Effect of Post-Stroke Rehabilitation on Body Mass Composition in Relation to Socio-Demographic and Clinical Factors

Abstract

Background and objectives: Stroke is one of the leading causes of morbidity, mortality and long-term adult disability. The aim of this study was to assess the changes in body mass composition in patients after stroke in connection with selected socio-demographic and clinical factors (sex, age, type of stroke and time from the first symptoms) following the rehabilitation process. Materials and Methods: The study group consisted of 100 post-stroke subjects who participated in a comprehensive rehabilitation program for a duration of five weeks. The measurements of body composition by a Tanita MC 780 MA analyser were performed on the day of admission to hospital, on the day of discharge (after 5 weeks) and 12 weeks after discharge from hospital. Results: It was shown that before rehabilitation (Exam I) in the study group there were significant differences in body composition relative to sex, age and time from stroke. The rates of fat mass % and visceral fat level decreased after rehabilitation (Exam II) in both males and females. Exam II, at the end hospital rehabilitation, showed lower levels of fat mass %, visceral fat level, as well as fat-free mass % and higher values of total body water % and muscle mass %. In Exam III, i.e., 12 weeks after discharge, all of the parameters retained their values. Conclusions: The study shows an association between stroke risk factors (primarily age, sex and time from the onset of the first symptoms of stroke) and body mass composition resulting from rehabilitation. The type of stroke and the effects of rehabilitation on body mass components showed no differences. Comprehensive rehabilitation had a positive effect on the body mass components.

Measuring and Monitoring Skeletal Muscle Mass and Dysfunction After Stroke

“…The upper and lower limbs should be detached from the trunk. Numerous products are available from different companies including Inbody (Seoul, South Korea), Tanita (Tokyo, Japan) [62,63], and Bioscan (Malton International, Essex, England). Inbody is often used after stroke [5].…”

“…At the time of rehabilitation, stroke-induced sarcopenia was observed in 53.5% of patients [71] and sarcopenic obesity was observed in 28% of patients [72]. Even with rehabilitation, muscle mass decreased by approximately 65% at hospital discharge and increased by approximately 30% 12 weeks after hospital discharge without returning to the admission level [62]. Nagano et al have investigated changes in skeletal muscle index in 272 patients with stroke and found that the changes in skeletal muscle index were significantly associated with a motor score (β = 0.175; p = 0.003) and motor gain score (β = 0.247, p = 0.003) of the Functional Independence Measure at hospital discharge [73].…”

Impact of a Rehabilitation Program on the Change in Components of Body Mass of the Upper and Lower Limbs in People After Ischemic Stroke

“…The literature points out that the body mass composition of patients after stroke should also be considered in the rehabilitation process [ 9 , 10 ]. Early rehabilitation allows for the return of lost functions by, among other things, faster muscle mass growth [ 11 ].…”

Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

“…Researches address the burden of the individuals and families of the society and the health care systems concerning post-stroke patients who have disabilities and often can no longer reintegrate into socio-professional activities. Therefore, more and more emphasis is placed on developing facilities to speed patients’ physical rehabilitation after stroke [ 24 , 25 , 26 ]. Therefore, this study aims to determine the effectiveness and particularities of the use of VR associated with MT in the recovery of the LE of patients with post-stroke sequelae, compared to a standard physiotherapy program, as a novel approach in LE post-stroke rehabilitation, to contribute to the amendment of the efficient techniques and methods used in post-stroke rehabilitation.…”