enteral nutrition: A retrospective cohort study

“…27 The BIA is a common method for measuring body composition in daily clinical practice and has been validated for stroke patients. 28 The measurements were performed with participants in the supine position before the start of rehabilitation of the day with 5 minutes of bed rest. Registered dietitians measured body composition within a week from admission as possible.…”

“…Muscle mass and fat mass was evaluated by single‐frequency bioelectrical impedance analysis (BIA) using a validated instrument (Physion MD, Physion Co., Ltd., Kyoto, Japan) . The BIA is a common method for measuring body composition in daily clinical practice and has been validated for stroke patients . The measurements were performed with participants in the supine position before the start of rehabilitation of the day with 5 minutes of bed rest.…”

Correlation of Body Composition via Bioelectrical Impedance Analysis and Motor Function and Recovery of Upper Extremity in Patients Undergoing Stroke Rehabilitation

“…However, BIA can be used as a screening tool in the early stage of stroke in patients who cannot accurately measure motor function due to lack of cooperation. Although there have been studies on the correlation between body component and upper limb function [ 13 14 ], the regression between body component and upper limb motor function at discharge and motor recovery in stroke patient is still unknown.…”

Evaluation of the upper extremity functions of the non-affected side in hemiplegic patients during one month follow-up

“…Additionally, parameters such as muscle strength, grip strength, pain level, joint range of motion, and functional capacity in the unaffected extremities of hemiplegic patients depend on non-use or less use of the affected side. In this regard, the number of studies investigating the functional changes in the intact upper extremity associated with the affected side is rather low [12][13][14][15].…”