Sartor Lorena Cristina Alvarez, Luvizutto Gustavo José, de Souza Juli Thomaz, Silva Dalle Molle Evelin Roberta, Modolo Gabriel Pinheiro, da Silva Taís Regina, Prudente Robson Aparecido, Ribeiro Priscila Watson, da Costa Rafael Dalle Molle, de Oliveira Antunes Letícia Cláudia, Ferreira Natália Cristina, Bazan Silméia Garcia Zanati, Winckler Fernanda Cristina, de Carvalho Nunes Hélio Rubens, Minicucci Marcos Ferreira, Bazan Rodrigo
PhD Student, Botucatu Medical School, Universidade Estadual Paulista (UNESP), Brazil.
Department of Applied Physical Therapy, Federal University of Triângulo Mineiro (UFTM), Brazil.
Rehabil Res Pract. 2020 Feb 3;2020:1636540. doi: 10.1155/2020/1636540. eCollection 2020.
. Stroke can lead to musculoskeletal and respiratory dysfunction, chronic deconditioning, and functional limitations, as well as long-term complications.
The aim of this study was to evaluate the association between respiratory function and grip strength in the acute phase of stroke and stroke severity, disability, and autonomy in the long term.
This was a cohort study including 46 patients in the stroke unit. The stroke patients were assessed in the stroke unit at the following moments: at admission by the clinical and haemodynamic stability, demographic and anthropometric data, hand grip strength, stroke severity by National Institutes of Health Stroke Scale (NIHSS) score, and respiratory function using a manovacuometer; during hospitalization by clinical complications and the length of stay; and at hospital discharge and 90 days after discharge by the degrees of functional capacity and dependence using NIHSS, modified Rankin scale (mRs), and Barthel index. Data analysis was performed by multiple linear regression to verify the association between respiratory function and grip strength and the outcomes.
The median length of stay in the stroke unit was 7 days. A negative correlation was found between the palmar prehension strength on the unaffected side and mRs at discharge ( = -0.034, = 0.049). The NIHSS scores at discharge ( = -0.034, = 0.049). The NIHSS scores at discharge ( = -0.034, = 0.049). The NIHSS scores at discharge (.
It was concluded that a loss of grip strength is associated with a loss of ability and autonomy at discharge and poor respiratory function is associated with stroke severity at discharge.
中风可导致肌肉骨骼和呼吸功能障碍、慢性身体机能衰退、功能受限以及长期并发症。
本研究旨在评估中风急性期呼吸功能与握力之间的关联，以及长期的中风严重程度、残疾情况和自主能力。
这是一项队列研究，纳入了46名中风单元的患者。对中风患者在以下时间点进行评估：入院时评估临床和血流动力学稳定性、人口统计学和人体测量数据、握力、采用美国国立卫生研究院卒中量表（NIHSS）评分评估中风严重程度以及使用压力计评估呼吸功能；住院期间评估临床并发症和住院时长；出院时以及出院后90天使用NIHSS、改良Rankin量表（mRs）和Barthel指数评估功能能力和依赖程度。通过多元线性回归进行数据分析，以验证呼吸功能与握力之间的关联以及与各项结果的关系。
中风单元的中位住院时长为7天。发现患侧手掌抓握力与出院时的mRs之间存在负相关（ = -0.034， = 0.049）。出院时的NIHSS评分（ = -0.034， = 0.049）。出院时的NIHSS评分（ = -0.034， = 0.049）。出院时的NIHSS评分（。
得出的结论是，握力丧失与出院时能力和自主能力丧失相关，呼吸功能不佳与出院时的中风严重程度相关。
