Low Muscle Mass is Associated with Walking Function in Patients with Acute Ischemic Stroke

Abe, Tokiharu; Iwata, K.; Yoshimura, Yoshihiro; Shinoda, Taku; Inagaki, Yuta; Ohya, Shuhei; Yamada, Kanji; Oyanagi, Keiichi; Maekawa, Yukihiro; Honda, Akihiro; Kohara, Nobuo; Tsubaki, Atsuhiro

doi:10.1016/j.jstrokecerebrovasdis.2020.105259

Cited by 34 publications

(28 citation statements)

References 34 publications

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“…The 8 studies [18][19][20][21][22][23][24][25] were published between 2017 22 and 2020 [19][20][21]23,24 , and their characteristics are shown in Table 2. They all demonstrated an association between sarcopenia and poorer physical function outcome.…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…The included studies used different measures to assess sarcopenia and physical function outcomes of patients with stroke. Among these studies, the outcome measures used were the modified Rankin scale (mRS) [18][19][20][21] , Modified Barthel Index (MBI) 22 , and the Functional Independence Measure motor domain score (FIM-M) [23][24][25] . Four of these studies used the FIM or MBI to assess the activities of daily living (ADLs) status.…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…Moreover, the diagnosis measure of sarcopenia differed in these studies. Some studies used skeletal muscle quantity measured by bioelectrical impedance analysis (BIA) 20,23 or the SARC-F scale 18 , whereas others employed either grip strength 21,22 or grip strength + skeletal muscle index (SMI) by BIA 19,24,25 .…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…The relationship between sarcopenia and mRS was assessed in four studies [18][19][20][21] . No obvious heterogeneity was present in these studies.…”

Section: Modified Rankin Scale (Mrs)mentioning

confidence: 99%

“…A meta-analysis of these studies showed that sarcopenia was related to an increased risk of poor physical function (total OR=3.11, 95% CI: 2.22-4.34, P<0.0001) as displayed in Figure 2. In addition, A study by Takafumi Abe [20] indicated severity of the disease might be a confounding factor.…”

Section: Modified Rankin Scale (Mrs)mentioning

confidence: 99%

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The association between sarcopenia and the physical function of patients with stroke: A systematic review and meta-analysis

Su¹,

Li²,

Chen³

2021

J Rehab Therapy

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Objectives: The purpose of this study is to identify whether there is an association between sarcopenia and physical function outcomes of patients with stroke. Methods: A systematic search of Pubmed, Web of Science, Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI), and Wanfang database was conducted to identify studies in Chinese and English from the inception of the database to March 2021. Documents were checked for relevancy. Articles exploring the association between sarcopenia and the physical function of patients with stroke were included. The quality of the literature was evaluated using the Newcastle-Ottawa scale tool. Stata 15.0 software was used to conduct meta-analysis. Results: Eight studies met the criteria for inclusion. A meta-analysis of four studies showed that sarcopenia was related to an increased risk of poor physical function of patients with stroke (total OR=3.11, 95% CI: 2.22-4.34, P<0.0001). Descriptive analysis was performed in the rest of studies. Overall, a correlation between the two factors was found in patients with stroke. Some studies suggested a difference based on gender and severity of the disease condition. The studies included in this review were of high methodological quality. The Egger's test (P=0.217) showed no publication bias. Conclusions: This review concludes that sarcopenia is an independent predictive factor of physical function of patients with stroke. Clinicians should pay attention to gender differences and severity of disease condition. Therefore, screening, diagnosis, treatment, and prevention of sarcopenia should be part of the routine clinical practice when providing care to stroke patients.

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Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…The relationship between sarcopenia and mRS was assessed in four studies [18][19][20][21] . No obvious heterogeneity was present in these studies.…”

Section: Modified Rankin Scale (Mrs)mentioning

confidence: 99%

Section: Modified Rankin Scale (Mrs)mentioning

confidence: 99%

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The association between sarcopenia and the physical function of patients with stroke: A systematic review and meta-analysis

Su¹,

Li²,

Chen³

2021

J Rehab Therapy

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Improvements of mid‐thigh circumferences following robotic rehabilitation in hemiparetic stroke patients

Mat Nawi,

Simok,

Hanafi

et al. 2024

Physiotherapy Res Intl

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IntroductionStroke has emerged as the leading cause of disability globally. The provision of long‐term rehabilitation to stroke survivors poses a health care burden to many countries. Robotic devices have created a major turning point in stroke rehabilitation program. Currently, the anthropometric evidence to support the benefit of robotic rehabilitation (RR) among stroke patients is scarce. Therefore, the aim of this study was to evaluate the impact of RR on the mid‐thigh circumferences of the paretic limbs in stroke patients.MethodsTwenty stroke patients from conventional rehabilitation (CR) (n = 10) and RR (n = 10) groups were recruited through a purposive sampling method. Patients in the CR group received a two‐hour session of a five‐day‐a‐week home‐based CR program for 4 weeks. Patients in the RR group received a five‐day‐a‐week of an hour combined physiotherapy and occupational therapy session and a one‐hour robotic therapy session using the HAL® Cyberdyne lower‐limb, for 4 weeks. The mid‐thigh circumferences of both limbs were measured on day 1 (baseline), week 2 and week 4 of rehabilitation program.ResultsThe results revealed no statistically significant difference in the mid‐thigh circumferences between the paretic (F1.05,9.44 = 1.96, p = 0.20), and the normal (F1.05,9.44 = 1.96, p = 0.20) sides in the CR group (n = 10). For the comparison between the paretic and normal sides in the RR group (n = 10), the paretic mid‐thigh circumferences revealed significant time effect results (F2,18 = 11.91, p = 0.001), which were due to changes between baseline and week 2, and baseline and week 4 measurements. Interestingly, the normal mid‐thigh circumferences also revealed a significant time effect (F2,18 = 6.56, p = 0.007), which is due to changes between baseline and week 4. One‐way analysis of variance was employed to compare the mean average between groups due to the difference in the baseline measurements of the mid‐thigh circumferences between the paretic side of the CR and the RR groups. With this adjustment, the average means mid‐thigh circumferences after 4 weeks of therapy were shown to be significantly different between the CR and RR groups (F1,18 = 12.49, p = 0.02).ConclusionSignificant increments in the mid‐thigh circumferences following RR were seen in the paretic limbs of stroke patients. Hence, this study may provide some insights into further potential research related to the benefits of RR in stroke patients.

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A Combined Assessment Method of Phase Angle and Skeletal Muscle Index to Better Predict Functional Recovery after Acute Stroke

Abe¹,

Yoshimua²,

Imai³

et al. 2022

The Journal of nutrition, health and aging

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Low Muscle Mass is Associated with Walking Function in Patients with Acute Ischemic Stroke

Cited by 34 publications

References 34 publications

The association between sarcopenia and the physical function of patients with stroke: A systematic review and meta-analysis

The association between sarcopenia and the physical function of patients with stroke: A systematic review and meta-analysis

Improvements of mid‐thigh circumferences following robotic rehabilitation in hemiparetic stroke patients

A Combined Assessment Method of Phase Angle and Skeletal Muscle Index to Better Predict Functional Recovery after Acute Stroke

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