Ann Rehabil Med.  2019 Oct;43(5):535-543. 10.5535/arm.2019.43.5.535.

Effect of Decreased Skeletal Muscle Index and Hand Grip Strength on Functional Recovery in Subacute Ambulatory Stroke Patients

• Park JG
• Lee KW
• Kim SB
• Lee JH
• Kim YH

• KMID: 2463701
• DOI: http://doi.org/10.5535/arm.2019.43.5.535

Abstract

OBJECTIVE
To investigate the effect of decreased Skeletal Muscle Index (SMI) and hand grip strength on functional recovery in subacute ambulatory stroke patients.
METHODS
Subacute stroke patients who were referred to the rehabilitation center were recruited. Decreased SMI and hand grip strength were diagnosed according to the Asian Working Group on Sarcopenia. Diagnostic criteria were decreased SMI and decreased unaffected hand grip strength. SMI was measured by bioelectrical impedance analysis. Unaffected hand grip strength was measured with a hand dynamometer. Patients were divided into two groups, decreased group (DG) and not-decreased group (NDG), according to the presence of decreased SMI and hand grip strength. Both groups received conventional stroke rehabilitation for 3 weeks. All patients were evaluated at the baseline and at 3 weeks after treatment. Functional status was evaluated with 4-meter walk test (4MWT), 6-minute walk test (6MWT), Timed Up and Go test (TUG), and Modified Barthel Index (MBI).
RESULTS
Both groups showed improvement in 4MWT, TUG, and MBI. NDG showed improvement in 6MWT. Comparing improvements between the two groups, NDG showed more improvement in 6MWT and TUG than DG.
CONCLUSION
The presence of decreased SMI and hand grip strength had negative effects on functional recovery in subacute ambulatory stroke patients.

Keyword

Stroke; Subacute; Skeletal muscle index; Hand grip strength; Function

MeSH Terms

Asian Continental Ancestry Group
Electric Impedance
Hand Strength*
Hand*
Humans
Muscle, Skeletal*
Rehabilitation
Rehabilitation Centers
Sarcopenia
Stroke*

Figure

• 

  Fig. 1. Flowchart showing the enrollment of subjects. MMSE, Mini-Mental State Examination; FAC, Functional Ambulatory Category; SMI, Skeletal Muscle Index.

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